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1 Division of Pulmonary Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
2 Pulmonary/Critical Care, University of Cincinnati Medical Center, Cincinnati, OH, USA
3 Department of Molecular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
4 Departments of Medicine and Cell Biology & Physiology, Washington University School of Medicine, St. Louis, MO, USA
5 Pulmonary and Critical Care, Brigham and Women's Hospital, Boston, MA, USA
* To whom correspondence should be addressed. E-mail: jeff.whitsett{at}cchmc.org.
Surfactant proteins A and D are members of collectin family of host defense proteins that share four distinct structural domains: N-terminal oligomerization, collagenous, neck and carbohydrate recognition. To determine the specificity of the functions of these domains, the SFTPC promoter was used to express: 1) full-length rat (r) Sftpa; 2) NH2-rSftpa/d, consisting of the N-terminal and collagenous domains of SP-A with the neck and CRD domains of SP-D; and 3) rSftpd/a, consisting of the N-terminal and collagenous domains of SP-D with the neck and CRD domains of SP-A in Sftpd-/- mice. Increased expression of SP-A in Sftpd-/- mice did not correct the increased pulmonary saturated phosphatidylcholine levels, emphysema or foamy alveolar macrophage and lymphocyte infiltrations characteristic of Sftpd-/- mice, indicating that the decreased SP-A level noted in Sftpd-/- mice does not account for the observed pulmonary abnormalities. The chimeric protein NH2-rSftpa/d was expressed and detected in the airways of transgenic mice, migrating as an SP-A like oligomer that associated with large aggregate surfactant in a manner similar to that of SP-A rather than SP-D. NH2-rSftpa/d did not correct emphysema, foamy macrophage and lymphocyte infiltration or the increased lipid accumulations characteristic of Sftpd-/- mice. Thus oligomerization and surfactant lipid association of SP-D requires its N-terminal and collagenous domains that are needed for SP-D dependent regulation of surfactant homeostasis in vivo. Attempts to express rSftpd/a fusion protein in vivo were unsuccessful. Mmp9-/-/Sftpd-/- and Mmp12-/-/Sftpd-/- mice developed airspace enlargement similar to Sftpd-/- mice, supporting the concept that the increased expression of each metalloproteinase seen in Sftpd-/- lungs was not the major cause of emphysema.
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