Abstract

Maternal immunization with Tn vaccine increases serum anti-Tn antibody titers and attenuates hyperoxia-induced lung injury in neonatal rats. This study determined whether anti-Tn monoclonal antibody can protect against hyperoxia-induced lung injury in neonatal mice. Newborn BALB/c mice were exposed to room air (RA) or normobaric hyperoxia (85% O2) for 1 week, creating four study groups as follows: RA + phosphate-buffered saline (PBS), RA + anti-Tn monoclonal antibody, O2 + PBS, and O2 + anti-Tn monoclonal antibody. The anti-Tn monoclonal antibody at 25 μg/g body weight in 50 μl PBS was intraperitoneally injected on postnatal days 2, 4, and 6. Hyperoxia reduced body weight and survival rate, increased mean linear intercept (MLI) and lung tumor necrosis factor-α, and decreased vascular endothelial growth factor (VEGF) expression and vascular density on postnatal day 7. Anti-Tn monoclonal antibody increased neonatal serum anti-Tn antibody titers, reduced MLI and cytokine, and increased VEGF expression and vascular density to normoxic levels. The attenuation of lung injury was accompanied by a reduction in lung oxidative stress and nuclear factor-κB activity. Anti-Tn monoclonal antibody improves alveolarization and angiogenesis in hyperoxia-injured newborn mice lungs through the suppression of oxidative stress and inflammation.

Highlights

  • Oxygen treatment is commonly mandatory to treat newborn infants with respiratory distress

  • We revealed that maternal immunization with Tn vaccine increased neonatal rat serum levels of anti-Tn antibody; reduced mean linear intercept (MLI), lung cytokine stress, and oxidative stress; and increased vascular density and growth factor expressions to normoxic levels in hyperoxia-injured neonatal rats (Chen et al, 2019)

  • On postnatal day 7, the mice reared in hyperoxia and treated with antiTn monoclonal antibody exhibited a significantly higher survival rate compared with the mice reared in hyperoxia and treated with phosphatebuffered saline (PBS)

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Summary

Introduction

Oxygen treatment is commonly mandatory to treat newborn infants with respiratory distress. Newborn infants with respiratory failure treated with supplemental oxygen displayed increased oxidant stress and resulted in lung injury. Neonatal rodent exposed to prolonged hyperoxia exhibited impaired alveolarization and angiogenesis and increased inflammation that is comparable to human bronchopulmonary dysplasia (BPD) (Berger and Bhandari, 2014; Nardiello et al, 2017). The pathogenesis of BPD is multifactorial and characterized by the arrest of alveolar and vascular growth associated with inflammation Many infants with BPD left with significant respiratory morbidity, including reactive airways dysfunction and the development of obstructive lung disease during childhood (Northway et al, 1990; Jacob et al, 1998; Gien and Kinsella, 2011)

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