Faksh Arij, Britt Rodney D, Vogel Elizabeth R, Kuipers Ine, Thompson Michael A, Sieck Gary C, Pabelick Christina M, Martin Richard J, Prakash Y S
Department of Obstetrics, and Gynecology, Division of Maternal-Fetal Medicine, Mayo Clinic, Rochester, Minnesota.
Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota.
Pediatr Res. 2016 Mar;79(3):391-400. doi: 10.1038/pr.2015.232. Epub 2015 Nov 5.
Antenatal inflammation and preterm birth are associated with the development of airway diseases such as wheezing and asthma. Utilizing a newborn mouse model, we assessed the effects of maternal inflammation and postnatal hyperoxia on the neonatal airway.
Pregnant C57/Bl6 dams were injected with lipopolysaccharide (LPS) or saline on embryonic day 16. Offspring were placed in room air or hyperoxia (50% O2) for 7 d and then returned to normoxia. Airway mechanics, histology, and laser capture micro-dissection (LCM) were performed.
At postnatal day 21, maternal LPS- and 50% O2-exposed pups exhibited increased resistance and decreased compliance compared to 21% O2 pups; however their effects were not synergistic. LPS and hyperoxia each increased the thickness of airway smooth muscle (ASM), but not the airway epithelial layer. Structural changes were largely limited to the conducting airways. Upregulation of inflammatory markers in the lung was observed at birth. LCM revealed increased collagen-3, transforming growth factor β, and connective tissue growth factor expression with LPS and hyperoxia within the ASM layer.
These novel studies provide functional, structural, and molecular evidence that antenatal inflammation is detrimental to the developing airway. Exposure to moderate hyperoxia does not exacerbate LPS effects on the airway.
产前炎症和早产与喘息和哮喘等气道疾病的发生有关。我们利用新生小鼠模型评估了母体炎症和产后高氧对新生气道的影响。
在胚胎第16天,给怀孕的C57/Bl6母鼠注射脂多糖(LPS)或生理盐水。将后代置于常氧或高氧(50% O2)环境中7天,然后恢复到常氧环境。进行气道力学、组织学和激光捕获显微切割(LCM)分析。
在出生后第21天,与暴露于21% O2的幼崽相比,暴露于母体LPS和50% O2的幼崽表现出阻力增加和顺应性降低;然而,它们的作用并非协同作用。LPS和高氧各自增加了气道平滑肌(ASM)的厚度,但未增加气道上皮层的厚度。结构变化主要局限于传导气道。出生时观察到肺中炎症标志物的上调。LCM显示,在ASM层中,LPS和高氧会增加胶原蛋白-3、转化生长因子β和结缔组织生长因子的表达。
这些新研究提供了功能、结构和分子证据,表明产前炎症对发育中的气道有害。暴露于中度高氧不会加剧LPS对气道的影响。