title: Respiratory failure due to differentiation arrest and expansion of alveolar cells following lung-specific loss of the transcription factor C/EBPalpha in mice.
abstract: The leucine zipper family transcription factor CCAAT enhancer binding protein alpha (C/EBPalpha) inhibits proliferation and promotes differentiation in various cell types. In this study, we show, using a lung-specific conditional mouse model of C/EBPalpha deletion, that loss of C/EBPalpha in the respiratory epithelium leads to respiratory failure at birth due to an arrest in the type II alveolar cell differentiation program. This differentiation arrest results in the lack of type I alveolar cells and differentiated surfactant-secreting type II alveolar cells. In addition to showing a block in type II cell differentiation, the neonatal lungs display increased numbers of proliferating cells and decreased numbers of apoptotic cells, leading to epithelial expansion and loss of airspace. Consistent with the phenotype observed, genes associated with alveolar maturation, survival, and proliferation were differentially expressed. Taken together, these results identify C/EBPalpha as a master regulator of airway epithelial maturation and suggest that the loss of C/EBPalpha could also be an important event in the multistep process of lung tumorigenesis. Furthermore, this study indicates that exploring the C/EBPalpha pathway might have therapeutic benefits for patients with respiratory distress syndromes.
authors.affiliation: Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02115, USA.
authors.forename: Daniela S
authors.initials: DS
authors.lastname: Bassères
authors.forename: Elena
authors.initials: E
authors.lastname: Levantini
authors.forename: Hongbin
authors.initials: H
authors.lastname: Ji
authors.forename: Stefano
authors.initials: S
authors.lastname: Monti
authors.forename: Shannon
authors.initials: S
authors.lastname: Elf
authors.forename: Tajhal
authors.initials: T
authors.lastname: Dayaram
authors.forename: Maris
authors.initials: M
authors.lastname: Fenyus
authors.forename: Olivier
authors.initials: O
authors.lastname: Kocher
authors.forename: Todd
authors.initials: T
authors.lastname: Golub
authors.forename: Kwok-kin
authors.initials: KK
authors.lastname: Wong
authors.forename: Balazs
authors.initials: B
authors.lastname: Halmos
authors.forename: Daniel G
authors.initials: DG
authors.lastname: Tenen
mesh_terms: D000818:Animals; D017209:Apoptosis; D022763:CCAAT-Enhancer-Binding Protein-alpha / Q000172:deficiency* / Q000235:genetics; D002454:Cell Differentiation; D049109:Cell Proliferation; D004848:Epithelium / Q000378:metabolism / Q000473:pathology; D017353:Gene Deletion; D020869:Gene Expression Profiling; D008168:Lung / Q000254:growth & development* / Q000378:metabolism / Q000473:pathology*; D008297:Male; D051379:Mice; D008817:Mice, Mutant Strains; D011650:Pulmonary Alveoli / Q000166:cytology / Q000254:growth & development / Q000473:pathology*; D012131:Respiratory Insufficiency / Q000235:genetics* / Q000473:pathology*; D017384:Sequence Deletion
chemical_list: D022763:CCAAT-Enhancer-Binding Protein-alpha