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Published ahead of print on September 24, 2009
Am. J. Respir. Crit. Care Med. 2009, doi:10.1164/rccm.200902-0215OC
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Submitted on February 10, 2009
Accepted on September 23, 2009

Lysyl Oxidase Activity is Dysregulated During Impaired Alveolarization of Mouse and Human Lungs

Arun Kumarasamy1, Isabelle Schmitt1, Alexander H Nave1, Irwin Reiss2, Irene van der Horst2, Eva Dony1, Jesse D Roberts, Jr.3, Ronald de Krijger4, Dick Tibboel2, Werner Seeger1, Ralph T Schermuly5, Oliver Eickelberg6, and Rory E Morty7*

1 Department of Internal Medicine, University of Giessen Lung Center, Justus Liebig University, Giessen, Germany, 2 Department of Pediatric Surgery, Erasmus University Medical Center, Rotterdam, Netherlands, 3 Cardiovascular Research Center, Massachusetts General Hospital , Boston, Massachusetts, United States; Departments of Anesthesia and Critical Care, Pediatrics and Medicine, Harvard Medical School, Cambridge, Massachusetts, United States, 4 Department of Pathology, Josephine Nefkens Institute, Erasmus University Medical Center, Rotterdam, Netherlands, 5 Department of Internal Medicine, University of Giessen Lung Center, Justus Liebig University, Giessen, Germany; Department of Lung Development and Remodelling , Max Planck Institute for Heart and Lung Research, Bad Nauheim, Germany, 6 Institute of Lung Biology and Disease, Helmholz Zentrum, Munich, Germany, 7 Department of Internal Medicine, University of Giessen Lung Center, Justus Liebing University, Giessen, Germany

* To whom correspondence should be addressed. E-mail: rory.morty{at}innere.med.uni-giessen.de.

Rationale: Disordered extracellular matrix production is a feature of bronchopulmonary dysplasia (BPD). The basis of this phenomenon is not understood. Objectives: To assess lysyl oxidase expression and activity in the injured developing lungs of newborn mice and of prematurely-born infants with BPD or at risk or BPD. Methods: Pulmonary lysyl oxidase and elastin gene and protein expression were assessed in newborn mice breathing 21% or 85% O2, and in patients who died with BPD or at risk of BPD, or control patients. Signaling by TGF-{beta} was pre-emptively blocked in mice exposed to hyperoxia using TGF-{beta}-neutralizing antibodies. Lysyl oxidase promoter activity was assessed using plasmids containing the lox or loxl1 promoters fused upstream of the firefly luciferase gene. Measurements and Main Results: mRNA and protein levels and activity of lysyl oxidases (Lox, LoxL1, LoxL2) were elevated in the oxygen-injured lungs of newborn mice and infants with BPD or at risk for BPD. In oxygen-injured mouse lungs, increased TGF-{beta} signaling drove aberrant lox, but not loxl1 or loxl2 expression. Lox expression was also increased in oxygen-injured fibroblasts and pulmonary artery smooth muscle cells. Conclusions: Lysyl oxidase expression and activity are dysregulated in BPD in injured developing mouse lungs and in prematurely-born infants. In developing mouse lungs, aberrant TGF-{beta} signaling dysregulated lysyl oxidase expression. These data support the postulate that excessive stabilization of the extracellular matrix by excessive lysyl oxidase activity might impede the normal matrix remodeling that is required for pulmonary alveolarization and thereby contribute to the pathological pulmonary features of BPD.


Key words: lung development • septation • TGF-{beta}, transforming growth factor







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