Published ahead of print on April 12, 2007, doi:10.1165/rcmb.2006-0172OC
© 2007 American Thoracic Society DOI: 10.1165/rcmb.2006-0172OC Modulation of Human Airway Smooth Muscle Migration by Lipid Mediators and Th-2 CytokinesFirestone Institute for Respiratory Health, St. Joseph's Healthcare and Department of Medicine, McMaster University, Hamilton, Ontario, Canada; and Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts Correspondence and requests for reprints should be addressed to Dr. K. Parameswaran, Firestone Institute for Respiratory Health, St. Joseph's Healthcare, 50 Charlton Avenue East, Hamilton, ON, L8N 4A6 Canada. E-mail: parames{at}mcmaster.ca
Cysteinyl leukotrienes and the T helper (Th)-2 cytokines IL-5 and IL-13 directly modulate human airway smooth muscle functions such as contraction and proliferation. We studied the effects of other lipid mediators involved in asthma pathophysiology such as prostaglandin D2 (PGD2), lipoxin, and isoprostanes, and the cytokines, IL-5, IL-4, and IL-13 on human airway smooth muscle cell migration. Chemotaxis and chemokinesis of cultured airway smooth muscle cells from humans without asthma (second to fifth passages, n = 6) were studied using collagen-Icoated polycarbonate membranes in Transwell culture plates. Receptor expression and kinase activation were studied by flow cytometry, polymerase chain reaction, and Western blotting techniques. In contrast to LTE4- stimulated (106 M) chemokinesis and LTE4-primed migration toward platelet-derived growth factor (PDGF), isoprostane 15-F2t-IsoP, and IL-5 were neither chemotactic nor chemokinetic. PGD2 (1010106 M) was a chemoattractant and primed migration toward PDGF through the DP2/CRTh2 receptor. Although airway smooth muscle cells did not express the lipoxin A4 cognate receptor, LTE4-primed migration toward PDGF was blocked by lipoxin A4 (106 M), suggesting that this is mediated through CysLT1R antagonism. IL-13 (10 ng/ml), but not IL-4 (0.1100 ng/ml), augmented migration toward PDGF. This was associated with increased Src-kinase phosphorylation and up-regulation of PDGF- and - receptors, and was attenuated by IL-13R and IL-4R neutralizing antibodies, an Src-kinase antagonist (PP1, 3 µM), a CysLT1R antagonist, montelukast (106 M), and by lipoxin A4 (106 M). PGD2 and IL-13 promote human airway smooth muscle migration. IL-13 can promote airway smooth muscle migration through Src-kinase and leukotriene-dependent pathways. This may contribute to the accumulation of smooth muscle cells in remodeled airway submucosa.
Key Words: airway smooth muscle migration IL-13 PGD2 cysteinyl leukotriene CRTh2 receptor
Airway smooth muscle, in addition to causing bronchoconstriction, is a major component of the remodeled airway in patients with long-standing asthma (1). In addition to the increased smooth muscle mass, shorter smooth muscleto-epithelium distances are selectively seen in airway tissue of subjects with severe asthma, and this correlates with the degree of airflow obstruction (2). One mechanism of airway smooth muscle accumulation in the subepithelial region may be by migration of myocytes from the deeper layer, a process analogous to the remodeling observed in atheromatous blood vessels. Although there is no in vivo evidence to support this notion, airway smooth muscle cells from patients with asthma show more migratory capabilities compared with cells from normal subjects (3). Products of arachidonic acid metabolism such as prostaglandins, leukotrienes, lipoxins, and isoprostanes have important biological effects in asthma. We have demonstrated that cysteinyl leukotrienes augment the chemotaxis of airway smooth muscle cells toward platelet-derived growth factor (PGDF), and that this process is attenuated by prostaglandin E2 (4). Very little is known about the effect of the other prostanoids on airway smooth muscle migration. Mast cells, which are a rich source of prostaglandin D2 (PGD2) and leukotrienes, are often found in close proximity to smooth muscle bundles (5). It is possible that PGD2 may promote airway smooth muscle migration toward the subepithelial basement membrane. Lipoxins, which are endogenous products of the 12- and 15-lipoxygenase pathways, are "braking" signals for the proinflammatory actions of cysteinyl leukotrienes (6), and are capable of inhibiting endothelial and inflammatory cell migration (7, 8). Isoprostanes, produced by nonenzymatic peroxidation of prostaglandins by free radicals and reactive oxygen species, are potent constrictors of airway and vascular smooth muscle cells via the Rho and Rho-kinase pathways (9). Since these enzymes are critically involved in the organization of smooth muscle cytoskeleton, it is likely that their regulation could modulate cell movement. T helper (Th)-2 cytokines such as IL-5 and IL-13 have direct contractile and regulatory effects on human airway smooth muscle. IL-5 has been reported to increase the contractile response of human bronchial rings to acetylcholine (10). IL-13 has been reported to reduce isoproterenol-induced relaxation in cultured human airway smooth muscle cells (11), augment allergen-induced airway hyperresponsiveness in mice (12), and enhance carbachol and potassium chlorideinduced contraction and calcium signals in murine tracheal rings (13). Further, it is speculated that cysteinyl leukotrienes can modulate some effects of IL-13 on human airway smooth muscle, particularly on its synthetic functions (14). It is not known whether these cytokines have any direct effects on human airway smooth muscle migration. In this study, we examined the effects of PGD2, lipoxin, an isoprostane 15-F2t-IsoP, and the cytokines IL-4, IL-5, and IL-13 on human airway smooth muscle migration. We specifically studied their effects on human airway smooth muscle cell chemokinesis and chemotaxis. Some of the results of these studies have been previously reported in the form of abstracts (15, 16).
