Neuroendocrine Cell Hyperplasia of Infancy (NEHI) is a rare pediatric lung disease characterized by chronic tachypnea, low blood oxygen saturation requiring supplemental oxygen, and often failure to thrive. A defining pathological feature of NEHI is the observed increase of pulmonary neuroendocrine cells in lung biopsies. However, it is unknown if this increase, or other genetic or environmental factors cause the disease. Mimicking an NKX2.1 point mutation identified in NEHI patients, we engineered the first animal model of NEHI in mice carrying this patient mutation. Our preliminary data indicate that this model recapitulates key features of the disease. We will use this model as an entry point to address key clinical questions associated with NEHI pathogenesis. As there is no particular therapy for NEHI beyond supportive care, our findings may inform specific pharmacological therapy targeting the key NEHI disease causal factors.

Public Health Relevance

Neuroendocrine Cell Hyperplasia of Infancy (NEHI) is a rare lung disease with severe morbidities affecting respiratory function of young children. The goal of this study is to test the hypothesis that the increase in pulmonary neuroendocrine cells, a defining pathological characteristic, is responsible for the impaired gas- exchange and other symptoms of the disease. We expect that our findings will provide critical insights into how pulmonary neuroendocrine cells increase, and how they impact the pathophysiology of NEHI as well as a wide spectrum of other lung diseases associated with neuroendocrine cells.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
1R01HL146141-01
Application #
9687528
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Lin, Sara
Project Start
2019-04-01
Project End
2023-03-31
Budget Start
2019-04-01
Budget End
2020-03-31
Support Year
1
Fiscal Year
2019
Total Cost
Indirect Cost
Name
University of California, San Diego
Department
Pediatrics
Type
Schools of Medicine
DUNS #
804355790
City
La Jolla
State
CA
Country
United States
Zip Code
92093