VEGF-D Protects the Lung in Neonatal Hyperoxia-induced Lung Injury

Lakshanie C Wickramasinghe1, Elan L'Estrange-Stranieri1, Bailey Cardwell1

  • 1Department of Immunology, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.

Insights

Supplemental oxygen worsens bronchopulmonary dysplasia (BPD) by damaging lungs. Fibroblast-derived VEGF-D is crucial for lymphatic development in BPD, and its absence exacerbates lung injury and inflammation.

Area of Science:

  • Neonatal lung development and disease
  • Vascular biology
  • Fibroblast and lymphatic interactions

Background:

  • Bronchopulmonary dysplasia (BPD) affects premature infants, with supplemental oxygen causing lung injury.
  • Pulmonary vascular development is impaired in BPD, but lymphatic roles remain unclear.

Purpose of the Study:

  • Investigate the role of vascular endothelial growth factor-D (VEGF-D) in neonatal lung response to hyperoxia.
  • Define how fibroblasts and lymphatics are altered in BPD.
  • Explore therapeutic targets for BPD.

Main Methods:

  • Utilized a mouse model of hyperoxia-induced BPD.
  • Analyzed single-cell RNA sequencing data for VEGF-D expression and fibroblast/lymphatic changes.
  • Employed genetic deletion of Vegfd and qPCR to study mechanisms.

Main Results:

  • Hyperoxia increased VEGF-D expression in lung fibroblasts.
  • Alveolar fibroblasts showed altered transcriptional profiles under hyperoxia.
  • Vegfd deficiency worsened BPD features, including alveolar simplification, edema, and inflammation, and disrupted lymphatic architecture.

Conclusions:

  • Alveolar fibroblasts and VEGF-D are critical for lymphangiogenesis and lymphatic patterning in BPD.
  • Targeting the fibroblast-VEGF-D-lymphatic axis may offer therapeutic strategies for BPD.