The relative contributions of the hydrophilic surfactant proteins (SP)-A and -D to early inflammatory responses associated with lung dysfunction after experimental allogeneic hematopoietic stem cell transplantation (HSCT) were investigated. We hypothesized that the absence of SP-A and SP-D would exaggerate allogeneic T cell-dependent inflammation and exacerbate lung injury. Wild-type, SP-D-deficient (SP-D -/-), and SP-A and -D double knockout (SP-A/D -/-) C57BL/6 mice were lethally conditioned with cyclophosphamide and total body irradiation and given allogeneic bone marrow plus donor spleen T cells, simulating clinical HSCT regimens. On day 7, after HSCT, permeability edema progressively increased in SP-D -/- and SP-A/D -/- mice. Allogeneic T cell-dependent inflammatory responses were also increased in SP-D -/- and SP-A/D -/- mice, but the altered mediators of inflammation were not identical. Compared with wild-type, bronchoalveolar lavage fluid (BALF) levels of nitrite plus nitrate, GM-CSF, and MCP-1, but not TNF-α and IFN-γ, were higher in SP-D-deficient mice before and after HSCT. In SP-A/D -/- mice, day 7 post-HSCT BALF levels of TNF-α and IFN-γ, in addition to nitrite plus nitrate and MCP-1, were higher compared with mice lacking SP-D alone. After HSCT, both SP-A and SP-D exhibited anti-inflammatory lung-protective functions that were not completely redundant in vivo.
|Original language||English (US)|
|Journal||American Journal of Physiology - Lung Cellular and Molecular Physiology|
|State||Published - Feb 2009|
- Hematopoietic stem cell transplantation
- Idiopathic pneumonia syndrome
- Nitric oxide
- T cells