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Published ahead of print on December 30, 2004, doi:10.1165/rcmb.2004-0325OC

Am. J. Respir. Cell Mol. Biol., Volume 32, Number 3, March 2005, 185-191

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Submitted on October 15, 2004
Revised on December 20, 2004

Upregulation of Hypoxia-Induced Mitogenic Factor in Compensatory Lung Growth after Pneumonectomy

Dechun Li1*, Lucas G Fernandez2, Jeffrey Dodd-o1, John Langer1, Danming Wang1, and Victor E Laubach2

1 Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA, 2 Department of Surgery, University of Virginia Health System, Charlottesville, VA, USA

* To whom correspondence should be addressed. E-mail: dechunli{at}jhmi.edu.

After pneumonectomy, the remaining lung increases in size. This process is referred to as compensatory lung growth. Various pathways likely play important roles in this growth response. The molecular mechanisms involved in compensatory lung growth, however, remain poorly understood. Hypoxia-induced mitogenic factor (HIMF), also called FIZZ1 or Relm-{alpha}, possesses mitogenic, vasoconstrictive, angiogenic and antiapoptotic effects. In this study we examined the expression of HIMF in mouse lung after pneumonectomy to test the hypothesis that HIMF expression is upregulated during compensatory lung growth. Results showed that HIMF is upregulated from day 1 after pneumonectomy and peaking at day 7 in the lung. HIMF upregulation is temporal-spatially related to lung cell proliferation as demonstrated by expression of proliferating cell nuclear antigen. Immunohistochemical staining and ISH showed that upregulated HIMF protein and mRNA are mainly distributed in airway epithelium, alveolar type II cells, and endothelial cells of the pulmonary vessels. Intratracheal instillation of recombinant HIMF resulted in widespread cell proliferation, including airway epithelium, alveolar type II cells, and cells in the alveolar septa. These results indicate a new role for HIMF in compensatory lung growth, which is that HIMF may act as a lung-specific growth factor and participate in lung regeneration after pneumonectomy.




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