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KGF pretreatment decreases B7 and granzyme B expression and hastens repair in lungs of mice after allogeneic BMT

1  Department of Pediatrics, Division of Hematology-Oncology and Bone Marrow Transplantation, and Departments of 2  Pulmonary Critical Care Medicine and 3  Physiology, University of Minnesota, Minneapolis, Minnesota 55455; and 4  Amgen, Thousand Oaks, California 91320 We investigated keratinocyte gr...

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Published in:American journal of physiology. Lung cellular and molecular physiology 2000-05, Vol.278 (5), p.988-L999
Main Authors: Panoskaltsis-Mortari, Angela, Ingbar, David H, Jung, Patricia, Haddad, Imad Y, Bitterman, Peter B, Wangensteen, O. Douglas, Farrell, Catherine L, Lacey, David L, Blazar, Bruce R
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Language:English
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Summary:1  Department of Pediatrics, Division of Hematology-Oncology and Bone Marrow Transplantation, and Departments of 2  Pulmonary Critical Care Medicine and 3  Physiology, University of Minnesota, Minneapolis, Minnesota 55455; and 4  Amgen, Thousand Oaks, California 91320 We investigated keratinocyte growth factor (KGF) as a pretreatment therapy for idiopathic pneumonia syndrome (IPS) generated as a result of lung damage and allogeneic T cell-dependent inflammatory events occurring in the early peri-bone marrow (BM) transplant (BMT) period. B10.BR (H2 k ) recipient mice were transplanted with C57BL/6 (H2 b ) BM with spleen cells after lethal irradiation with and without cyclophosphamide conditioning with and without subcutaneous KGF pretreatment. KGF-pretreated mice had fewer injured alveolar type II (ATII) cells at the time of BMT and exhibited ATII cell hyperplasia at day 3  post-BMT. The composition of infiltrating cells on day 7  post-BMT was not altered by KGF pretreatment, but the frequencies of cells expressing the T-cell costimulatory molecules B7.1 and B7.2 and mRNA for the cytolysin granzyme B (usually increased in IPS) were decreased by KGF. Sera from KGF-treated mice had increases in the Th2 cytokines interleukin (IL)-4, IL-6, and IL-13 4 days after cessation of KGF administration (i.e., at the time of BMT). These data suggest that KGF hinders IPS by two modes: 1 ) stimulation of alveolar epithelialization and 2 ) attenuation of immune-mediated injury as a consequence of failure to upregulate cytolytic molecules and B7 ligand expression and the induction of anti-inflammatory Th2 cytokines in situ. bone marrow transplant; keratinocyte growth factor; type II pneumocytes; cytokines; macrophages; costimulatory molecules
ISSN:1040-0605
1522-1504
DOI:10.1152/ajplung.2000.278.5.l988