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SHR Neuro Cancer Cardio Lipid

Friedmacher, F; Hofmann, AD; Takahashi, T; Takahashi, H; Kutasy, B; Puri, P.
Prenatal administration of all-trans retinoic acid upregulates leptin signaling in hypoplastic rat lungs with experimental congenital diaphragmatic hernia.
Pediatr Surg Int. 2014; 30(12):1183-1190
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Authors Med Uni Graz:
Friedmacher Florian

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Pulmonary hypoplasia (PH), characterized by alveolar immaturity, is one of the leading causes of respiratory insufficiency in newborns with congenital diaphragmatic hernia (CDH). Leptin (Lep) and its receptor (Lep-R) play an important role in fetal lung growth by stimulating alveolar differentiation and maturation. Lep and Lep-R are strongly expressed by alveolar cells during the saccular stage of fetal lung development. Lep-deficient mice exhibit decreased alveolarization with reduced pulmonary surfactant phospholipid synthesis, similar to human and nitrofen-induced PH. Prenatal administration of all-trans retinoic acid (ATRA) has been shown to stimulate alveolarization in nitrofen-induced PH. Recent studies have demonstrated that Lep and Lep-R expression in developing lungs is regulated by ATRA. We hypothesized that prenatal treatment with ATRA increases pulmonary Lep and Lep-R expression in the nitrofen model of CDH-associated PH. Time-mated rats received either 100 mg nitrofen or vehicle via oral-gastric lavage on embryonic day 9.5 (E9.5). Control and nitrofen-exposed dams were randomly assigned to either intraperitoneal ATRA (5 mg/kg/d) or placebo administration on E18.5, E19.5 and E20.5. Fetal lungs were harvested on E21.5, and divided into Control+Placebo, Control+ATRA, Nitrofen+Placebo and Nitrofen+ATRA. Alveolarization was assessed using stereo- and morphometric analysis techniques. Surfactant phospholipid synthesis was analyzed by labeling for surfactant protein B (SP-B). Pulmonary gene expression levels of Lep and Lep-R were determined using quantitative real-time polymerase chain reaction. Immunohistochemical staining for Lep and Lep-R was performed to evaluate alveolar protein expression and localization. In vivo administration of ATRA resulted in significantly increased lung-to-body weight ratio with enhanced radial alveolar count and decreased mean linear intercept compared to placebo treatment. Immunofluorescence analysis demonstrated markedly increased pulmonary SP-B expression in Nitrofen+ATRA compared to Nitrofen+Placebo. Relative mRNA expression of Lep and Lep-R was significantly increased in Nitrofen+ATRA compared to Nitrofen+Placebo. Lep and Lep-R immunoreactivity was markedly increased in interstitial and alveolar epithelial cells of Nitrofen+ATRA compared to Nitrofen+Placebo. Increased Lep and Lep-R expression after prenatal administration of ATRA in nitrofen-induced PH suggests that ATRA may have therapeutic potential in attenuating CDH-associated PH by stimulating alveolarization and de novo surfactant production.
Find related publications in this database (using NLM MeSH Indexing)
Animals -
Disease Models, Animal -
Female -
Hernias, Diaphragmatic, Congenital - drug therapy
Hernias, Diaphragmatic, Congenital - genetics
Hernias, Diaphragmatic, Congenital - metabolism
Immunohistochemistry -
Leptin - biosynthesis
Leptin - genetics
Lung - embryology
Lung - metabolism
Organogenesis - drug effects
Pregnancy -
Pregnancy, Animal -
RNA, Messenger - genetics
Rats -
Rats, Sprague-Dawley -
Real-Time Polymerase Chain Reaction -
Signal Transduction -
Tretinoin - pharmacology
Up-Regulation - drug effects

Find related publications in this database (Keywords)
Retinoic acid
Leptin receptor
Pulmonary hypoplasia
Congenital diaphragmatic hernia
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