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Am J Physiol Lung Cell Mol Physiol 290: L1183-L1192, 2006. First published January 20, 2006; doi:10.1152/ajplung.00175.2005
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Pleiotropic role of VEGF-A in regulating fetal pulmonary mesenchymal cell turnover

S. Majka,1,2 K. Fox,1,3,4 B. McGuire,5 J. Crossno, Jr.,1,3,4 P. McGuire,5 and A. Izzo6

1Department of Medicine, Cardiovascular Pulmonary Research Section, Divisions of 2Cardiology and 3Pulmonary Sciences and Critical Care Medicine, and 4Denver Veterans Administration Medical Center, University of Colorado Health Sciences Center, Denver, Colorado; 5Department of Cell Biology and Physiology, University of New Mexico School of Medicine, Albuquerque, New Mexico; and 6Department of Microbiology, Immunology & Pathology, Colorado State University, Fort Collins, Colorado

Submitted 19 April 2005 ; accepted in final form 9 January 2006

Tight regulation of VEGF-A production and signaling is important for the maintenance of lung development and homeostasis. VEGF null mice have provided little insight into the role of VEGF during the later stages of lung morphogenesis. Therefore, we examined the in vitro effects of autocrine and paracrine VEGF-A production and the inhibition of VEGF-A signaling on a Flk-1-negative subset of fetal pulmonary mesenchymal cells (pMC). We hypothesized that VEGF-A receptor signaling regulates turnover of fetal lung mesenchyme in a cell cycle-dependent manner. VEGF receptor blockade with SU-5416 caused cell spreading and decreased proliferation and bcl-2 localization. Nuclear expression of the cell cycle inhibitory protein, p21, was increased with SU-5416 treatment, and p27 was absent. Autocrine VEGF production by pMC resulted in proliferation and p21/p27-dependent contact inhibition. In contrast, exogenous VEGF-A increased cell progression through the cell cycle. Selective activation of Flt by placental growth factor demonstrated the importance of this receptor/kinase in the VEGF-A responsiveness of pMC. The expression and localization of the survival factor bcl-2 was dependent on VEGF. These results provide evidence that VEGF-A plays a critical role in the regulation of fetal pulmonary mesenchymal proliferation, survival, and the subsequent development of normal lung architecture through bcl-2 and p21/p27-dependent cell cycle control.

proliferation; bronchopulmonary dysplasia; SUGEN 5416



Address for reprint requests and other correspondence: S. Majka, SON 3928, Mail stop B-133, 4200 E. 9th Ave., Denver, Colorado 80262 (e-mail: Susan.majka{at}uchsc.edu)




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