Transcription Factor C/EBP in Fetal Lung: Developmental Regulation and Effects of Cyclic Adenosine 3',5'-Monophosphate and Glucocorticoids

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Abstract
Pulmonary surfactant is a developmentally and hormonally reg- ulated lipoprotein synthesized exclusively in alveolar type II cells. Surfactant protein-A (SP-A) gene transcription in human fetal lung in culture is stimulated by glucocorticoids and cAMP; cAMP also enhances the rate of type II cell differentiation. The CCAAT/enhanc- er-binding protein (C/EBP) family of transcription factors serves an important role in the regulation of genes involved in energy metab- olism, lipid biosynthesis, and cellular differentiation. The gene en- coding C/EBPd, which is induced by glucocorticoids during the early phases of adipocyte differentiation, is expressed at relatively high levels in lung compared with other tissues. In the present study we have analyzed developmental changes in C/EBPd messenger RNA levels in fetal rabbit lung as well as changes in the levels of immu- noreactive C/EBPd in human fetal lung during differentiation in or- gan culture and after treatment with cAMP and glucocorticoids. We observed that C/EBPd messenger RNA is detectable in fetal rabbit lung on day 19 of gestation and is increased ;3.7-fold to maximum levels on day 28 of gestation, the time when SP-A gene transcription increases to maximum levels. Immunohistochemical analysis of C/EBPd in midgestation human fetal lung before culture revealed trace nuclear staining in epithelial and occasional stromal cells. After 12 h of organ culture in serum-free medium, nuclear staining of C/EBPd was markedly increased in epithelial cells lining the preal- veolar ducts of the human fetal lung tissue. By immunoblot analysis, it was found that C/EBPd levels were induced rapidly during organ culture in control medium and were increased further by treatment with dexamethasone and (Bt)2cAMP. C/EBPd levels were maximally induced during the first 24 h of culture and declined thereafter; after 72 h of incubation in control or cAMP-containing medium, C/EBPd was reduced markedly. By contrast, in fetal lung tissues incubated in medium containing dexamethasone or dexamethasone plus (Bt)2cAMP, the decline in C/EBPd was more modest, so that levels remained elevated throughout the 96-h culture period. Our findings that C/EBPd is localized primarily to alveolar epithelial cells, rapidly induced during differentiation of human fetal lung in culture, and increased by cAMP and glucocorticoids suggest a possible role in the regulation of type II cell differentiation and in the synthesis of sur- factant phospholipids and proteins. (Endocrinology 138: 5527-5534, 1997)

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