Epithelial cells lining the peripheral lung synthesize pulmonary surfactant that reduces surface tension at the air-liquid interface. Lack of surfactant lipids and proteins in the lungs causes respiratory distress syndrome, a common cause of morbidity and mortality in preterm infants. We show that C/EBP␣ plays a crucial role in the maturation of the respiratory epithelium in late gestation, being required for the production of surfactant lipids and proteins necessary for lung function. Deletion of the Cebpa gene in respiratory epithelial cells in fetal mice caused respiratory failure at birth. Structural and biochemical maturation of the lung was delayed. Normal synthesis of surfactant lipids and proteins, including SP-A, SP-B, SP-C, SP-D, ABCA3 (a lamellar body associated protein) and FAS (precursor of fatty acid synthesis) were dependent upon expression of the C/EBP␣ in respiratory epithelial cells. Deletion of the Cebpa gene caused increased expression of Tgfb2, a growth factor that inhibits lung epithelial cell proliferation and differentiation. Normal expression of C/EBP␣ required Titf1 and Foxa2, transcription factors that also play an important role in perinatal lung differentiation. C/EBP␣ participates in a transcriptional network that is required for the regulation of genes mediating perinatal lung maturation and surfactant homeostasis that is necessary for adaptation to air breathing at birth. Development 133, 1155Development 133, -1164Development 133, (2006 (Perl et al., 2002). Foxa2 ⌬/⌬ mice in which Foxa2 was selectively deleted from the respiratory epithelium were generated as previously reported (Wan et al., 2004). Lungs were obtained at E18.5 from Titf1-null mice, kindly provided by Dr S. Kimura from the National Institutes of Health (Kimura et al., 1996).
KEY WORDS: CCAAT/enhancer-binding protein ␣, Respiratory epithelial cell differentiation, Lung maturation, Pulmonary surfactant, ABCA3, FOXA2, TTF1, Mouse
Animal husbandry and doxycycline administrationAnimals were maintained in a pathogen-free environment in accordance with protocols approved by the Institutional Animal Care and Use Committee of the Cincinnati Children's Hospital Research Foundation. All animals were housed in humidity-and temperature-controlled rooms on a 12 hour-12 hour light-dark cycle. Mice were allowed food and water ad libitum. There was no serological evidence of pulmonary pathogens or bacterial infections in sentinel mice maintained within the colony. Gestation was dated by detection of the vaginal plug (as E0.5) and correlated with weight of each pup at the time of sacrifice. Dams bearing control and Cebpa ⌬/⌬ mice were maintained on doxycycline in food (625 mg/kg; Harlan Teklad, Madison, WI) from E0. At E18.5, dams were killed by exsanguination and lungs were dissected for analysis.
Blood glucose analysisGlucose concentrations in neonatal blood were measured immediately upon collection using Ascensia Elite Blood Glucose Meter (Model 9662A, Bayer) with Ascensia Elite XL Blood Glucose Test Strips that have a 1.1-3...