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Published ahead of print on June 11, 2009, doi:10.1164/rccm.200809-1483OC

Am. J. Respir. Crit. Care Med., Volume 180, Number 5, September 2009, 396-406

A more recent version of this article appeared on September 1, 2009
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Submitted on September 23, 2008
Accepted on June 10, 2009

Pulmonary Epithelial Neuropilin-1 Deletion Enhances Development of Cigarette Smoke-induced Emphysema

Anne Le1, Rachel Zielinski1, Chaoxia He1, Michael T. Crow1, Shyam Biswal2, Rubin M. Tuder3, and Patrice M. Becker1*

1 Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States, 2 Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States; Division of Toxicology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States, 3 Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States; Cardiopulmonary Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States

* To whom correspondence should be addressed. E-mail: pbecker1{at}jhmi.edu.

Rationale: Cigarette smoke (CS) exposure is an important risk factor for COPD but not all smokers develop disease, suggesting that other factors influence disease development. Objectives: We sought to determine whether neuropilin-1 (Nrp-1), an integral component of receptor complexes mediating alveolar septation and vascular development, was involved in maintenance of normal alveolar structure, and/or altered susceptibility to the effects of CS. Methods: Transgenic mice were generated to achieve inducible lung-specific deletion of epithelial Nrp-1. We determined whether conditional Nrp-1 deletion altered airspace size, then compared the effects of chronic CS or filtered air exposure on airspace size, inflammation, and the balance between cell death and proliferation in conditionally Nrp-1-deficient adult mice and littermate controls. Finally, we evaluated the effects of Nrp-1 silencing on cell death following acute exposure of A549 cells to cigarette smoke extract (CSE) or short chain ceramides. Results: Genetic deletion of epithelial Nrp-1 in either postnatal or adult lungs resulted in a small increase in airspace size. More notably, both airspace enlargement and apoptosis of Type I and Type II alveolar epithelial cells were significantly enhanced following chronic CS exposure in conditionally Nrp-1 deficient adult mice. Silencing of Nrp-1 in A549 cells did not alter cell survival after vehicle treatment, but significantly augmented apoptosis following exposure to CSE or ceramide. Conclusions: These data support a role for epithelial Nrp-1 in maintenance of normal alveolar structure, and suggest that dysregulation of Nrp-1 expression may promote epithelial cell death in response to cigarette smoke exposure, thereby enhancing emphysema development.


Key words: chronic obstructive pulmonary disease • genetically modified mice • apoptosis







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