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Am J Physiol Lung Cell Mol Physiol (October 27, 2006). doi:10.1152/ajplung.00329.2006
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Submitted on August 25, 2006
Accepted on October 24, 2006

FGF-10 is decreased in bronchopulmonary dysplasia and suppressed by Toll-like receptor activation

John T. Benjamin1, Rebekah J. Smith1, Brian A. Halloran1, Timothy J. Day2, David R. Kelly2, and Lawrence S. Prince1*

1 Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, United States
2 Pathology, University of Alabama at Birmingham, Birmingham, Alabama, United States

* To whom correspondence should be addressed. E-mail: lprince{at}peds.uab.edu.

Many extremely preterm infants continue to suffer from bronchopulmonary dysplasia, which results from abnormal saccular stage lung development. Here we show that fibroblast growth factor-10 (FGF-10) is required for saccular lung development and reduced in the lung tissue of infants with bronchopulmonary dysplasia. While exposure to bacteria increases the risk of bronchopulmonary dysplasia, no molecular target has been identified connecting inflammatory stimuli and abnormal lung development. In an experimental mouse model of saccular lung development, activation of Toll-like Receptor 2 (TLR2) or Toll-Like Receptor 4 (TLR4) inhibited FGF-10 expression, leading to abnormal saccular airway morphogenesis. In addition, Toll-mediated FGF-10 inhibition disrupted the normal positioning of myofibroblasts around saccular airways, similar to the mislocalization of myofibroblasts seen in patients with bronchopulmonary dysplasia. Reduced FGF-10 expression may therefore link the innate immune system and impaired lung development in bronchopulmonary dysplasia.




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