Abstract

Bronchopulmonary dysplasia (BPD) is a common, serious complication occurring in premature infants. Although clinical characteristics and pathologic changes are well described, the pathogenesis of alveolar dysplasia and interstitial fibrosis is less clear. Lung fibroblasts (LFs) are present in the extracellular matrix and serve essential roles during pulmonary epithelial injury and in response to fibrosis development in BPD. The current study investigated hyperoxia-induced proliferation of primary LFs in vitro and mechanisms that may be involved. Newborn rats were exposed to 90% oxygen, while control rats were kept in normal atmosphere. Primary LFs were isolated on postnatal day 3, 7 and 14. Hyperoxia-induced proliferation of LFs isolated on day 7 and 14 by accelerating the cell cycle progression from G1 to S phase. Collagen type I protein secretion and mRNA expression on day 7 and 14 were increased by hyperoxia compared with the controls. Hyperoxia significantly increased the phosphorylation of extracellular signal-regulated kinase (ERK) and significantly increased collagen type I expression compared with the room air control group. The findings indicated that an increase in LF proliferation in response to hyperoxia was associated with ERK1/2 phosphorylation. This mechanism may contribute to over-proliferation of LFs leading to disturbed formation of normal alveoli.

Highlights

  • Oxygen treatment is a life‐saving therapy in infants with hypoxic respiratory failure [1]

  • bronchopulmonary dysplasia (BPD) is a chronic lung disease commonly seen in premature infants and the associated morbidity has increased with the use of pulmonary surfactants, assisted ventilation and oxygen treatment [4,17]

  • BPD is a consequence of long‐term oxygen therapy threatening the health and life of premature infants [18]

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Summary

Introduction

Oxygen treatment is a life‐saving therapy in infants with hypoxic respiratory failure [1]. The development, repair and regeneration of alveoli are affected by neighboring lung fibroblasts (LFs), which further promote remodeling of the extracellular matrix (ECM) and development of fibrosis [8]

Methods
Results
Conclusion

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