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(American Journal of Pathology. 2000;157:525-535.)
© 2000 American Society for Investigative Pathology


Regular Articles

Gelatinase B Is Required for Alveolar Bronchiolization after Intratracheal Bleomycin

Tomoko Betsuyaku*, Yuh Fukuda{dagger}, William C. Parks{ddagger}§, J. Michael Shipley* and Robert M. Senior

From the Departments of Medicine,*
Pediatrics,{ddagger}
and Cell Biology and Physiology,§
Washington University School of Medicine, St. Louis, Missouri; and the Department of Pathology,{dagger}
Nippon Medical School, Tokyo, Japan

Increased expression of matrix metalloproteinases, particularly gelatinase B (MMP-9), has been described in the lungs in pulmonary fibrosis. Intratracheal bleomycin is often used experimentally to produce lesions resembling human fibrosing alveolitis. To assess the role of gelatinase B in bleomycin-induced fibrosing alveolitis, we instilled bleomycin intratracheally into gelatinase B-deficient mice and gelatinase B+/+ littermates. Twenty-one days after bleomycin the two groups of mice were indistinguishable in terms of pulmonary histology and total lung collagen and elastin. However, the lungs of gelatinase B-deficient mice showed minimal alveolar bronchiolization, whereas bronchiolization was prominent in the lungs of gelatinase B+/+ mice. Gelatinase B was identified immunohistochemically in terminal bronchiolar cells and bronchiolized cells 7 and 14 days after bleomycin in gelatinase B+/+ mice, and whole lung gelatinase B mRNA was increased at the same times. Many bronchiolized cells displayed Clara cell features by electron microscopy. Some bronchiolized cells stained with antibody to helix transcription factor 4, a factor associated with the ciliated cell phenotype. Thus, fibrosing alveolitis develops after intratracheal bleomycin irrespective of gelatinase B. However, gelatinase B is required for alveolar bronchiolization, perhaps by facilitating migration of Clara cells and other bronchiolar cells into the regions of alveolar injury.





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