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Am J Physiol Heart Circ Physiol 294: H2053-H2059, 2008. First published March 21, 2008; doi:10.1152/ajpheart.91529.2007
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Surfactant protein D is expressed and modulates inflammatory responses in human coronary artery smooth muscle cells

Gary D. Snyder,1 Rebecca E. Oberley-Deegan,2 Kelli L. Goss,2 Sara A. Romig-Martin,3 Lynn L. Stoll,3 Jeanne M. Snyder,2 and Neal L. Weintraub1,4,5

Departments of 1Internal Medicine, 2Anatomy and Cell Biology, and 3Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa; and 4Department of Internal Medicine, University of Cincinnati College of Medicine, and 5Veteran's Administration Medical Center, Cincinnati, Ohio

Submitted 27 December 2007 ; accepted in final form 13 March 2008

Surfactant protein D (SP-D) is a constituent of the innate immune system that plays a role in the host defense against lung pathogens and in modulating inflammatory responses. While SP-D has been detected in extrapulmonary tissues, little is known about its expression and function in the vasculature. Immunostaining of human coronary artery tissue sections demonstrated immunoreactive SP-D protein in smooth muscle cells (SMCs) and endothelial cells. SP-D was also detected in isolated human coronary artery SMCs (HCASMCs) by PCR and immunoblot analysis. Treatment of HCASMCs with endotoxin (LPS) stimulated the release of IL-8, a proinflammatory cytokine. This release was inhibited >70% by recombinant SP-D. Overexpression of SP-D by adenoviral-mediated gene transfer in HCASMCs inhibited both LPS- and TNF-{alpha}-induced IL-8 release. Overexpression of SP-D also enhanced uptake of Chlamydia pneumoniae elementary bodies into HCASMCs while attenuating IL-8 production induced by bacterial exposure. Both LPS and TNF-{alpha} increased SP-D mRNA levels by five- to eightfold in HCASMCs, suggesting that inflammatory mediators upregulate the expression of SP-D. In conclusion, SP-D is expressed in human coronary arteries and functions as an anti-inflammatory protein in HCASMCs. SP-D may also participate in the host defense against pathogens that invade the vascular wall.

inflammation; Chlamydia pneumoniae; innate immunity; interleukin-8



Address for reprint requests and other correspondence: N. L. Weintraub, Div. of Cardiovascular Diseases, Dept. of Internal Medicine, Univ. of Cincinnati College of Medicine, 231 Albert Sabin Way, ML0542, Cincinnati, OH 45267-0542 (e-mail: neal.weintraub{at}uc.edu)




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K. A. Pritchard Jr.
Surfactant protein D: not just for the lung anymore
Am J Physiol Heart Circ Physiol, May 1, 2008; 294(5): H1994 - H1994.
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