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Updated: Oct 25, 2025

An Experimental System to Study Mechanotransduction in Fetal Lung Cells
Published on: February 16, 2012
Epidermal growth factor strongly affects epithelial Na+ transport and barrier function in fetal alveolar cells, with
Mandy Laube1, Diana Dornis2, Fine Wenzel2
1Department of Pediatrics, Division of Neonatology, Center for Pediatric Research Leipzig (CPL), University of Leipzig, Liebigstrasse 19, 04103, Leipzig, Germany. mandy.laube@medizin.uni-leipzig.de.
Insights
Epidermal growth factor (EGF) impacts fetal lung cells, reducing sodium transport channels. While EGF affects male and female cells differently, it is unlikely to be the cause of sex-specific differences in respiratory distress syndrome development.
Area of Science:
- Neonatal Physiology
- Pulmonary Medicine
- Cellular Biology
Background:
- Male sex is a risk factor for respiratory distress syndrome (RDS) in preterm infants.
- Alveolar fluid clearance, dependent on sodium (Na+) transport, is crucial for preventing RDS.
- Previous studies indicated sex-specific differences in Na+ transport and potential roles for epidermal growth factor (EGF) in lung development.
Purpose of the Study:
- To investigate the sex-specific effects of EGF on Na+ transport in fetal distal lung epithelial (FDLE) cells.
- To determine if EGF contributes to the sex-specific differences observed in RDS development.
Main Methods:
- Primary fetal distal lung epithelial (FDLE) cells from male and female fetuses were cultured.
- Cells were exposed to EGF and related ligands.
- Na+ transport was measured using Ussing chambers.
- Gene and protein expression of the epithelial Na+ channel (ENaC) and signaling pathways (AKT, pERK1/2) were analyzed via RT-qPCR and Western blots.
Main Results:
- EGF significantly reduced ENaC mRNA levels and activity in both male and female FDLE cells.
- Acute exposure to EGF reduced Na+ transport only in male FDLE cells.
- EGF increased amiloride-insensitive pathways and improved barrier function.
- Sex-specific signaling responses were observed: AKT phosphorylation increased only in females, while pERK1/2 increased in both sexes.
Conclusions:
- EGF exerts sex- and time-dependent effects on Na+ transport and signaling in fetal lung epithelial cells.
- Despite these effects, EGF is unlikely to be the primary cause of sex-specific differences in Na+ transport contributing to RDS.
Abstract:
Male sex remains an independent risk factor for respiratory distress syndrome (RDS) in preterm infants. Insufficient Na+ transport-mediated alveolar fluid clearance contributes to RDS development and we previously demonstrated sex-specific differences in Na+ transport. The epidermal growth factor (EGF) is important during fetal lung development with possible influence on Na+ transport. Sex-specific effects of EGF during surfactant synthesis were shown. We thus determined whether EGF exerts sex-specific effects on Na+ transport in fetal alveolar cells. We analyzed sex-specific fetal distal lung epithelial (FDLE) cells exposed to EGF and related ligands with Ussing chambers, RT-qPCR and Western blots. EGF strongly reduced the epithelial Na+ channel (ENaC) mRNA levels in both male and female FDLE cells. This was corroborated by a markedly reduced ENaC activity, while amiloride-insensitive pathways as well as barrier function were raised by EGF. In contrast to chronic effects, acute effects of EGF were sex-specific, because Na+ transport was reduced only in males. AKT phosphorylation was elevated only in female cells, while pERK1/2 was increased in both male and female cells. EGF showed certain sex- and time-dependent effects in FDLE cells. Nevertheless, the results suggest that EGF is an unlikely cause for the sex-specific differences in Na+ transport.
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