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Is an Endogenous Regulator of Normal Lung Maturation and Maintenance
Division of Pulmonary Medicine, Brigham and Women's Hospital, and Division of Respiratory Diseases, Children's Hospital, Harvard Medical School, Boston, Massachusetts
Correspondence and requests for reprints should be addressed to Thomas J. Mariani, Ph.D., Pulmonary Medicine, Brigham and Women's Hospital, The Lung Biology Center, Harvard Medical School. E-mail: tmariani{at}partners.org
Peroxisome proliferator-activated receptor-
(PPAR
) is a nuclear hormone receptor that regulates gene expression, cellular differentiation, and tissue inflammation. PPAR
is expressed in the murine lung in a spatio-temporally restricted pattern and is prominent within the airway epithelium. To study the physiologic role of this transcription factor in regulating lung development and the response to inflammatory stimuli, we have generated mice with conditional PPAR
deficiency within the conducting airway epithelium. Isolated airway epithelial cells from conditionally targeted mice showed a 75% reduction in PPAR
mRNA expression by real-time polymerase chain reaction and a 50% reduction in PPAR
expressing cells by immunocytochemistry. These mice display airspace enlargement in the absence of overt inflammation. Morphometric analysis revealed a 13% increase in chord length and 33% increase in airspace area (both p < 0.01) in targeted animals compared with littermate controls at 8 wk of age. There was no overt evidence of inflammation present. Abnormal airspaces were not present at 2 wk of age and persisted, but did not progress, at 9 mo of age. These data suggest a defect in terminal lung maturation, which occurs throughout the first month of life in rodents. Whole lung genomewide expression profiling revealed a general decrease in extracellular matrix (ECM) gene expression, including elastin and type I collagen. As these proteins are not expressed by the targeted epithelial cells, the data suggest a molecular mechanism for the observed phenotype whereby PPAR
deficiency disrupts epithelialmesenchymal interactions, resulting in decreased structural ECM gene expression and abnormal lung structure. Expression profiling of freshly isolated airway epithelial cells identified dysregulation of genes involved in PPAR
function, lipid metabolism, cellular differentiation, and inflammation in the conditionally targeted animals. To examine the role of epithelial cell PPAR
in regulating lung inflammation, we challenged adult mice to cigarette smoke for 6 mo. Targeted animals had greater smoke-induced emphysema when compared with age-matched, wild-type littermate controls (28% increase in chord length, 50% increase in alveolar area) and age-matched, unchallenged knockouts (20% increase in chord length, 29% increase in alveolar area). Targeted mice also showed an approximate twofold increase in macrophages number (p < 0.01) after smoke exposure, as quantified by MAC3 immunohistochemistry. We conclude that epithelial PPAR
is necessary for proper lung maturation and response to injury. Ongoing studies are further defining the regulatory mechanisms involved.
ACKNOWLEDGMENTS
The authors thank Frank J. Gonzalez for providing the PPAR floxed mouse.
FOOTNOTES
Supported by the American Lung Association, the Francis Families Foundation, and the Cystic Fibrosis Foundation.
Conflict of Interest Statement: D.M.S. does not have a financial relationship with a commercial entity that has an interest in the subject of this manuscript. M.C.A. does not have a financial relationship with a commercial entity that has an interest in the subject of this manuscript. S.S. does not have a financial relationship with a commercial entity that has an interest in the subject of this manuscript. S.B. does not have a financial relationship with a commercial entity that has an interest in the subject of this manuscript. T.A. does not have a financial relationship with a commercial entity that has an interest in the subject of this manuscript. S.D.S. has, in the past 3 yr, participated in advisory boards for Boehringer Ingelheim, GlaxoSmithKline, Millenium, Pfizer, Wyeth, and ICOS. His laboratory has performed research in collaboration with Pfizer, Arriva, ONO, and Taisho. Advisory board activity did not exceed $10,000/yr per company. No personal income was obtained from research grants. He receives a fixed stipend as Editor of the AJRCMB. T.J.M. does not have a financial relationship with a commercial entity that has an interest in the subject of this manuscript.
(Received in original form March 16, 2006; accepted in final form March 20, 2006)
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