PMID- 16813975 OWN - NLM STAT- MEDLINE DCOM- 20061201 LR - 20151119 IS - 0146-0005 (Print) IS - 0146-0005 (Linking) VI - 30 IP - 3 DP - 2006 Jun TI - Neonatal lung and airway injury: a role for neurotrophins. PG - 156-62 AB - Maintenance of patency in distal airways is essential for gas exchange in neonatal life, and its disruption may have long-lasting effects on respiratory function. However, neural mechanisms that regulate caliber of intrapulmonary airways during early postnatal life, and their disruption by hyperoxic exposure, have not been well characterized. We have previously shown that cholinergically mediated airway contractile responses in rat pups are upregulated after hyperoxic exposure, and that increased expression of neuropeptides, such as substance P, may be contributory. More recently, we have documented impairment of neurally mediated airway relaxation in response to hyperoxic stress associated with loss of nitric oxide and prostaglandin-induced airway relaxation as well as inhibition of long chain myosin phosphatase. Our most recent data demonstrate significantly enhanced expression of the neurotrophin, brain-derived neurotrophic factor (BDNF) and its high affinity specific tyrosine kinase B (TrkB) receptor in hyperoxia-exposed airway smooth muscle. The existence of a BDNF-TrkB receptor autocrine and paracrine loops in the airways provides a basis for understanding local regulatory mechanisms of airway homeostasis. A mechanistic role for BDNF-TrkB signaling in hyperoxia-induced airway hyperreactivity in early postnatal life could serve to modulate both afferent and efferent neural pathways that result in enhanced contractile responses of immature airways exposed to hyperoxic stress. Greater insight into these neural pathways may lead to future preventive strategies for preterm infants surviving neonatal intensive care and developing chronic lung disease. FAU - Yao, Qin AU - Yao Q AD - Department of Pediatrics, Case Western Reserve University School of Medicine, Case Western Reserve University School of Medicine, Rainbow Babies and Children's Hospital, 11100 Euclid Avenue, Cleveland, OH 44106, USA. FAU - Zaidi, Syed I AU - Zaidi SI FAU - Haxhiu, Musa A AU - Haxhiu MA FAU - Martin, Richard J AU - Martin RJ LA - eng GR - HL 56470/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - United States TA - Semin Perinatol JT - Seminars in perinatology JID - 7801132 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Nerve Growth Factors) SB - IM MH - Animals MH - Animals, Newborn MH - *Autocrine Communication MH - Brain-Derived Neurotrophic Factor/metabolism MH - Chronic Disease MH - Critical Care MH - Humans MH - Hyperoxia/*metabolism/pathology MH - Infant, Newborn MH - Infant, Premature MH - Infant, Premature, Diseases/*metabolism/pathology/therapy MH - Lung/innervation/*metabolism MH - Lung Diseases/*metabolism/pathology/therapy MH - Nerve Growth Factors/metabolism MH - *Paracrine Communication MH - Rats RF - 50 EDAT- 2006/07/04 09:00 MHDA- 2006/12/09 09:00 CRDT- 2006/07/04 09:00 PHST- 2006/07/04 09:00 [pubmed] PHST- 2006/12/09 09:00 [medline] PHST- 2006/07/04 09:00 [entrez] AID - S0146-0005(06)00064-4 [pii] AID - 10.1053/j.semperi.2006.04.008 [doi] PST - ppublish SO - Semin Perinatol. 2006 Jun;30(3):156-62. doi: 10.1053/j.semperi.2006.04.008.