Effects of chronic hypercapnia in the neonatal mouse lung and brain

Sumon Das1, Zhongfang Du, Shira Bassly

  • 1Department of Pediatrics, Division of Critical Care Medicine, Albert Einstein College of Medicine and Children's Hospital at Montefiore, Bronx, New York 10467, USA.

Pediatric Pulmonology
|January 15, 2009
PubMed

Insights

Permissive hypercapnia may accelerate lung development in premature infants by promoting alveolar budding. However, this intervention may also increase neuronal cell injury in the developing brain.

Area of Science:

  • Neonatal physiology
  • Developmental biology
  • Respiratory medicine

Background:

  • Permissive hypercapnia is used to prevent bronchopulmonary dysplasia in premature infants.
  • Previous studies showed gene expression changes in neonatal mouse lungs exposed to hypercapnia.
  • The effects of hypercapnia on alveolar formation and brain development were unknown.

Purpose of the Study:

  • To investigate if chronic hypercapnia accelerates alveolar formation in neonatal mouse lungs.
  • To determine if chronic hypercapnia causes neuronal cell injury in the developing mouse brain.

Main Methods:

  • Neonatal mice were exposed to 8% CO2 from postnatal day 2 to 7.
  • Control mice were kept in room air.
  • Lungs and brains were analyzed at postnatal days 4 and 7.

Main Results:

  • Hypercapnia increased alpha-smooth muscle actin expression at alveolar bud tips.
  • An increased number of alveolar buds was observed at postnatal day 7.
  • Hypercapnic mice showed increased TUNEL-positive cells in the brain.

Conclusions:

  • Chronic hypercapnia may initiate early alveolar budding in neonatal mice.
  • Hypercapnia exposure might lead to increased neuronal cell injury in the developing brain.
Abstract