Abstract:Objective To study the expression of fatty acid binding protein 4 (FABP4) in lungs and bron choalveolar lavage fluid (BALF) of preterm rats exposed to 60% O2 and to elucidate the relationship between thechanges of FABP4 expression and the pathogenesis of bronchopulmonary dysplasia (BPD). Methods Hyperoxiclung injury was induced by exposing to 60% O2 in Spraque-Dawley rats within 6 hours after birth. Rats exposedto air were used as the control group. The lungs from groups aged postnatal days 3, 7 and 14 were removed and dissected from the main bronchi for analysis. Eight rats of each group were used to assess expression of FABP4 inlungs by immunohistochemistry and ELISA. Lung FABP4 mRNA levels were measured by semi-quantitative reversetranscription polymerase chain reaction. The levels of FABP4 in BALF were measured using ELISA. Results FABP4 immunoreactivity was detected in the majority of alveolar macrophages, bronchial epithelial cells and endothelial cells.FABP4 protein levels in lung tissues in the hyperoxic exposure group increased significantly compared with the controlgroup on days 3, 7 and 14 after birth (P<0.05), and FABP4 mRNA levels in lung tissues also increased significantly inthe hyperoxic exposure group compared with the control group on days 7 and 14 after birth (P<0.05). The hyperoxicexposure group demonstrated increased FABP4 levels in BALF compared with the control group on days 7 and 14after birth (P<0.05). Conclusions FABP4 levels increase in preterm rat lungs after hyperoxic lung injury, which maycontribute to the pathogenesis of BPD.