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American Journal of Respiratory Cell and Molecular Biology. Vol. 28, pp. 142-149, 2003
© 2003 American Thoracic Society
DOI: 10.1165/rcmb.2002-0121OC

Mechanical Stress Triggers Selective Release of Fibrotic Mediators from Bronchial Epithelium

Daniel J. Tschumperlin, Jonathan D. Shively, Tadashi Kikuchi and Jeffrey M. Drazen

Pulmonary and Critical Care Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School; and Physiology Program, Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts

Address correspondence to: Jeffrey M. Drazen, Pulmonary and Critical Care Division, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115. E-mail: jdrazen{at}nejm.org

Transforming growth factor-ß (TGF-ß) and endothelin (ET) are found in elevated amounts in the airways of individuals with asthma. The cellular source of these peptides and their role in mediating the airway fibrosis of chronic asthma are unknown. In response to mechanical stresses similar to those occurring in vivo during airway constriction, bronchial epithelial cells increase the steady-state level of mRNA for both ET-1 and ET-2, followed by increased release of ET protein. Mechanical stress also enhances release of TGF-ß2 from a preformed cell-associated pool. TGF-ß2 and ET act individually and, more importantly, synergistically to promote fibrotic protein synthesis in reporter fibroblasts. To confirm the role of these intermediates in stress-induced fibrosis, conditioned medium from mechanically stressed bronchial epithelial cells was shown to elicit fibrotic protein synthesis in reporter fibroblasts; this effect was significantly inhibited by combined treatment with ET receptor antagonists and a neutralizing antibody to TGF-ß2. These data are consistent with a primary pathogenic role for mechanical stress–induced release of both TGF-ß2 and ET in the subepithelial fibrosis that characterizes chronic asthma.

Abbreviations: bronchial epithelial basal media supplemented with growth factors, BEGM • Dulbecco's modified Eagle's medium, DMEM • enzyme-linked immunosorbent assay, ELISA • endothelin, ET • normal human bronchial epithelial, NHBE • phosphate-buffered saline, PBS • platelet-derived growth factor, PDGF • reverse transcriptase–polymerase chain reaction, RT-PCR • trichloroacetic acid, TCA • transforming growth factor, TGF




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