PMID- 20558631 OWN - NLM STAT- MEDLINE DCOM- 20101021 LR - 20211020 IS - 1535-4970 (Electronic) IS - 1073-449X (Print) IS - 1073-449X (Linking) VI - 182 IP - 7 DP - 2010 Oct 1 TI - The chitinase-like proteins breast regression protein-39 and YKL-40 regulate hyperoxia-induced acute lung injury. PG - 918-28 LID - 10.1164/rccm.200912-1793OC [doi] AB - RATIONALE: Prolonged exposure to 100% O(2) causes hyperoxic acute lung injury (HALI), characterized by alveolar epithelial cell injury and death. We previously demonstrated that the murine chitinase-like protein, breast regression protein (BRP)-39 and its human homolog, YKL-40, inhibit cellular apoptosis. However, the regulation and roles of these molecules in hyperoxia have not been addressed. OBJECTIVES: We hypothesized that BRP-39 and YKL-40 (also called chitinase-3-like 1) play important roles in the pathogenesis of HALI. METHODS: We characterized the regulation of BRP-39 during HALI and the responses induced by hyperoxia in wild-type mice, BRP-39-null (-/-) mice, and BRP-39(-/-) mice in which YKL-40 was overexpressed in respiratory epithelium. We also compared the levels of tracheal aspirate YKL-40 in premature newborns with respiratory failure. MEASUREMENTS AND MAIN RESULTS: These studies demonstrate that hyperoxia inhibits BRP-39 in vivo in the murine lung and in vitro in epithelial cells. They also demonstrate that BRP-39(-/-) mice have exaggerated permeability, protein leak, oxidation, inflammatory, chemokine, and epithelial apoptosis responses, and experience premature death in 100% O(2). Lastly, they demonstrate that YKL-40 ameliorates HALI, prolongs survival in 100% O(2), and rescues the exaggerated injury response in BRP-39(-/-) animals. In accord with these findings, the levels of tracheal aspirate YKL-40 were lower in premature infants treated with hyperoxia for respiratory failure who subsequently experienced bronchopulmonary dysplasia or death compared with those that did not experience these complications. CONCLUSIONS: These studies demonstrate that hyperoxia inhibits BRP-39/YKL-40, and that BRP-39 and YKL-40 are critical regulators of oxidant injury, inflammation, and epithelial apoptosis in the murine and human lung. FAU - Sohn, Myung Hyun AU - Sohn MH AD - Department of Pediatrics, and Institute of Allergy, Severance Biomedical Science Institute, BK21 Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. FAU - Kang, Min-Jong AU - Kang MJ FAU - Matsuura, Hiroshi AU - Matsuura H FAU - Bhandari, Vineet AU - Bhandari V FAU - Chen, Ning-Yuan AU - Chen NY FAU - Lee, Chun Geun AU - Lee CG FAU - Elias, Jack A AU - Elias JA LA - eng GR - R0-HL-064242/HL/NHLBI NIH HHS/United States GR - R0-HL-081639/HL/NHLBI NIH HHS/United States GR - R0-HL-084225/HL/NHLBI NIH HHS/United States GR - R0-HL-093017/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20100617 PL - United States TA - Am J Respir Crit Care Med JT - American journal of respiratory and critical care medicine JID - 9421642 RN - 0 (Adipokines) RN - 0 (CHI3L1 protein, human) RN - 0 (Chil1 protein, mouse) RN - 0 (Chitinase-3-Like Protein 1) RN - 0 (Glycoproteins) RN - 0 (Lectins) SB - IM MH - Acute Lung Injury/*physiopathology MH - Adipokines MH - Animals MH - Apoptosis MH - Bronchopulmonary Dysplasia/*physiopathology MH - Cells, Cultured MH - Chitinase-3-Like Protein 1 MH - Female MH - Glycoproteins/*metabolism MH - Humans MH - Hyperoxia/*physiopathology MH - Infant, Newborn MH - *Infant, Premature MH - Inflammation MH - Lectins/*metabolism MH - Male MH - Mice MH - Mice, Transgenic MH - Respiratory Mucosa/metabolism MH - Survival Analysis PMC - PMC2970863 EDAT- 2010/06/19 06:00 MHDA- 2010/10/22 06:00 PMCR- 2011/10/01 CRDT- 2010/06/19 06:00 PHST- 2010/06/19 06:00 [entrez] PHST- 2010/06/19 06:00 [pubmed] PHST- 2010/10/22 06:00 [medline] PHST- 2011/10/01 00:00 [pmc-release] AID - 200912-1793OC [pii] AID - ajrccm1827918 [pii] AID - 10.1164/rccm.200912-1793OC [doi] PST - ppublish SO - Am J Respir Crit Care Med. 2010 Oct 1;182(7):918-28. doi: 10.1164/rccm.200912-1793OC. Epub 2010 Jun 17.