SM22α cell-specific HIF stabilization mitigates hyperoxia-induced neonatal lung injury.
Reiji ItoElizabeth A BarnesXibing CheCristina M AlviraDavid N CornfieldPublished in: American journal of physiology. Lung cellular and molecular physiology (2022)
Though survival rates for preterm infants are improving, the incidence of chronic lung disease of infancy, or bronchopulmonary dysplasia (BPD), remains high. Histologically, BPD is characterized by larger and fewer alveoli. Hypoxia-inducible factors (HIFs) may be protective in the context of hyperoxia-induced lung injury, but the cell-specific effects of HIF expression in neonatal lung injury remain unknown. Thus, we sought to determine whether HIF stabilization in SM22α-expressing cells can limit hyperoxia-induced neonatal lung injury. We generated SM22α-specific HIF-1α-stabilized mice ( SM22α-PHD1/2 -/- mice) by cross-breeding SM22α-promotor-driven Cre recombinase mice with prolyl hydroxylase PHD1 flox/flox and PHD2 flox/flox mice. Neonatal mice were randomized to 21% O 2 (normoxia) or 80% O 2 (hyperoxia) exposure for 14 days. For the hyperoxia recovery studies, neonatal mice were recovered from normoxia for an additional 10 wk. SM22α-specific HIF-1α stabilization mitigated hyperoxia-induced lung injury and preserved microvessel density compared with control mice for both neonates and adults. In SM22α-PHD1/2 -/- mice, pulmonary artery endothelial cells (PAECs) were more proliferative and pulmonary arteries expressed more collagen IV compared with control mice, even under hyperoxic conditions. Angiopoietin-2 (Ang2) mRNA expression in pulmonary artery smooth muscle cells (PASMC) was greater in SM22α-PHD1/2 -/- compared with control mice in both normoxia and hyperoxia. Pulmonary endothelial cells (PECs) cocultured with PASMC isolated from SM22α-PHD1/2 -/- mice formed more tubes and branches with greater tube length compared with PEC cocultured with PASMC isolated from SM22α-PHD1/2 +/+ mice. Addition of Ang2 recombinant protein further augmented tube formation for both PHD1/2 +/+ and PHD1/2 -/- PASMC. Cell-specific deletion of PHD1 and 2 selectively increases HIF-1α expression in SM22α-expressing cells and protects neonatal lung development despite prolonged hyperoxia exposure. HIF stabilization in SM22α-expressing cells preserved endothelial cell proliferation, microvascular density, increased angiopoietin-2 expression, and lung structure, suggesting a role for cell-specific HIF-1α stabilization to prevent neonatal lung injury.
Keyphrases
- endothelial cells
- high fat diet induced
- pulmonary artery
- high glucose
- pulmonary hypertension
- cell proliferation
- preterm infants
- wild type
- single cell
- clinical trial
- randomized controlled trial
- poor prognosis
- insulin resistance
- induced apoptosis
- pulmonary arterial hypertension
- cell therapy
- metabolic syndrome
- signaling pathway
- double blind
- risk factors
- small molecule
- open label
- adipose tissue
- angiotensin ii
- weight loss
- protein protein
- phase iii