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Published on: October 19, 2013
Decreased surfactant proteins in lambs with pulmonary hypertension secondary to increased blood flow
J A Gutierrez1, A J Parry, D M McMullan
1Department of Pediatrics, University of California, San Francisco, California 94143, USA. jgut@itsa.ucsf.edu
Insights
Congenital heart disease in lambs with pulmonary hypertension led to reduced surfactant proteins A and B. This finding highlights potential impacts on lung function in related infant conditions.
Area of Science:
- Pulmonary Medicine
- Neonatology
- Cardiovascular Research
Background:
- Infants with congenital heart disease (CHD) often experience pulmonary hypertension, leading to respiratory distress and infections.
- Increased pulmonary blood flow is a common cause of pulmonary hypertension in infants with CHD.
- Surfactant proteins are crucial for lung function, particularly in premature infants.
Purpose of the Study:
- To investigate the impact of pulmonary hypertension, secondary to increased pulmonary blood flow, on surfactant protein expression in a lamb model.
- To quantify changes in surfactant protein A (SP-A), SP-B, and SP-C mRNA and protein levels.
Main Methods:
- Utilized a lamb model with surgically created aortopulmonary vascular grafts to induce pulmonary hypertension.
- Assessed SP-A, SP-B, and SP-C mRNA and protein expression at 4 weeks of age using quantitative methods.
- Compared expression levels in lambs with induced pulmonary hypertension to age-matched controls.
Main Results:
- SP-A mRNA content decreased significantly to 61.4% of control values.
- SP-A protein content showed a marked decrease to 50% of control values.
- SP-B protein content was reduced to 74% of control values, though SP-B mRNA did not change significantly. SP-C mRNA remained unchanged.
Conclusions:
- Increased pulmonary blood flow in a lamb model of CHD with pulmonary hypertension leads to decreased SP-A gene expression and reduced SP-A and SP-B protein levels.
- These alterations in surfactant protein expression may contribute to the respiratory complications observed in infants with similar conditions.
- The study provides insights into the molecular mechanisms underlying lung dysfunction in CHD-associated pulmonary hypertension.
Abstract:
Infants with increased pulmonary blood flow secondary to congenital heart disease suffer from tachypnea, dyspnea, and recurrent pulmonary infections. We have recently established a model of pulmonary hypertension secondary to increased pulmonary blood flow in lambs after in utero placement of an aortopulmonary vascular graft. The purpose of the present study was to utilize our animal model to determine the effects on the expression of surfactant proteins A (SP-A), B (SP-B), and C (SP-C). At age 4 wk, SP-A mRNA content in lambs decreased to 61.4 +/- 8% of age-matched control value (n = 5; P < 0.05). In addition, SP-A protein content was decreased to 50 +/- 12% of control value (n = 6; P < 0.0001). Although we did not observe statistically significant changes in SP-B mRNA content, SP-B protein was decreased to 74 +/- 25% of control value (n = 4; P < 0.02). There was no difference in SP-C mRNA. These data show that in a model of congenital heart disease with pulmonary hypertension secondary to increased pulmonary blood flow, there is a decrease in SP-A gene expression as well as a decrease in SP-A and SP-B protein contents.
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