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2-adrenergic
receptors to type II cells increases alveolar fluid
clearance
Departments of 1 Medicine and 4 Molecular Genetics, University of Cincinnati College of Medicine, Cincinnati 45267, 3 Department of Zoology, Miami University, Oxford 45056; 5 Department of Pathology, Children's Hospital Medical Center, Cincinnati, Ohio 45229; and 2 Cardiovascular Research Institute, University of California, San Francisco, California 94143
Clearance
of edema fluid from the alveolar space can be enhanced by endogenous
and exogenous
-agonists. To selectively delineate the effects of
alveolar type II (ATII) cell
2-adrenergic receptors (
2-ARs) on alveolar fluid clearance (AFC), we generated
transgenic (TG) mice that overexpressed the human
2-AR
under control of the rat surfactant protein C promoter. In situ
hybridization showed that transgene expression was consistent with the
distribution of ATII cells. TG mice expressed 4.8-fold greater
2-ARs than nontransgenic (NTG) mice (939 ± 113 vs.
194 ± 18 fmol/mg protein; P < 0.001). Basal AFC
in TG mice was ~40% greater than that in untreated NTG mice (15 ± 1.4 vs. 10.9 ± 0.6%; P < 0.005) and
approached that of NTG mice treated with the
-agonist formoterol
(19.8 ± 2.2%; P = not significant).
Adrenalectomy decreased basal AFC in TG mice to 9.7 ± 0.5% but
had no effect on NTG mice (11.5 ± 1.0%).
Na+-K+-ATPase
1-isoform
expression was unchanged, whereas
2-isoform expression
was ~80% greater in the TG mice. These findings show that
2-AR overexpression can be an effective means to
increase AFC in the absence of exogenous agonists and that AFC can be
stimulated by activation of
2-ARs specifically expressed
on ATII cells.
G protein; adenylyl cyclase;
-agonist; mouse; pulmonary edema
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