Human Airway Smooth Muscle and Fibroblast Culture Portions of human lungs that were resected at St. Joseph's Healthcare (Hamilton, ON, Canada) were obtained after obtaining informed consent from the patients (Table 1) and approval from the hospital Research Ethics Board. Smooth muscle tissue was isolated from macroscopically disease-free areas of human bronchi. Fibroblasts were isolated from portions of lung parenchyma. The cells were grown to confluence, as described before (4). The smooth muscle cells were passaged between 2 and 5 times and used for the migration assay. Smooth muscle cells were distinguished from fibroblasts based on light and electron microscopy, caveolae, and gap junction.
Migration Assay Migration experiments were performed using a 6.5-mm Transwell culture plate with a 8.0-µM pore, collagen-Icoated, polycarbonate membrane separating the inner and the outer chambers (Fisher Scientific Limited, Nepean, ON, Canada) as previously described (4). Assays were done in duplicate using tissues from up to six different lung specimens. Additional detail on the method for making these measurements is provided in the online supplement.
Migration Experiments
Receptor Expression
Kinase Activation
Cysteinyl Leukotriene Synthesis
Analysis
Effects of PGD2, Lipoxin, and Isoprostane 15-F2t-IsoP PGD2 was a chemoattractant for human airway smooth muscle cells. At the highest concentration (107 M), a 1.5-fold increase in the number of migrating cells was observed over control condition (P < 0.05). PGD2 did not have any chemokinetic effect when it was added to both sides of the polycarbonate membrane. The chemotactic effect was inhibited in a concentration-dependent manner by the DP2/CRTh2 receptor antagonist (BAYu3405), but not by the DP1 (BWA868C) and thromboxane (GR32191B) receptor antagonists (Figure 1A). Consistent with this, we observed that human airway smooth muscle cells express the CRTh2/DP2 receptor, suggesting that the chemotactic effect of PGD2 is mediated through the DP2 receptor (Figure 1B).
Lipoxin was also neither chemotactic nor chemokinetic for human ASM. However, it attenuated LTE4-primed migration toward PDGF (Figure 2A). Human airway smooth muscle cells do not express ALX (Figure 2B), and since the attenuating effect was similar to that found with a CysLT1 receptor antagonist, it is likely this effect is mediated through the CysLT1 receptor that is expressed on human airway smooth muscle cells.
Isoprostane 15-F2t-IsoP was neither chemotactic nor chemokinetic at the concentrations that were studied (see Figure E1 in the online supplement).
Effects of IL-5 and IL-13
IL-13 signaling. We further characterized the mechanisms involved in IL-13primed migration toward PDGF. It was attenuated by both an IL-13neutralizing antibody and an IL-4R antibody, suggesting that the effects of IL-13 are mediated through the common IL-4R subunit (Figure 3B). IL-13 up-regulated PDGF- and receptors (Figure 4A) and activated Src-kinase (Figure 4B). The effect on PDGF- receptor was less modest (1.7-fold at 30 min and 0.7-fold at 5 h) compared with the PDGF- receptor (3.2-fold at 30 min and 3.4-fold at 5 h over control). However, IL-4 did not increase Src-kinase phosphorylation (Figure 4B). IL-13primed migration toward PDGF was also attenuated by an Src-kinase inhibitor (PP1) (Figure 3B). These experiments suggest that up-regulation of PGDF receptor and activation of Src-kinase may be two mechanisms by which IL-13 facilitates human airway smooth muscle migration. Finally, IL-13primed migration was attenuated by a CysLT1 receptor antagonist (montelukast) and by lipoxin A4 (Figure 3B), suggesting that cysteinyl-leukotrienes are involved in this process. Although IL-13 did not increase CysLT secretion from human airway smooth muscles (Figure E4), there was a modest increase in CysLT1R expression when airway smooth muscle cells were treated with IL-13 (Figure E5).
