Abstract

miR-200b plays a role in epithelial-to-mesenchymal transition (EMT) in cancer. We recently reported abnormal expression of miR-200b in the context of human pulmonary hypoplasia in congenital diaphragmatic hernia (CDH). Smaller lung size, a lower number of airway generations, and a thicker mesenchyme characterize pulmonary hypoplasia in CDH. The aim of this study was to define the role of miR-200b during lung development. Here we show that miR-200b−/− mice have abnormal lung function due to dysfunctional surfactant, increased fibroblast-like cells and thicker mesenchyme in between the alveolar walls. We profiled the lung transcriptome in miR-200b−/− mice, and, using Gene Ontology analysis, we determined that the most affected biological processes include cell cycle, apoptosis and protein transport. Our results demonstrate that miR-200b regulates distal airway development through maintaining an epithelial cell phenotype. The lung abnormalities observed in miR-200b−/− mice recapitulate lung hypoplasia in CDH.

Highlights

  • Every year, over 50,000 children are born with congenital diaphragmatic hernia (CDH) associated with abnormal lung development resulting in lung hypoplasia and persistent pulmonary hypertension[1,2,3]

  • We found that higher miR-200b expression in the fetal tracheal fluid of CDH fetus is associated with a better response to fetoscopic endoluminal tracheal occlusion (FETO, a prenatal therapy to promote lung growth)[16]

  • We showed that mature microRNAs transcribed in the same cluster - miR-200a and miR-429 - were still expressed, albeit lower compared to miR200b+/+ lungs (Fig. 1f, Supplementary Fig. 5)

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Summary

Introduction

Over 50,000 children are born with congenital diaphragmatic hernia (CDH) associated with abnormal lung development resulting in lung hypoplasia and persistent pulmonary hypertension[1,2,3]. MicroRNAs (miRNA) are small, non-coding RNAs that regulate gene expression through mRNA stability and translation[8,9,10]. They are essential for development and homeostasis of organs[11,12,13,14]. Others have shown that miR200 is down-regulated in a mouse model of fibrotic lung disease and human patients with idiopathic pulmonary fibrosis (IPF)[21]. The goal of this study was to delineate the role of miR-200b during lung development using loss of function models in vivo. MiR-200b deficient mice had stiffer lungs due to disturbed distal airway branching, thicker alveolar walls and downregulation of epithelial cell differentiation. Our data suggest that miR-200b is required to achieve the necessary balance in development of lung epithelial cells and fibroblasts to ensure development of a structurally and functionally effective respiratory organ

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