Epidermal growth factor increases lung liquid clearance in rat lungs

Epidermal growthfactor (EGF) has been reported to stimulate the proliferation ofepithelial cells and increase Na⁺flux andNa⁺-K⁺-ATPasefunction in alveolar epithelial cell monolayers. Increases inNa⁺-K⁺-ATPasein alveolar type II cells (AT2) have been associated with increasedactive Na⁺ transport and lungedema clearance across the rat alveolar epithelium in a model ofproliferative lung injury. Thus we tested whether administration ofaerosolized EGF to rat lungs would increase activeNa⁺ transport and lung liquidclearance. Sixteen adult Sprague-Dawley male rats were randomized tothree groups. To a group of six rats, an aerosol generated from 20 µgof EGF in saline was delivered to the lungs, to a second group of fiverats only aerosolized saline was delivered, and a third group of fiverats without treatment served as the control. Forty-eight hourspostaerosolization of rat lungs with EGF there was an ~40% increasein active Na⁺ transport and lungliquid clearance compared with control rats, in the absence of changesin²²Na⁺,[³H]mannitol, andalbumin permeabilities. TheNa⁺-K⁺-ATPaseactivity in AT2 cells harvested from these lungs was increased in ratsthat received aerosolized EGF compared with AT2 cells from both controlrats and rats receiving aerosolized saline. These results support thehypothesis that in vivo delivery of EGF aerosols upregulates alveolarepithelialNa⁺-K⁺-ATPaseand increases lung liquid clearance in rats.