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* From the National Jewish Medical and Research Center and University of Colorado Health Sciences Center, Denver, CO.
Correspondence to: Carl W. White, MD, University of Colorado Health Sciences Center, National Jewish Medical and Research Center, 1400 Jackson St, Denver, CO 80106
Thioredoxin
(TRX) is a potent protein disulfide reductase involved in antioxidant
defense, signal transduction, and cellular proliferation. Messenger
RNAs (mRNAs) for TRX and its reductase, TR, are specifically
upregulated at birth by oxygen. After premature birth (125 or 140 of
185 days), both mRNAs increased rapidly in response to oxygen. In
140-day animals, who develop bronchopulmonary dysplasia (BPD) only
after breathing 100% oxygen for
10 days, TRX and TR mRNAs were
increased at 1, 6, and 10 days relative to 140-day fetal lung. By
contrast, 140-day animals ventilated only with as needed oxygen do not
develop BPD and express elevated TRX and TR messages only at days 1 and
6 of life. Newborn baboons of 125 days' gestation develop BPD even
with as needed oxygen ventilation, and also develop sustained TRX
and TR mRNA elevation. The acute response and the role of oxygen were
examined further in fetal distal lung explant culture. There, as
in vivo, mRNAs for TRX and TR were elevated within 24 h
of exposure to 95% oxygen relative to those grown in 1% oxygen to
simulate fetal oxygen tension. By contrast, TRX protein did not
increase in lung explants from prematures (125 or 140 days), but did in
those from near term (175 days) fetal baboons, after exposure to
hyperoxia. Although TRX protein and activity, as well as TR activity,
eventually did increase in all gestational-age newborns in response to
hyperoxia (6 days), the in vitro data indicate that the TRX
protein response was delayed in prematures. Increases in TRX or TR mRNA
in response to 95% oxygen also were observed in adult baboon lung in
explant culture and, to a lesser extent, in human lung
epithelial-like A549 cells. When TRX oxidation-reduction (redox) status
was determined, increased oxygen tension shifted TRX to its oxidized
form. The acute increase in gene expression for both TRX and TR in
response to oxygen suggests an important role for these proteins during
the transition from relatively anaerobic fetal life to oxygen breathing
at birth, and the even greater induction during hyperoxic exposure in
respiratory distress suggests both a defensive role and a potential
role in the pathophysiology of respiratory distress and
BPD.
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