Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2009-9-16
pubmed:abstractText
There is extensive epidemiologic and experimental evidence from both animal and human studies that demonstrates detrimental long-term pulmonary outcomes in the offspring of mothers who smoke during pregnancy. However, the molecular mechanisms underlying these associations are not understood. Therefore, it is not surprising that that there is no effective intervention to prevent the damaging effects of perinatal smoke exposure. Using a biologic model of lung development, homeostasis, and repair, we have determined that in utero nicotine exposure disrupts specific molecular paracrine communications between epithelium and interstitium that are driven by parathyroid hormone-related protein and peroxisome proliferator-activated receptor (PPAR)gamma, resulting in transdifferentiation of lung lipofibroblasts to myofibroblasts, i.e., the conversion of the lipofibroblast phenotype to a cell type that is not conducive to alveolar homeostasis, and is the cellular hallmark of chronic lung disease, including asthma. Furthermore, we have shown that by molecularly targeting PPAR gamma expression, nicotine-induced lung injury can not only be significantly averted, it can also be reverted. The concept outlined by us differs from the traditional paradigm of teratogenic and toxicological effects of tobacco smoke that has been proposed in the past. We have argued that since nicotine alters the normal homeostatic epithelial-mesenchymal paracrine signaling in the developing alveolus, rather than causing totally disruptive structural changes, it offers a unique opportunity to prevent, halt, and/or reverse this process through targeted molecular manipulations.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1432-1750
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
187
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
281-9
pubmed:dateRevised
2011-8-1
pubmed:meshHeading
pubmed-meshheading:19641967-Animals, pubmed-meshheading:19641967-Cell Transdifferentiation, pubmed-meshheading:19641967-Epithelial Cells, pubmed-meshheading:19641967-Female, pubmed-meshheading:19641967-Fibroblasts, pubmed-meshheading:19641967-Glucocorticoids, pubmed-meshheading:19641967-Homeostasis, pubmed-meshheading:19641967-Humans, pubmed-meshheading:19641967-Infant, Newborn, pubmed-meshheading:19641967-Lung, pubmed-meshheading:19641967-Models, Biological, pubmed-meshheading:19641967-Nicotine, pubmed-meshheading:19641967-PPAR gamma, pubmed-meshheading:19641967-Paracrine Communication, pubmed-meshheading:19641967-Parathyroid Hormone, pubmed-meshheading:19641967-Pregnancy, pubmed-meshheading:19641967-Prenatal Exposure Delayed Effects, pubmed-meshheading:19641967-Respiratory Distress Syndrome, Newborn, pubmed-meshheading:19641967-Smoking
pubmed:articleTitle
The effects of smoking on the developing lung: insights from a biologic model for lung development, homeostasis, and repair.
pubmed:affiliation
Department of Pediatrics, Harbor-UCLA Medical Center, Los Angeles Biomedical Research Institute at Harbor-UCLA, David Geffen School of Medicine at UCLA, 1124 West Carson Street, Torrance, CA 90502, USA. vrehan@labiomed.org
pubmed:publicationType
Journal Article, Review, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural