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Published ahead of print on July 17, 2008, doi:10.1164/rccm.200804-582OC

Am. J. Respir. Crit. Care Med., Volume 178, Number 8, October 2008, 805-813

A more recent version of this article appeared on October 15, 2008
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Submitted on April 18, 2008
Accepted on July 17, 2008

Surfactant Protein D Protects Against Acute Hyperoxic Lung Injury

Deepika Jain1, Elena N Atochina-Vasserman1, Yaniv Tomer1, Helchem Kadire1, and Michael F Beers1*

1 Surfactant Biology Laboratories, Pulmonary and Critical Care Division, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA

* To whom correspondence should be addressed. E-mail: mfbeers{at}mail.med.upenn.edu.

Rationale: Surfactant Protein D (SP-D) is a member of the collectin family of soluble, innate host defense molecules with demonstrated immunomodulatory properties in vitro. Constitutive absence of SP-D in mice is associated with lung inflammation, alteration in surfactant lipid homeostasis, and increased oxidative-nitrative stress. Objectives: To test the hypothesis that SP-D would protect against acute lung injury from hyperoxia in vivo. Methods: Transgenic mice overexpressing rat SP-D either constitutively (SP-D OE) or conditionally via regulation with doxycycline (SP-D Dox-on) were each subjected to continuous hyperoxic challenge for up to 14 days. Results: Compared to littermate controls (WT), SP-D OE mice exposed to 80% O2 demonstrated substantially increased survival accompanied by significant reductions in wet to dry lung ratios and BAL protein. Although SP-D OE and WT mice each exhibited a 2-fold increase in total BAL cells and neutrophilia in response to hyperoxia, the SP-D OE group had lower levels of BAL pro-inflammatory cytokines and chemokines including IL-6, TNF-{alpha}, and MCP-1, increased mRNA levels of the transcription factor Nrf-2 and phase 2 antioxidants HO-1, GPx-2 and Nqo1 and decreases in lung tissue thiobarbituric-acid reactive substances. As proof of principle, the protective role of SP-D on hyperoxic injury was confirmed as SP-D Dox-on mice exposed to 85% O2 demonstrated increased mortality upon withdrawal of doxycycline. Conclusions: Local expression of SP-D protects against hyperoxic lung injury through modulation of pro-inflammatory cytokines and antioxidant enzymatic scavenger systems.


Key words: innate immunity, inflammation, collectin, antioxidants, oxidative stress







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