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neutralizing antibodies improve pulmonary alveologenesis and vasculogenesis in the injured newborn lung
1 Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, Massachusetts, United States; Cardiovascular Research Center, United States
2 Genzyme Corporation, Cambridge, Massachusetts, United States
3 Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, Massachusetts, United States; Pediatrics, Division of Newborn Medicine, United States; Cardiovascular Research Center, United States
* To whom correspondence should be addressed. E-mail: roberts{at}cvrc.mgh.harvard.edu.
Pulmonary injury is associated with the disruption of alveologenesis in the developing lung and causes bronchopulmonary dysplasia (BPD) in prematurely born infants. TGF-
is an important regulator of cellular differentiation and early lung development and its levels are increased in newborn lung injury. Although over-expression of TGF-
in the lungs of newborn animals causes pathological features that are consistent with BPD, the role of endogenous TGF-
in the inhibition of the terminal stage of lung development is incompletely understood. In this investigation, the hypothesis that O2-induced injury of the maturing lung is associated with TGF-
-mediated disruption of alveologenesis and microvascular development was tested using a murine model of BPD. Here we report that treatment of developing mouse lungs with TGF-
-neutralizing antibodies attenuates the increase in pulmonary cell phospho-Smad2 nuclear localization, which is indicative of augmented TGF-
signaling, associated with pulmonary injury induced by chronic inhalation of 85% oxygen. Importantly, the neutralization of the abnormal TGF-
activity improves quantitative morphometric indicators of alveologenesis, extracellular matrix assembly, and microvascular development in the injured developing lung. Furthermore, exposure to anti-TGF-
antibodies is associated with improved somatic growth in hyperoxic mouse pups and not with an increase in pulmonary inflammation. These studies indicate that excessive pulmonary TGF-
signaling in the injured newborn lung has an important role in the disruption of the terminal stage of lung development. In addition, they suggest that anti-TGF-
antibodies may be an effective therapy for preventing some important developmental diseases of the newborn lung.
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