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in Adult Mouse Lung Causes Pulmonary Fibrosis
1 Division of Pulmonary Medicine, Children's Hospital Medical Center, Cincinnati, OH, USA
2 Division of Pulmonary Biology, Children's Hospital Medical Center, Cincinnati, OH, USA
3 Department of Environmentla Health, University Of Cincinnati, Cincinnati, OH, USA
4 Division of Molecular Genetics, University of Cincinnati, Cincinnati, OH, USA
* To whom correspondence should be addressed. E-mail: william.hardie{at}cchmc.org.
To determine if overexpression of transforming growth factor-
(TGF) in the adult lung causes remodeling independent of developmental influences we generated conditional transgenic mice expressing TGF in the epithelium under control of the doxycycline (dox) regulatable Clara cell secretory protein promoter. Two transgenic lines were generated and following 4 days of dox-induction TGF levels in whole lung homogenate were increased 13- to 18-fold above nontransgenic levels. After TGF induction, transgenic mice developed progressive pulmonary fibrosis and body weight loss with mice losing 15% of their weight after 6 weeks of TGF induction. Fibrosis was detected within 4 days of TGF induction and developed initially in the perivascular, peribronchial and pleural regions, but later extended into the interstitium. Fibrotic regions were composed of increased collagen and cellular proliferation and were adjacent to airway and alveolar epithelial sites of TGF expression. Fibrosis progressed in the absence of inflammatory cell infiltrates as determined by histology, without changes in bronchiolar alveolar lavage total or differential cell counts, and without changes in proinflammatory cytokines TNF or IL-6. Active transforming growth factor 
(TGF) in whole lung homogenate was not altered 1 and 4 days after TGF induction and immunostaining was not increased in the peribronchial/perivascular areas at all time points. Chronic epithelial expression of TGF in adult mice caused progressive pulmonary fibrosis associated with increased collagen and extracellular matrix deposition and increased cellular proliferation. Induction of pulmonary fibrosis by TGF was independent of inflammation or early activation of TGF.
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