. Contribution of proliferation and DNA damage repair to alveolar epithelial type 2 cell recovery from hyperoxia. Am J Physiol Lung Cell Mol Physiol 290: L685-L694, 2006. First published November 18, 2005 doi:10.1152/ajplung.00020.2005In this study, C57BL/6J mice were exposed to hyperoxia and allowed to recover in room air. The sublethal dose of hyperoxia for C57BL/6J was 48 h. Distal lung cellular isolates from treated animals were characterized as 98% epithelial, with minor fibroblast and endothelial cell contaminants. Cells were then verified as 95% pure alveolar epithelial type II cells (AEC2) by surfactant protein C (SP-C) expression. After hyperoxia exposure in vivo, fresh, uncultured AEC2 were analyzed for proliferation by cell yield, cell cycle, PCNA expression, and telomerase activity. DNA damage was assessed by TdT-dUTP nick-end labeling, whereas induction of DNA repair was evaluated by GADD-153 expression. A baseline level for proliferation and damage was observed in cells from control animals that did not alter significantly during acute hyperoxia exposure. However, a rise in these markers was observed 24 h into recovery. Over 72 h of recovery, markers for proliferation remained elevated, whereas those for DNA damage and repair peaked at 48 h and then returned back to baseline. The expression of GADD-153 followed a distinct course, rising significantly during acute exposure and peaking at 48 h recovery. These data demonstrate that in healthy, adult male C57BL/6J mice, AEC2 proliferation, damage, and repair follow separate courses during hyperoxia recovery and that both proliferation and efficient repair may be required to ensure AEC2 survival. C57BL/6J; GADD-153; telomerase IN LATE GESTATION OF MICE and rats, the alveolar epithelial cell (AEC) lineage develops from a multipotent population of stem cells that line the primitive respiratory tract (15). Alveolar epithelial type 2 cells (AEC2) manufacture surfactant and can differentiate, as required, into alveolar epithelial type 1 cells (AEC1), which regulate the gas exchange function of the organ (2, 14). To replace damaged cells throughout the life span of any animal, a particular subpopulation within the total population must retain the ability to divide. In the alveolar epithelium, this progenitor cell-like function has been ascribed to AEC2 (13,31,36). AEC2 proliferate during embryonic and fetal life but, in the adult lung, in the absence of injury, are highly differentiated and do not normally divide (9, 37). However, in response to environmental insult, some AEC2 become both hypertrophic and hyperplastic, such that cells undergo phenotypic and functional changes (17, 24). Regenerating rat AEC2 exhibit elevated cyclin and cyclin-dependent kinase (cdk) expression and activity during recovery following injury, indicating the regain of proliferative function (10, 39). During this period, the number of proliferating AEC2 has been reported to increase severalfold in rats (10, 36), mice (2), and humans (4). In human patients, this phase of recovery fr...