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Am J Physiol Lung Cell Mol Physiol 283: L1002-L1010, 2002. First published July 7, 2002; doi:10.1152/ajplung.00118.2002
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Vol. 283, Issue 5, L1002-L1010, November 2002

Sequential targeted deficiency of SP-A and -D leads to progressive alveolar lipoproteinosis and emphysema

Samuel Hawgood1, Matthias Ochs2, Anja Jung2, Jennifer Akiyama1, Lennell Allen1, Cindy Brown1, Jess Edmondson1, Stacey Levitt1, Elaine Carlson1, Anne Marie Gillespie1, Angela Villar1, Charles J. Epstein1, and Francis R. Poulain1

1 Cardiovascular Research Institute and Department of Pediatrics, University of California San Francisco, San Francisco, California 94118-1944; and 2 Department of Anatomy, University of Göttingen, Göttingen, Germany D37075

Surfactant proteins-A and -D (SP-A and SP-D) are members of the collectin protein family. Mice singly deficient in SP-A and SP-D have distinct phenotypes. Both have altered inflammatory responses to microbial challenges. To further investigate the functions of SP-A and SP-D in vivo, we developed mice deficient in both proteins by sequentially targeting the closely linked genes in embryonic stem cells using graded resistance to G-418. There is a progressive increase in bronchoalveolar lavage phospholipid, protein, and macrophage content through 24 wk of age. The macrophages from doubly deficient mice express high levels of the matrix metalloproteinase MMP-12 and develop intense but patchy lung inflammation. Stereological analysis demonstrates significant air space enlargement and reduction in alveolar septal tissue per unit volume, consistent with emphysema. These changes qualitatively resemble the lung pathology seen in SP-D-deficient mice. These doubly deficient mice will be useful in dissecting the potential overlap in function between SP-A and SP-D in host defense.

surfactant proteins; collectins; alveolar macrophages; sequential gene targeting


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