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Local Fetal Lung Renin-Angiotensin System as a Target to Treat Congenital Diaphragmatic Hernia

dc.contributor.authorNogueira-Silva, C
dc.contributor.authorCarvalho-Dias, E
dc.contributor.authorPiairo, P
dc.contributor.authorNunes, S
dc.contributor.authorBaptista, MJ
dc.contributor.authorMoura, RS
dc.contributor.authorCorreia-Pinto, J
dc.date.accessioned2012-02-08T12:57:51Z
dc.date.available2012-02-08T12:57:51Z
dc.date.issued2011
dc.description.abstractAntenatal stimulation of lung growth is a reasonable approach to treat congenital diaphragmatic hernia (CDH), a disease characterized by pulmonary hypoplasia and hypertension. Several evidences from the literature demonstrated a possible involvement of renin-angiotensin system (RAS) during fetal lung development. Thus, the expression pattern of renin, angiotensin-converting enzyme, angiotensinogen, type 1 (AT(1)) and type 2 (AT(2)) receptors of angiotensin II (ANGII) was assessed by immunohistochemistry throughout gestation, whereas the function of RAS in the fetal lung was evaluated using fetal rat lung explants. These were morphometrically analyzed and intracellular pathway alterations assessed by Western blot. In nitrofen-induced CDH model, pregnant rats were treated with saline or PD-123319. In pups, lung growth, protein/DNA ratio, radial saccular count, epithelial differentiation and lung maturation, vascular morphometry, right ventricular hypertrophy and overload molecular markers, gasometry and survival time were evaluated. Results demonstrated that all RAS components were constitutively expressed in the lung during gestation and that ANGII had a stimulatory effect on lung branching, mediated by AT(1) receptor, through p44/42 and Akt phosphorylation. This stimulatory effect on lung growth was mimicked by AT(2)-antagonist (PD-123319) treatment. In vivo antenatal PD-123319 treatment increased lung growth, ameliorated indirect parameters of pulmonary hypertension, improved lung function and survival time in non-ventilated CDH pups, without maternal or fetal deleterious effects. Therefore, this study demonstrated a local and physiologically active RAS during lung morphogenesis. Moreover, selective inhibition of AT(2) receptor is presented as a putative antenatal therapy for CDH.por
dc.identifier.citationMol Med. 2011 Nov 18. doi: 10.2119/molmed.2011.00210por
dc.identifier.urihttp://hdl.handle.net/10400.26/1931
dc.language.isoengpor
dc.peerreviewedyespor
dc.relationMolecular Mechanisms of Temporal-Spatial Control of Embryonic Lung Development
dc.relationLOOKING FOR CYCLING GENES INVOLVED IN FETAL LUNG DEVELOPMENT
dc.relationINVESTIGATION OF EARLY FETAL CELL LINEAGES PHYSIOLOGY IN LUNG GROWTH: AN IN VITRO APPROACH
dc.subjectGravidezpor
dc.subjectHérnia Diafragmática Congénitapor
dc.subjectSistema Renina-Angiotensinapor
dc.titleLocal Fetal Lung Renin-Angiotensin System as a Target to Treat Congenital Diaphragmatic Herniapor
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleMolecular Mechanisms of Temporal-Spatial Control of Embryonic Lung Development
oaire.awardTitleLOOKING FOR CYCLING GENES INVOLVED IN FETAL LUNG DEVELOPMENT
oaire.awardTitleINVESTIGATION OF EARLY FETAL CELL LINEAGES PHYSIOLOGY IN LUNG GROWTH: AN IN VITRO APPROACH
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/5876-PPCDTI/PTDC%2FSAU-OBD%2F108051%2F2008/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT//SFRH%2FBPD%2F15408%2F2005/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/FARH/SFRH%2FBD%2F33410%2F2008/PT
oaire.fundingStream5876-PPCDTI
oaire.fundingStreamFARH
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspor
rcaap.typearticlepor
relation.isProjectOfPublication421168df-7413-4a7a-a2aa-4bfb825a4228
relation.isProjectOfPublicationc54377fc-ac9a-425a-97ed-88861b49b62a
relation.isProjectOfPublicationfbc2a38a-63ab-49df-b714-447e98ab0fc1
relation.isProjectOfPublication.latestForDiscovery421168df-7413-4a7a-a2aa-4bfb825a4228

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