Sufficient pulmonary surfactant production is required for the fetalneonatal transition, especially in preterm infants. Neuregulin (NRG) and its transmembrane receptor ErbB4 positively regulate the onset of fetal surfactant synthesis. Details of this signaling process remain to be elucidated. ErbB4 is known to regulate gene expression in the mammary gland, where the receptor associates with the signal transducer and activator of transcription Stat5a to transactivate the b-casein gene promoter. We hypothesized that in the fetal lung, ErbB4 functions as a transcriptional regulator for surfactant protein B (Sftpb), the most critical surfactant protein gene. Re-expressing fulllength ErbB4 in primary fetal ErbB4-depleted Type II epithelial cells led to an increased expression of Sftpb mRNA. This stimulatory effect required the nuclear translocation of ErbB4 and association with Stat5a, with the resultant binding to and activation of the Sftpb promoter. We conclude that ErbB4 directly regulates important aspects of fetal lung maturation that help prepare for the fetalneonatal transition.Keywords: Surfactant; Type II cell; Stat5a; lung developmentThe differentiation of the neuronal (1, 2) and mammary (3) systems requires proper signaling between the growth factor neuregulin (NRG) and its cell-surface receptor, ErbB4. In the fetal lung, NRG is required for the initiation of fetal surfactant synthesis (4), and ErbB receptors (named because of their homology to the erythroblastoma viral gene product, v-erbB), also known as human epidermal growth factor receptors (HERs), are involved in the timely progression of fetal lung cell differentiation (4-6).Surface-active agents (surfactants) prevent pulmonary alveoli from collapsing at end-expiration. Therefore, the synthesis of surfactants by fetal pulmonary Type II cells is a crucial part of prenatal lung development (7), in preparation for the transition at birth from the intrauterine (aquatic) to the extrauterine (aerobic) environment. ErbB4, the signaling receptor for NRG, is the most prominent receptor dimerization partner in fetal Type II epithelial cells (8) and the down-regulation of ErbB4 inhibits fetal surfactant synthesis (9).Fetal ErbB4 transgenic mice that are rescued from their lethal heart defect by expressing human ErbB4 cDNA under the control of the cardiac-specific myosin heavy chain (a-HMC) promoter (HER4 heart ) (3) exhibit changes in lung function and structure, resulting in a hyperreactive airway system and alveolar simplification in adult HER4 heart (2/2) animals (10). In the fetal lung, the deletion of pulmonary ErbB4 leads to an overall delayed progression of structural and functional lung development, including the delayed expression of surfactant protein B (Sftpb). This delay is most prominent at the transition from the canalicular to the saccular stage on Embryonic Day 17. Delayed saccular development, with an increased mesenchymal area around the airspaces and a delayed onset of surfactant synthesis and Sftpb expression in HER4 heart (2/2) lungs, con...