PMID- 24788984 OWN - NLM STAT- MEDLINE DCOM- 20150122 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 4 DP - 2014 TI - Ventilation-induced increases in EGFR ligand mRNA are not altered by intra-amniotic LPS or ureaplasma in preterm lambs. PG - e96087 LID - 10.1371/journal.pone.0096087 [doi] LID - e96087 AB - Chorioamnionitis and mechanical ventilation are associated with bronchopulmonary dysplasia (BPD) in preterm infants. Mechanical ventilation at birth activates both inflammatory and acute phase responses. These responses can be partially modulated by previous exposure to intra-amniotic (IA) LPS or Ureaplasma parvum (UP). Epidermal growth factor receptor (EGFR) ligands participate in lung development, and angiotensin converting enzyme (ACE) 1 and ACE2 contribute to lung inflammation. We asked whether brief mechanical ventilation at birth altered EGFR and ACE pathways and if antenatal exposure to IA LPS or UP could modulate these effects. Ewes were exposed to IA injections of UP, LPS or saline multiple days prior to preterm delivery at 85% gestation. Lambs were either immediately euthanized or mechanically ventilated for 2 to 3 hr. IA UP and LPS cause modest changes in the EGFR ligands amphiregulin (AREG), epiregulin (EREG), heparin binding epidermal growth factor (HB-EGF), and betacellulin (BTC) mRNA expression. Mechanical ventilation greatly increased mRNA expression of AREG, EREG, and HB-EGF, with no additional increases resulting from IA LPS or UP. With ventilation AREG and EREG mRNA localized to cells in terminal airspace. EGFR mRNA also increased with mechanical ventilation. IA UP and LPS decreased ACE1 mRNA and increased ACE2 mRNA, resulting in a 4 fold change in the ACE1/ACE2 ratio. Mechanical ventilation with large tidal volumes increased both ACE1 and ACE2 expression. The alterations seen in ACE with IA exposures and EGFR pathways with mechanical ventilation may contribute to the development of BPD in preterm infants. FAU - Hillman, Noah H AU - Hillman NH AD - Division of Neonatology, Saint Louis University, Saint Louis, Missouri, United States of America; Division of Pulmonary Biology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, United States of America. FAU - Gisslen, Tate AU - Gisslen T AD - Division of Neonatology, Saint Louis University, Saint Louis, Missouri, United States of America. FAU - Polglase, Graeme R AU - Polglase GR AD - School of Women and Infants' Health, University of Western Australia Perth, WA, Australia; The Ritchie Centre, Monash Institute of Medical Research, Monash University, Melbourne, VIC, Australia. FAU - Kallapur, Suhas G AU - Kallapur SG AD - Division of Pulmonary Biology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, United States of America; School of Women and Infants' Health, University of Western Australia Perth, WA, Australia. FAU - Jobe, Alan H AU - Jobe AH AD - Division of Pulmonary Biology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, United States of America; School of Women and Infants' Health, University of Western Australia Perth, WA, Australia. LA - eng GR - R01-HD072842/HD/NICHD NIH HHS/United States GR - R01 HD072842/HD/NICHD NIH HHS/United States GR - R01 HD057869/HD/NICHD NIH HHS/United States GR - R01-HD12714/HD/NICHD NIH HHS/United States GR - K08 HL097085/HL/NHLBI NIH HHS/United States GR - R01 HD012714/HD/NICHD NIH HHS/United States GR - K08-HL097085/HL/NHLBI NIH HHS/United States GR - R01-HD57869/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20140430 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Ligands) RN - 0 (Lipopolysaccharides) RN - 0 (RNA, Messenger) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 3.4.15.1 (Peptidyl-Dipeptidase A) SB - IM MH - Amnion/*metabolism MH - Animals MH - *Animals, Newborn MH - ErbB Receptors/*metabolism MH - Female MH - In Situ Hybridization MH - Ligands MH - Lipopolysaccharides/*metabolism MH - *Obstetric Labor, Premature MH - Peptidyl-Dipeptidase A/genetics MH - Polymerase Chain Reaction MH - Pregnancy MH - RNA, Messenger/*metabolism MH - *Respiration, Artificial MH - Sheep MH - Ureaplasma/*isolation & purification PMC - PMC4005755 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/05/03 06:00 MHDA- 2015/01/23 06:00 PMCR- 2014/04/30 CRDT- 2014/05/03 06:00 PHST- 2013/11/15 00:00 [received] PHST- 2014/04/02 00:00 [accepted] PHST- 2014/05/03 06:00 [entrez] PHST- 2014/05/03 06:00 [pubmed] PHST- 2015/01/23 06:00 [medline] PHST- 2014/04/30 00:00 [pmc-release] AID - PONE-D-13-48144 [pii] AID - 10.1371/journal.pone.0096087 [doi] PST - epublish SO - PLoS One. 2014 Apr 30;9(4):e96087. doi: 10.1371/journal.pone.0096087. eCollection 2014.