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Fig. 2 Ventilation of healthy neonatal sheep with 100% O 2 induces PDE5 protein expression
and activity. Ovine lung parenchyma and resistance PAs from healthy lambs ventilated with 100%
O 2 were harvested after 24 h and compared with both fetal lambs (Fetus) and healthy 1-day
nonventilated lambs (1DNV). (a) PA PDE5 protein expression was analyzed via Western blot,
with b -actin normalization. Data are shown as mean SEM. * P < 0.05 vs. fetal lambs, # P < 0.05
vs. 1-day nonventilated lambs. (b) Lung PDE5-specific activity was measured as the sildenafil-
inhibitable fraction of total cGMP hydrolysis, normalized for total milligrams of protein (200 m M
cGMP substrate in assay; 100 nM sildenafil for inhibition). Data are shown as mean SEM.
*
#
P < 0.05 vs. 1-day nonventilated lambs. (c) PDE5 expression is
localized within the PA smooth muscle and nearby airways. The left column shows phase-contrast
images (
P < 0.05 vs. fetal lambs,
10) of frozen lamb lung sections. The right column shows the corresponding sections
stained for PDE5, with immunofluorescence shown as red . Reproduced with permission from
Farrow et al. ( 2008a )
milrinone, represent novel and particularly attractive new therapies for these infants
(Fig. 3 ) (Lakshminrusimha and Steinhorn 2009 ).
1.2.3 Congenital Diaphragmatic Hernia
CDH is a serious birth defect that includes disordered development of the diaphragm
and a variable degree of pulmonary hypoplasia. It occurs in 1 of every 2,000-4,000
live births and accounts for 8% of all major congenital anomalies. Severe CDH
develops early in the course of lung development, and as a result airway divisions
and alveolarization may be significantly impaired. Because development of the
pulmonary arterial system parallels development of the bronchial tree, fewer arterial
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