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Articles in PresS, published online ahead of print January 4, 2002
Am J Physiol Lung Cell Mol Physiol, 10.1152/ajplung.00308.2001
Submitted on August 7, 2001
Accepted on December 21, 2001
1 Anesthesiology, VA San Diego Healthcare System, San Diego, CA, USA; Anesthesiology, University of California, San Diego, San Diego, CA, USA
2 Anesthesiology, University of California, San Diego, San Diego, CA, USA
3 Research, VA San Diego Healthcare System, San Diego, CA, USA
4 Medicine, University of California, San Diego, San Diego, CA, USA; Research, VA San Diego Healthcare System, San Diego, CA, USA
5 Medicine, VA San Diego Healthcare System, San Diego, CA, USA; Medicine, University of California, San Diego, San Diego, CA, USA
* To whom correspondence should be addressed. E-mail: rhhastings{at}ucsd.edu.
Inhalation of silica leads to acute lung injury and alveolar type II cell proliferation. Type II cell proliferation after hyperoxic lung injury is regulated, in part, by parathyroid hormone-related protein (PTHrP). In this study, we investigated lung PTHrP and its effects on epithelial proliferation after injury induced by silica. Lung PTHrP decreased modestly four days after instilling 10 mg silica into rat lungs and then recovered from four to 28 days. The number of proliferating cell nuclear antigen (PCNA)-positive type II cells was increased three-fold in silica-injured lungs compared to controls. Subsequently, rats were treated with four exogenous PTHrP peptides in the silica instillate and administered sc daily. One peptide, PTHrP 38-64, had consistent and significant effects on cell proliferation. PTHrP 38-64 increased the median number of PCNA-positive cells/field nearly four-fold above controls, 380 vs. 109 (P < 0.05). Thymidine incorporation was 2.5 times higher in type II cells isolated from rats treated with PTHrP 38-64 compared to PBS. PTHrP 38-64 significantly increased the number of cells expressing alkaline phosphatase, a type II cell marker. This study indicates that PTHrP 38-64 stimulates type II cell growth and may have a role in lung repair in silica-injured rats.
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