Regulation of TGF- ligand and receptor expression in neonatal rat lungs exposed to chronic hypoxia. J Appl Physiol 93: 1123-1130. First published May 3, 2002 10.1152/japplphysiol.00031.2002.-Long-term effects of hypoxia are largely due to its modulatory effects on proliferation and differentiation of epithelial and endothelial cells, processes also regulated by the transforming growth factor (TGF)- system. We investigated the effects of hypoxia on the TGF- system in rat lungs from different developmental stages. Sprague-Dawley rats were exposed to 9.5% oxygen during either the first 2 wk of life or adulthood. Analysis revealed an arrest of alveolarization in hypoxic postnatal day 14 rats. Bioactive TGF- levels in bronchoalveolar lavage fluid were increased in these animals, and Western blot analysis revealed upregulation of TGF- receptor (TR) I and II. None of these changes was observed in hypoxic adults. Hypoxia did, however, lead to decreased expression of TRIII in both postnatal day 14 and adult rats. Immunohistochemical analysis localized TRI-III predominantly to bronchiolar and alveolar epithelium; these patterns did not change with hypoxia. Thus we observed changes in TGF- activity and TR isotype expression in rat lung that parallel the arrest in alveolarization seen with chronic hypoxia in early development. These alterations may partly explain the morphological changes observed in hypoxia.transforming growth factor-; lung development; alveolarization; transforming growth factor- receptor; betaglycan POSTNATAL LUNG DEVELOPMENT involves the formation of alveoli from existing but immature respiratory saccules by means of septation, maturation of epithelial and mesenchymal units, and development of the alveolar capillary system (4, 21). In rats, alveolar septation begins at postnatal days (P) 3-4 and continues throughout the second week of postnatal development. Maturation of newly formed units occurs in parallel and continues throughout the fourth week of postnatal lung development. These processes are tightly regulated by direct interactions between epithelial and mesenchymal cells (5).Several intrinsic and extrinsic factors have been identified as modifiers of postnatal lung growth. For example, hypoxia over prolonged periods can affect lung growth (27). There has been some controversy, however, regarding the overall effects of hypoxia on the postnatal development of the lung (3, 22). Whether such issues are related to age or stage of development at the time of exposure is not well defined, and possible mediators of the effects of hypoxia on lung morphology remain essentially unexplored.Whereas the molecular mechanisms underlying the effects of hypoxia on lung growth remain to be delineated, significant advances have been made in our understanding of the mediators controlling prenatal lung morphogenesis and branching. Members of the transforming growth factor (TGF)- family have emerged as crucial factors controlling the formation, patterning, and maturation of lung tissue (13, 24). TGF- bel...