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Am J Physiol Lung Cell Mol Physiol (May 15, 2009). doi:10.1152/ajplung.00043.2009
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Submitted on February 11, 2009
Revised on April 22, 2009
Accepted on May 13, 2009

Claudin 4 augments alveolar epithelial barrier function and is induced in acute lung injury

Charlie Wray1, Ying Mao1, Jue Pan2, Anita Chandrasena2, Frank Piasta3, and James Andrew Frank2*

1 Northern California Institute for Research and Education
2 University of California, San Francisco
3 San Francisco VA Medical Center

* To whom correspondence should be addressed. E-mail: james.frank{at}ucsf.edu.

Intact alveolar barrier function is associated with better outcomes in acute lung injury patients; however, the regulation of alveolar epithelial paracellular transport during lung injury has not been extensively investigated. This study was undertaken to determine whether changes in tight junction claudin expression affect alveolar epithelial barrier properties, and to determine the mechanisms of altered expression. In anesthetized mice exposed to ventilator-induced lung injury, claudin 4 was specifically induced among tight junction structural proteins. Real time PCR showed an 8-fold increase in claudin 4 expression in the lung injury model. To examine the role of this protein in barrier regulation, claudin 4 function was inhibited with siRNA and a blocking peptide derived from the binding domain of Clostridium perfringens enterotoxin (CPEBD). Inhibition of claudin 4 decreased transepithelial electrical resistance, but did not alter macromolecule permeability in primary rat and human epithelial cells. In mice, CPEBD decreased airspace fluid clearance over 33% and resulted in pulmonary edema during moderate tidal volume ventilation that did not induce edema in control peptide-treated mice. In vitro, phorbol ester induced a 9-fold increase in claudin 4 expression that was dependent on protein kinase C activation and the JNK MAPK pathway. These data establish that changes in alveolar epithelial claudin expression influence paracellular transport, alveolar fluid clearance rates, and susceptibility to pulmonary edema. We hypothesize that increased claudin 4 expression early in acute lung injury represents a mechanism to limit pulmonary edema, and that the regulation of alveolar epithelial claudin expression may be a novel target for acute lung injury therapy.




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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
M. Koval
Tight junctions, but not too tight: fine control of lung permeability by claudins
Am J Physiol Lung Cell Mol Physiol, August 1, 2009; 297(2): L217 - L218.
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