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Published ahead of print on September 3, 2004, doi:10.1164/rccm.200402-215OC

Am. J. Respir. Crit. Care Med., Volume 170, Number 11, December 2004, 1188-1196

A more recent version of this article appeared on December 1, 2004
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Submitted on March 2, 2004
Accepted on August 29, 2004

Opposing Effects of 60% Oxygen and Neutrophil Influx on Alveologenesis in the Neonatal Rat

Man Yi1, Robert P Jankov1, Rosetta Belcastro1, Daryl Humes1, Ian Copland1, Samuel Shek1, Neil B Sweezey1, Martin Post1, Kurt H Albertine2, Richard L Auten3, and A. Keith Tanswell1*

1 Lung Biology Programme, Departments of Pediatrics and Physiology, Hospital for Sick Children Research Institute and Canadian Institutes of Health Research, Toronto, ON, Canada, 2 Departments of Pediatrics, Medicine, Neurobiology and Anatomy, University of Utah, Salt Lake City, UT, USA, 3 Division of Neonatal Medicine, Department of Pediatrics, Duke University Medical Center, Neonatal Perinatal Research Institute, Durham, NC, USA

* To whom correspondence should be addressed. E-mail: keith.tanswell{at}sickkids.ca.

The lungs of newborn rats exposed to 60% oxygen for 14 days develop an injury which shares morphologic similarities to human bronchopulmonary dysplasia. Neutrophil influx into the lung, as part of an inflammatory response, may play a pivotal role in the development of bronchopulmonary dysplasia. A neutrophil chemokine, cytokine-induced neutrophil chemoattractant-1, which signals through the neutrophil CXC chemokine receptor-2, is increased in the lung tissue of newborn rats exposed to 60% oxygen. The purpose of this study was to explore the role of neutrophils in the rat model of bronchopulmonary dysplasia by inhibiting neutrophil influx using SB265610, a selective CXC chemokine receptor-2 antagonist. SB265610, administered to 60% oxygen-exposed newborn rats from birth to 14 days, completely inhibited neutrophil influx. It also attenuated increased production of reactive oxygen species in newborn rat lung tissue after exposure to 60% oxygen for 4 days. Lung morphometric analysis revealed that 60% oxygen for 14 days, when accompanied by treatment with SB265610 to prevent neutrophil accumulation, increased alveolar formation over that seen in newborn rats exposed to air. These data suggest that exposure of the neonatal lung to moderate hyperoxia may enhance postnatal lung growth, provided postnatal pulmonary inflammation is suppressed.


Key words: lung injury, inflammatory response, bronchopulmonary dysplasia, CXC chemokine receptor-2, myeloperoxidase




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