title: Leptin promotes fetal lung maturity and upregulates SP-A expression in pulmonary alveoli type-II epithelial cells involving TTF-1 activation.
abstract: The placental hormone leptin has important functions in fetal and neonatal growth, and prevents depressed respiration in leptin-deficient mice. The effect of leptin on respiratory distress suffered by low birth weight and premature infants has been studied. However, it is unclear how leptin enhances lung maturity in the fetus and ameliorates neonatal respiratory distress. In the present study, we found that antenatal treatment with leptin for 2 d significantly enhanced the relative alveolus area and improved the maturity of fetal lungs in a rat model of fetal growth restriction (FGR). Mean birth weight and lung wet weight were higher in the leptin-treated group than in the PBS-treated group, indicating promotion of fetal growth. Leptin upregulated the intracellular expression and extracellular secretion of surfactant protein (SP) A in type-II alveolar epithelial cells (AECs) in vivo and in vitro. Dual positive effects of leptin were found on protein expression and transcriptional activity of thyroid transcription factor-1 (TTF-1), a nuclear transcription essential for branching morphogenesis of the lung and expression of SP-A in type-II AECs. Knockdown of TTF-1 by RNA interference indicated that TTF-1 may play a vital role in leptin-induced SP-A expression. These results suggest that leptin may have great therapeutic potential for the treatment of FGR, and leptin-mediated SP-A induction and lung maturity of the fetus are TTF-1 dependent.
authors.affiliation: Department of Obstetrics and Gynecology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Chen
authors.forename: Jian-Ping
authors.initials: JP
authors.lastname: Zhang
authors.forename: Hui
authors.initials: H
authors.lastname: Huang
authors.forename: Zhen-Hua
authors.initials: ZH
authors.lastname: Wang
authors.forename: Rui
authors.initials: R
authors.lastname: Cheng
authors.forename: Wei-Bin
authors.initials: WB
authors.lastname: Cai
mesh_terms: D000818:Animals; D004847:Epithelial Cells / Q000378:metabolism*; D005317:Fetal Growth Retardation / Q000235:genetics / Q000473:pathology; D005333:Fetus / Q000187:drug effects / Q000196:embryology*; D020738:Leptin / Q000494:pharmacology*; D008168:Lung / Q000187:drug effects / Q000196:embryology*; D009687:Nuclear Proteins / Q000378:metabolism*; D011650:Pulmonary Alveoli / Q000166:cytology; D037662:Pulmonary Surfactant-Associated Protein A / Q000235:genetics*; D051381:Rats; D017207:Rats, Sprague-Dawley; D054411:Receptors, Leptin / Q000378:metabolism; D000074482:Thyroid Nuclear Factor 1; D014157:Transcription Factors / Q000378:metabolism*; D014158:Transcription, Genetic / Q000187:drug effects; D015854:Up-Regulation / Q000187:drug effects*
chemical_list: D020738:Leptin; C000614414:Nkx2-1 protein, mouse; C000614416:Nkx2-1 protein, rat; D009687:Nuclear Proteins; D037662:Pulmonary Surfactant-Associated Protein A; D054411:Receptors, Leptin; D000074482:Thyroid Nuclear Factor 1; D014157:Transcription Factors
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