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Published ahead of print on April 17, 2008, doi:10.1164/rccm.200608-1240OC

Am. J. Respir. Crit. Care Med., Volume 178, Number 2, July 2008, 180-187

A more recent version of this article appeared on July 15, 2008
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Submitted on August 30, 2006
Accepted on April 17, 2008

Endoglin (CD105) Upregulation in Pulmonary Microvasculature of Ventilated Preterm Infants

Monique E De Paepe1*, Chintan Patel2, Amy Tsai2, Sravanthi Gundavarapu2, and Quanfu Mao1

1 Department of Pathology, Women and Infants Hospital, Providence, RI, USA; Department of Pathology and Laboratory Medicine, Brown Medical School, Providence, RI, USA, 2 Department of Pathology, Women and Infants Hospital, Providence, RI, USA

* To whom correspondence should be addressed. E-mail: mdepaepe{at}wihri.org.

Rationale. Preterm infants exposed to mechanical ventilation and oxygen are at risk for bronchopulmonary dysplasia (BPD), a multifactorial chronic lung disorder characterized by arrested alveolar development. Recent studies have described disruption of microvascular development in BPD, characterized by primitive angioarchitectural patterns reminiscent of the canalicular/saccular stages of lung development. The molecular regulation of this BPD-associated dysangiogenesis remains undetermined. Objectives. Endoglin (CD105), a hypoxia-inducible transforming growth factor-{beta} (TGF-{beta}) co-receptor, has recently been implicated as an important regulator of angiogenesis in various neoplastic and non-neoplastic conditions. The aim of this study was to investigate the expression of endoglin and other angiogenesis-related factors in ventilated preterm human lungs. Methods. We have studied endoglin protein and mRNA expression in postmortem lungs of short-term and long-term ventilated preterm infants. Controls were age-matched infants who had lived for less than one hour. Main Results. Lungs of short-term ventilated preterm infants showed significant upregulation of endoglin mRNA and protein levels, immunolocalized to the microvasculature. Similar but more variable endoglin upregulation was noted in lungs of long-term ventilated infants with BPD. The mRNA levels of vascular endothelial growth factor (VEGF), angiopoietin-1, and their respective receptors were significantly lower in ventilated lungs than in age-matched non-ventilated control lungs. Conclusions. BPD is associated with a shift from traditional angiogenic growth factors (VEGF, angiopoietin-1) to alternative regulators such as endoglin, which may contribute to BPD-associated microvascular dysangiogenesis.


Key words: chronic lung disease of prematurity, bronchopulmonary dysplasia, neonatal lung disease, angiogenesis




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The Dysmorphic Pulmonary Circulation in Bronchopulmonary Dysplasia: A Growing Story
Am. J. Respir. Crit. Care Med., July 15, 2008; 178(2): 114 - 115.
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