INFLAMMATION IN PEDIATRIC DISEASE ::   BETTY LEW, M.D.     dlew@utmem.edu  
 
 Publications :: Professor of Pediatrics
Division of Pediatric Allergy and Immunology


Asthma is an important childhood chronic illness that results in significant morbidity and even death in children. Over time chronic inflammation causes an airway remodeling process that occurs in young children with severe asthma. This remodeling process includes an excess growth of smooth muscle, which in turn plays a critical role in causing over-reactive airways. The focus of Dr. Betty Lew’s laboratory is to determine how this process of excess growth of smooth muscle cells occurs in asthma. She has found that certain inflammatory marker enzymes cause smooth muscle to grow, and this process is dependent on airway smooth muscle mannose receptors (ASM-MR). The full cloning and overexpression of these receptors in a transgenic mouse model have been completed in Dr. Lew’s laboratory. Further studies on the cloned receptors and physiologic studies in this animal model will lead eventually to treatments targeted to the process of excess airway smooth muscle in children with asthma.
Lew DB, Songu-Mize E, Pontow SE, Stahl PD and Rattazzi MC: A mannose receptor mediates mannosyl-rich gly-coprotein- induced mitogenesis in bovine airway smooth muscle cells. J. Clin. Invest. 94(5):1855-1863, 1994.

Lew DB, Brown ER, Dempsey BK, Wright HM, and Malik KU: Contribution of PKC to b-hex-osaminidase- induced airway smooth muscle proliferation. Am. J. Physiol. 272 (Lung Cell. Mol. Physiol. 16): L639-L643, 1997.

Lew DB: b-Hexosaminidases: Potent mitogens of airway smooth muscle. Allergy Asthma Proc., 19(6): 359-363, 1998. Dixon ER, Weinberg JA, and Lew DB: Effect of dexamethasone on bovine airway smooth muscle cell prolifera-tion. J. Asthma 36:519-525, 1999.

Lew DB, Dempsey BK, Zhao Y, Muthalif M, Fatima S, and Malik KU: -Hexosaminidase- induced activation of p42/44MAPK is dependent on Ras and PKC and mediates mitogenesis in bovine ASMC. Am. J. Respir. Cell Mol. Biol. 21:111-118, 1999.

Hyun Y-L, Lew DB, Park SH , Kim C-W, Paik WK, and Kim S: Enzymatic methy-lation of arginyl residues in -Gly-Arg- Gly- peptides. Biochem J. 348:573-578, 2000.
 
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