Transgenic mice overexpressing human transforming growth factor-alpha (TGF-
alpha) develop emphysema and fibrosis during postnatal alveologenesis. To a
ssess dose-related pulmonary alterations, four distinct transgenic lines ex
pressing different amounts of TGF-alpha in the distal lung under control of
the surfactant protein C (SP-C) promoter were characterized. Mean lung hom
ogenate TGF-alpha levels ranged from 388 +/- 40 pg/ml in the lowest express
ing line to 1,247 +/- 33 pg/ml in the highest expressing line. Histological
assessment demonstrated progressive alveolar airspace size changes that we
re more severe in the higher expressing TGF-alpha lines. Pleural and parenc
hymal fibrosis were only detected in the highest expressing line (line 28),
and increasing terminal airspace area was associated with increasing TGF-a
lpha expression. Hysteresis on pressure-volume curves was significantly red
uced in line 28 mice compared with other lines of mice. There were no diffe
rences in bronchoalveolar lavage fluid cell count or differential that woul
d indicate any evidence of lung inflammation among all transgenic lines. Pr
oliferating cells were increased in line 28 without alterations of numbers
of type II cells. We conclude that TGF-alpha lung remodeling in transgenic
mice is dose dependent and is independent of pulmonary inflammation.