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Department of Physiology, Perinatal Research Centre, 513 Heritage Medical Research Centre, University of Alberta, Edmonton, Alberta, Canada T6G 2S2
Congenital diaphragmatic
hernia (CDH) is a significant clinical problem in which a portion of
the diaphragmatic musculature fails to form, resulting in a hole in the
diaphragm. Here we use animal models of CDH to test two hypotheses
regarding the pathogenesis. First, the origin of the defect results
from the malformation of the amuscular mesenchymal component of the
primordial diaphragm rather than with the process of myogenesis.
Second, the defect in the primordial diaphragmatic tissue is not
secondary to defects in the developing lung. In c-met(
/
)
mouse embryos, in which diaphragm muscle fibers do not form because of
a defect in muscle precursor migration, the amuscular substratum forms
fully. We show that a defect characteristic of CDH can be induced in
the amuscular membrane. In Fgf10(
/
) mouse embryos that
have lung agenesis we show that the primordial diaphragm does not
depend on signals from lung tissue for proper development and that
diaphragmatic malformation is a primary defect in CDH. These data
suggest that the pathogenesis of CDH involves mechanisms fundamentally
different from previously proposed hypotheses.
c-met; hepatocyte growth factor/scatter factor; Fgf10; somatopleure; neonatology; congenital diaphragmatic hernia
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