No abstract

The function of the lung is dependent upon differentiation and proliferation of respiratory epithelial cells and the synthesis/secretion of surfactant lipids and proteins into air space. During the respiratory inflammatory response, cytokines produced by macrophages and epithelial cells in the respiratory system have significant influence on surfactant protein homeostasis. We report here that among family members of Janus family tyrosine kinase (JAK) and signal transducers and activators of transcription (STAT), only JAK 1 and STAT3 stimulated the ؊500 to ؉41 promoter activity of the surfactant protein B (SP-B) gene in respiratory epithelial cells. JAK1 and STAT3 were co-localized in alveolar type II epithelial cells where SP-B is synthesized and secreted. Interleukin 6 and interleukin 11, known to activate STAT3 synergistically, stimulated the SP-B promoter activity with retinoic acid, which is at least partially mediated through interactions between STAT3 and retinoid nuclear receptor enhanceosome proteins in pulmonary epithelial cells.The lung has the largest epithelial surface area of the body in order to facilitate air exchange. The structure of alveoli is protected by surfactant membrane. Pulmonary surfactant is a complex mixture of lipids and proteins that form an insoluble film to reduce surface tension at the air/liquid interface in the alveoli. The reduction of surface tension at the alveolar surface promotes lung expansion on inspiration and prevents lung collapse on expiration. Deficiency of pulmonary surfactant is responsible for increased surface tension along the alveolar epithelium and brings about alveolar collapse and epithelial cell lysis, resulting in respiratory distress syndrome, a major cause of morbidity and mortality in preterm infants. Pulmonary surfactant is composed of 90 -95% lipids and 5-10% proteins. Among surfactant proteins, SP-B 1 is a 79-amino acid amphipathic peptide produced by the proteolytic cleavage of proSP-B in alveolar type II and Clara epithelial cells. The SP-B peptide is stored in lamellar bodies and secreted with phospholipids into the airway lumen. It facilitates the stability and rapid spreading of surfactant phospholipids during respiratory cycles (1). SP-B plays a critical role in postnatal lung function.

Surfactant protein B (SP-B

Our laboratory has previously demonstrated that retinoic acid nuclear receptor, thyroid transcription factor-1 (TTF-1), and nuclear receptor coactivators such as cAMP response element binding protein (CREB) binding protein (CBP)/p300 and steroid receptor coactivator-1 (SRC-1) form an enhanceosome on the 5'-enhancer region of the human surfactant protein B gene. Immunohistochemistry was used to identify cells that coexpressed CBP/p300, SRC-1, retinoid X receptor, and TTF-1 in the developing and mature lung. CBP/p300 and SRC-1 were expressed in the adult mouse lung, CBP and p300 being present in both alveolar type I and type II epithelial cells and SRC-1 and TTF-1 being restricted to type II epithelial cells. CBP/p300, SRC-1, and TTF-1 were readily detected in the nuclei of developing respiratory epithelial tubules in fetal mice from embryonic days 10 to 18. CBP/p300 and SRC-1 were also detected in developing mesenchymal cells. These coactivators were coexpressed with TTF-1 and SP-B in human pulmonary adenocarcinoma cells (H441 cells) in vitro. Interaction assays with a two-hybrid reporter analysis demonstrated direct interactions among TTF-1, SRC-1, and CBP/p300 in H441 cells. These findings support a role for retinoic acid receptor and nuclear receptor coactivators in the regulation of SP-B gene expression in the respiratory epithelium.

To assess retinoic acid receptor (RAR) function in alveolarization and respiratory epithelial cell differentiation/proliferation, doxycycline (Dox)-regulatable double-transgenic mouse lines were established, in which the dominant negative RARalpha was overexpressed under the control of the human surfactant protein-C 3.7-kb promoter or the rat Clara cell secretory protein 2.3-kb promoter. Overexpression of dominant negative RARalpha was induced by Dox in neonatal lungs from d 1-21 after birth, a critical period for alveolar maturation. This led to substantial alveolar abnormality with increased air space, larger but fewer alveoli, and the diminished alveolar surface area. In these animals, numbers of alveolar epithelial cells were significantly reduced upon Dox treatment. Expression of an RAR downstream target surfactant protein B gene, which is critical for maintaining the surfactant structure, was inhibited upon Dox treatment in alveolar type II epithelial cells. This finding supports a concept that endocrine molecule retinoic acid, and its receptor RARs play a critical role in alveolarization during the neonatal period of the lung.

Regulation of the surfactant protein B gene (SP-B) is developmentally controlled and highly tissue specific. To elucidate the SP-B gene temporal/spatial expression pattern in lung development at the transcriptional level, a transgenic mouse model line carrying the human SP-B (hSP-B) 1.5-kb 5'-flanking regulatory region and the lacZ gene was established. Expression of hSP-B 1.5-kb lacZ gene started at the onset of lung formation [embryonic day 9 (E9)] and was restricted to epithelial cells throughout prenatal and postnatal lung development. In the adult lung, hSP-B 1.5-kb lacZ gene expression was restricted to bronchiolar and alveolar type II epithelial cells. In lung explant culturing studies, the hSP-B 1.5-kb lacZ gene was highly expressed in newly formed epithelial tubules during the respiratory branching process. In a second transgenic mouse line, an enhancer region, which binds to thyroid transcription factor-1, retinoic acid receptor, signal transducers and activators of transcription 3, and nuclear receptor coactivators (SRC-1, ACTR, TIF2, and CBP/p300), was deleted from the hSP-B 1.5-kb lacZ gene. The deletion abolished hSP-B lacZ gene expression in bronchiolar epithelial cells and significantly reduced its expression level in alveolar type II epithelial cells in transgenic mice.