We report a number of novel observations. First, PGD2 is a chemoattractant for human airway smooth muscle cells acting through the CRTh2/DP2 receptor. Second, IL-13 facilitates human airway smooth muscle migration through an Src-kinasedependent pathway. Third, leukotriene and IL-13primed human airway smooth muscle migration is attenuated by lipoxin A4, demonstrating a novel aspect of lipoxin biology. Finally, we demonstrate that IL-5 and isoprostane 15-F2t-IsoP are not chemoattractants for airway smooth muscle cells. Human airway smooth muscle chemotaxis promoted by PGD2 and by IL-13 may contribute to the accumulation of smooth muscle in the submucosa and to the remodeling process in patients with asthma.
PGD2 has long been known to be a potent bronchoconstrictor. This is believed to be mediated through the thromboxane receptor (21) because the classic DP1 receptor activation increases intracellular cAMP, which leads to airway smooth muscle relaxation. The proximity of smooth muscle cells to mast cells in the submucosa of patients with asthma led us to examine whether PGD2, which is a mast cell product, could be a chemoattractant for smooth muscle cells. Unlike cysteinyl leukotrienes that are not chemoattractants, we observed that PGD2 was a weak chemoattractant for airway smooth muscle cells. This is unlikely through the DP1 receptor because its activation increases intracellular cAMP, which would inhibit migration (22). A DP1 receptor antagonist, as expected, did not have any effect on smooth muscle chemotaxis. The effect was not mediated through the thromboxane receptor either, because it was unaffected by the thromoboxane inhibitor, GR32191B. Since cells that express the newly described DP2/CRTh2 receptor (23) show chemotaxis toward PGD2 (24), we examined and observed DP2/CRTh2 receptor expression on human airway smooth muscle cells. Chemotaxis was attenuated in a concentration-dependent manner by BAYu3405. We therefore conclude that PGD2 promotes human airway smooth muscle chemotaxis through this novel receptor. We did not examine the exact mechanism, but speculate that it is by coupling through G
The second novel observation was the ability of IL-13 to prime migration of smooth muscle cells toward PDGF. This was only observed at the highest concentration of IL-13 that was studied. This could be through a number of possible mechanisms. IL-13 signals through the IL-13 receptor that has two components: an IL-13R Since Src-kinase activity is critical for chemotaxis (20, 30), and IL-13 has been reported to activate Lsk, a protein tyrosine kinase with homology to the COOH-terminal Src kinase (31), we examined and demonstrated that treatment of airway smooth muscle cells with IL-13, but not IL-4, increased the levels of phosphorylated Src-kinase. Further evidence for the involvement of Src-kinase was provided by the inhibition of IL-13primed migration by an Src-kinase inhibitor. Although IL-4 has been reported to activate Src in murine cell lymphoma cell lines (32), this has not been reported in human airway smooth muscle cells. This might be one of the reasons for the lack of chemotactic effect of IL-4 on airway smooth muscle cells. Further experiments are necessary to clarify the signaling pathways. IL-5 also did not have any effect on human airway smooth muscle chemotaxis. In animal models of allergen sensitization, IL-4 and IL-13, but not IL-5, are critical for the development of sustained airway hyperreactivity and airway remodeling after allergen exposure (33). It is thus possible that IL-5, while necessary for the recruitment and survival of airway eosinophils, may not be necessary for the accumulation of smooth muscles in the submucosa.
