Am. J. Respir. Cell Mol. Biol.,
Volume 21, Number 3, September, 1999 409-417
2-Adrenoceptor Agonist-Induced Upregulation of Tachykinin
NK2 Receptor Expression and Function in Airway Smooth Muscle
Toshio
Katsunuma,*
Ad F.
Roffel,
Carolina R. S.
Elzinga,
Johan
Zaagsma,
Peter J.
Barnes,
and
Judith C. W.
Mak
Department of Thoracic Medicine, Imperial College School of Medicine, National Heart and Lung Institute, London, United
Kingdom; and Department of Molecular Pharmacology, University of Groningen, Groningen, The Netherlands
Neurokinin A (NKA) induces bronchoconstriction mediated by tachykinin NK2 receptors in animals and
humans, and may be increased in asthma. Because
2-adrenoceptor agonists are the most widely used bronchodilators in asthma, we investigated the effects of the
2-adrenoceptor agonist fenoterol on NK2 receptor
messenger RNA (mRNA) and receptor density as well as the functional responses of bovine tracheal
smooth muscle to the NK2 receptor agonist [
-Ala8]-NKA(4-10) in vitro, using Northern blot analysis, receptor binding, and organ bath studies. Incubation with fenoterol induced a time- and concentration-dependent upregulation of NK2 receptor mRNA (71% increase after 12 h at 10
7 M fenoterol), which was abolished by propranolol (a nonselective
-adrenoceptor agonist) and ICI118551 (a selective
2-adrenoceptor antagonist), but not by CGP20712A (a selective
1-adrenoceptor antagonist), indicating that fenoterol acts
via
2-adrenoceptors. These effects were mimicked by forskolin and prostaglandin E2 (PGE2), both agents
that increase cyclic adenosine monophosphate (cAMP), and by the cAMP analogue 8-bromo-cAMP. The
upregulation was blocked by cycloheximide, indicating that it requires new protein synthesis, and was accompanied by an increase in both the stability of NK2 receptor mRNA and the rate of NK2 receptor gene
transcription. Radioligand binding assay using the selective NK2 receptor antagonist [3H]SR48968 showed
a significant increase in the number of receptor binding sites after 12 h and 18 h, which was accompanied
by an increased contractile responsiveness to the NK2 receptor agonist [
-Ala8]-NKA(4-10). Dexamethasone completely prevented the fenoterol-induced increase in NK2 receptor mRNA and in the contractile response. We conclude that
2-adrenoceptor agonists induce upregulation of functional NK2 receptors in airway smooth muscle by increasing cAMP, and that this can be prevented by a corticosteroid. The increased
responsiveness could be relevant to asthma control and mortality.
*
Present address: Department of Allergy, National Children's Research
Center, 3-35-31, Taishido, Setagaya-ku, Tokyo, 154-8509 Japan