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FGF-10 is decreased in bronchopulmonary dysplasia and suppressed by Toll-like receptor activation
John T Benjamin1, Rebekah J Smith, Brian A Halloran
1Departments of Pediatrics, Children's Hospital of Alabama, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Insights
Fibroblast growth factor-10 (FGF-10) is crucial for saccular lung development. Its reduction, triggered by innate immune activation via Toll-like receptors (TLRs), contributes to bronchopulmonary dysplasia in preterm infants.
Area of Science:
- Pulmonary Medicine
- Developmental Biology
- Immunology
Background:
- Bronchopulmonary dysplasia (BPD) is a common complication in extremely preterm infants, characterized by abnormal saccular-stage lung development.
- Fibroblast growth factor-10 (FGF-10) plays a vital role in normal lung development, but its role in BPD pathogenesis is unclear.
- The link between inflammatory stimuli, such as bacterial exposure, and abnormal lung development in BPD remains mechanistically undefined.
Purpose of the Study:
- To investigate the role of FGF-10 in saccular lung development.
- To determine if inflammatory pathways, specifically Toll-like receptor (TLR) activation, impact FGF-10 expression during lung development.
- To explore the potential connection between FGF-10 dysregulation and the characteristic myofibroblast abnormalities observed in BPD.
Main Methods:
- Utilized an experimental mouse model to study saccular lung development.
- Examined FGF-10 expression in lung tissue from infants with and without BPD.
- Investigated the effects of activating Toll-like receptor 2 (TLR2) and Toll-like receptor 4 (TLR4) on FGF-10 expression and lung morphogenesis.
- Assessed the localization of myofibroblasts around saccular airways.
Main Results:
- FGF-10 is essential for normal saccular lung development and is reduced in infants with BPD.
- Activation of TLR2 or TLR4 in a mouse model significantly inhibited FGF-10 expression.
- TLR-mediated inhibition of FGF-10 led to abnormal saccular airway morphogenesis and disrupted myofibroblast positioning.
- The observed myofibroblast mislocalization mimicked that seen in human BPD cases.
Conclusions:
- FGF-10 is a critical mediator of saccular lung development.
- Innate immune activation through TLRs can suppress FGF-10 expression, leading to impaired lung development.
- Reduced FGF-10 expression represents a potential molecular link between innate immune responses and the pathogenesis of bronchopulmonary dysplasia.
Abstract:
Many extremely preterm infants continue to suffer from bronchopulmonary dysplasia, which results from abnormal saccular-stage lung development. Here, we show that fibroblast growth factor-10 (FGF-10) is required for saccular lung development and reduced in the lung tissue of infants with bronchopulmonary dysplasia. Although exposure to bacteria increases the risk of bronchopulmonary dysplasia, no molecular target has been identified connecting inflammatory stimuli and abnormal lung development. In an experimental mouse model of saccular lung development, activation of Toll-like receptor 2 (TLR2) or Toll-like receptor 4 (TLR4) inhibited FGF-10 expression, leading to abnormal saccular airway morphogenesis. In addition, Toll-mediated FGF-10 inhibition disrupted the normal positioning of myofibroblasts around saccular airways, similar to the mislocalization of myofibroblasts seen in patients with bronchopulmonary dysplasia. Reduced FGF-10 expression may therefore link the innate immune system and impaired lung development in bronchopulmonary dysplasia.
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