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Updated: Jan 20, 2026

Author Spotlight: Advancing Lung Transplant Immunology Through Intravital Imaging
Published on: April 19, 2024
Negative impact of recipient SPRED2 deficiency on transplanted lung in a mouse model
Kohei Hashimoto1, Masaomi Yamane1, Seiichiro Sugimoto1
1Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Abstract:
Ischemia-reperfusion injury (IRI) after lung transplantation mainly contributes to the development of primary graft dysfunction. The Sprouty-related EVH1-domain-containing (SPRED) protein family inhibits the mitogen activated protein kinase/extracellular-signal-regulated kinase (MAPK/ERK) pathway. Our study was aimed at examining the role of SPRED2 in IRI in mice that received orthotopic lung transplantation. Syngeneic mouse lung transplantation was performed in wild-type C57BL/6 J (WT) mice and Spred2 knockout (Spred2-/-) mice on the C57BL/6 J background from the WT donor. Four hours after reperfusion, blood gas analysis was performed, and lung grafts were sacrificed and analyzed. By using arterial oxygen tension measurements and histological evaluation using Lung Injury Score, we revealed more severe IRI in the grafts transplanted to Spred2-/- recipients, which manifested as exacerbated airway epithelial cell damage, interstitial edema with hemorrhage and neutrophil infiltration. Intragraft ERK1/2 activation and expression levels of proinflammatory cytokines and chemokines in Spred2-/- recipients were higher than those in WT recipients. SPRED2 plays an important role in protecting the lungs from IRI in lung transplantation recipients. We suggest that focused treatments suppressing the activity of the MAPK/ERK pathway in transplantation recipients could be the potential therapeutic option for the prevention of lung IRI.
Insights
Sprouty-related EVH1-domain-containing protein 2 (SPRED2) protects lungs from ischemia-reperfusion injury (IRI) after transplantation. Loss of SPRED2 worsens lung injury and inflammation by activating the MAPK/ERK pathway.
Area of Science:
- Transplantation immunology
- Organ injury mechanisms
- Molecular signaling pathways
Background:
- Ischemia-reperfusion injury (IRI) is a major cause of primary graft dysfunction following lung transplantation.
- The Sprouty-related EVH1-domain-containing (SPRED) protein family, including SPRED2, negatively regulates the mitogen activated protein kinase/extracellular-signal-regulated kinase (MAPK/ERK) pathway.
Purpose of the Study:
- To investigate the role of SPRED2 in lung IRI following orthotopic lung transplantation in a mouse model.
- To elucidate the impact of SPRED2 deficiency on IRI severity and associated molecular signaling.
Main Methods:
- Orthotopic syngeneic lung transplantation was performed in wild-type and Spred2 knockout mice.
- Post-reperfusion assessment included arterial oxygen tension measurements and histological evaluation using a Lung Injury Score.
- Intragraft analysis of ERK1/2 activation and expression of proinflammatory cytokines/chemokines.
Main Results:
- Spred2 knockout recipients exhibited significantly more severe lung IRI compared to wild-type recipients.
- Histological analysis revealed exacerbated airway epithelial damage, interstitial edema, hemorrhage, and neutrophil infiltration in Spred2 knockout grafts.
- Increased intragraft ERK1/2 activation and elevated levels of proinflammatory cytokines and chemokines were observed in Spred2 knockout recipients.
Conclusions:
- SPRED2 plays a critical protective role against lung IRI in the context of lung transplantation.
- Targeting the MAPK/ERK pathway in transplantation recipients may represent a potential therapeutic strategy for preventing lung IRI.
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