Next, we examined another potential mechanism by which IL-13 could augment migration toward PDGF. IL-13, via a STAT-6dependent mechanism, is reported to up-regulate PDGF-AA and PDGF receptor- Cysteinyl leukotrienes augment migration of airway smooth muscle cells toward PDGF (4). Since they are reported to mediate some of the effects of IL-13 in murine models of allergen-induced hyperresponsiveness and remodeling (14, 38), we examined their involvement in IL-13primed smooth muscle migration toward PDGF. Montelukast, a CysLT1 receptor antagonist, attenuated IL-13primed migration toward PDGF, suggesting a role for cysteinyl leukotrienes in this process. It is unlikely to be due to synthesis of leukotrienes because we were unable to demonstrate increased levels in smooth muscle cells treated with IL-13. However, consistent with a previous report of CysLT1R upregulation by IL-13 (18), we observed a modest up-regulation of CysLT1R expression by IL-13. CysLT1R has also been reported to exhibit inverse agonist signaling that can be inhibited by montelukast (39). It is likely that this is one of the mechanisms by which montelukast attenuated IL-13primed migration toward PDGF. Since lipoxins are natural braking signals for the proinflammatory effects of cysteinyl leukotrienes (40) and can attenuate allergen-induced airway inflammation including IL-13mediated effects (41), we also examined the effects of lipoxin A4 in this process. Although lipoxins by themselves had no effect on chemotaxis toward PDGF, they attenuated both leukotriene-primed and IL-13primed chemotaxis toward PDGF. Since human airway smooth muscle cells did not express ALX, we assume that lipoxin A4 competed with cysteinyl leukotrienes at CysLT1 receptors for inhibition. This needs further investigation. Thus IL-13 may have augmented PDGF-induced chemotaxis by a combination of the three mechanisms described above (i.e., increasing Src-kinase phosphorylation, increasing PDGF receptor expression, and increasing CysLT1 receptor expression). It is unlikely to be by any one single mechanism, as the augmentation was observed only at the highest dose of IL-13 that was studied and the effects on the individual mechanisms studied were modest. Finally, since isoprostanes play a fundamental role in actin cytoskeleton rearrangement via the Rhorho kinase pathway, and since they are reported to have chemotactic activity for inflammatory cells such as the neutrophils (42), we examined the effect of one isoprostane on airway smooth muscle chemotaxis. 15-F2t-IsoP, which acts mainly through the FP and TP receptors at the concentrations that we studied, was neither chemotactic nor chemokinetic. It is likely that TP receptors are not involved in airway smooth muscle migration. As previously described, TP receptor antagonists did not have any effect on migration toward PDGF. Further, a thromboxane A2 analog (U46619) did not have any effect on airway smooth muscle chemotaxis or chemokinesis (data not shown). Although we did not observe 15-F2t-IsoP to be chemoattractant for airway smooth muscle cells, we cannot generalize this to all the other isoprostanes because they have a myriad of structure and have species and tissue specificities (9). In summary, we demonstrate novel biological effects of PGD2 and IL-13 on human airway smooth muscle cells. PGD2 is a chemoattractant for human airway smooth muscle cells acting through the CRTh2/DP2 receptor. IL-13 can promote airway smooth muscle migration through Src-kinase and leukotriene-dependent pathways that can be regulated by lipoxin A4. This novel mechanism may contribute to the accumulation of smooth muscle cells in remodeled airway submucosa.
The authors acknowledge the help of the division of Thoracic Surgery and the department of Pathology of St. Joseph's Healthcare Hamilton in obtaining airways, and Professor Sven-Erik Dahlen, Karolinska Institute, Sweden for helpful discussions regarding leukotriene biology.
K.P. was supported by a Clinician-Scientist Award from the Canadian Institutes of Health Research. This study was funded, in part, by a Firestone Institute-AstraZeneca Research Grant Award. This article has an online supplement, which is accessible from this issue's table of contents at www.atsjournals.org. Originally Published in Press as DOI: 10.1165/rcmb.2006-0172OC on April 12, 2007 Conflict of Interest Statement: K.P. has received honoraria for lectures, $4,000 (GlaxoSmithKline [GSK], $1,500 from AstraZeneca [AZ], and $2000 from Merck) in the past 2 years, and investigator-initiated unrestricted study grants (GSK $500,000 and Sepracor $160,000). K.R. does not have a financial relationship with a commercial entity that has an interest in the subject of this manuscript. A.F. does not have a financial relationship with a commercial entity that has an interest in the subject of this manuscript. J.S. does not have a financial relationship with a commercial entity that has an interest in the subject of this manuscript. C.B. does not have a financial relationship with a commercial entity that has an interest in the subject of this manuscript. B.D.L. does not have a financial relationship with a commercial entity that has an interest in the subject of this manuscript. L.J.J. has received, as research grants, $186,040 from GSK for 20022006, and $250,000 from AZ for 20032007. P.G.C. has received speaker's fees from AZ, GSK, Altans, Boehringer-Ingelheim (B-I), and Pfizer of approximately $11,500 in 2005. He has participated in Advisory Board meetings on an ad hoc basis, typically 1 per year for each of B-I and GSK. He carries out clinical research in asthma sponsored by Asthmatx Inc., Mountain View, CA and basic science research with sponsorship from AZ and GSK. Received in original form May 15, 2006 Accepted in final form February 26, 2007
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