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Am J Physiol Lung Cell Mol Physiol (November 7, 2008). doi:10.1152/ajplung.90253.2008
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Submitted on March 31, 2008
Revised on November 5, 2008
Accepted on November 6, 2008

Simultaneous Absence of Surfactant Proteins A and D Increase Lung Inflammation and Injury After Allogeneic HSCT in Mice

Kendra Gram1, Shuxia Yang2, Marie Steiner2, Arif Somani2, Samuel Hawgood3, Bruce R. Blazar2, Angela Panoskaltsis-Mortari2, and Imad Y. Haddad4*

1 Children's Hospital of Minneapolis
2 University of Minnesota
3 UCSF
4 Banner Children's Hospital

* To whom correspondence should be addressed. E-mail: imad.haddad{at}bannerhealth.com.

The relative contributions of the hydrophilic surfactant proteins (SP)-A and D to early inflammatory responses associated with lung dysfunction after experimental allogeneic hematopoietic stem cell transplantation (HSCT) were investigated. We hypothesized that the absence of SP-A and SP-D would exaggerate allogeneic T cell-dependent inflammation and exacerbate lung injury. Wild type, SP-D-deficient (SP-D-/-), and SP-A and D double knockout mice (SP-A/D-/-) C57BL/6 mice were lethally conditioned with cyclophosphamide and total body irradiation and given allogeneic bone marrow plus donor spleen T cells, simulating clinical HSCT regimens. On day 7 after HSCT, permeability edema progressively increased in SP-D-/- and SP-A/D-/- mice. Allogeneic T cell-dependent inflammatory responses were also increased in SP-D-/- and SP-A/D-/- mice, but the altered mediators of inflammation were not identical. Compared to wild type, bronchoalveolar lavage fluids (BALF) levels of nitrite plus nitrate, GM-CSF, and MCP-1, but not TNF-{alpha} and IFN-{gamma}, were higher in SP-D-deficient mice before and after HSCT. In SP-A/D-/- mice, day 7 post-HSCT BALF levels of TNF-{alpha}, and IFN-{gamma}, in addition to nitrite plus nitrate and MCP-1, were higher compared to mice lacking SP-D alone. After HSCT, both SP-A and SP-D exhibit anti-inflammatory lung protective functions that are not completely redundant in vivo.







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