Submitted on January 10, 2006
Revised on January 23, 2006
Roles of Apoptosis in Airway Epithelia
Yohannes Tesfaigzi1*
1 Department of Pathophysiology, Lovelace Respiratory Research Institute, Albuquerque, NM, USA
* To whom correspondence should be addressed. E-mail: ytesfaig{at}lrri.org.
The airway epithelium functions primarily as a barrier to foreign particles and as a modulator of inflammation. Apoptosis is induced in airway epithelial cells (AECs) by viral and bacterial infections, destruction of the cytoskeleton, or by exposure to toxins such as high oxygen and polycyclic hydrocarbons. Various growth factors and cytokines including TGF
, IFN
, or the activators of the death receptors, TNF
and FasL, also induce apoptosis in AECs. However, cell death is observed in maximally 15% of AECs after 24 h of treatment. Pre-incubation with IFN
or a zinc deficiency increases the percentage of apoptotic AECs in response to TNF
or FasL, suggesting that AECs have mechanisms to protect them from cell death. Apoptosis of AECs is a major mechanism in reducing cell numbers following hyperplastic changes in airway epithelia that may arise due to major injuries in response to LPS or allergen exposures. Resolution of hyperplastic changes or changes during prolonged exposure to an allergen is primarily regulated by the Bcl-2 family of proteins. Fas and FasL are both expressed in AECs, and their main function may be to control inflammation by inducing Fas-induced death in inflammatory cells without inducing apoptosis in neighboring cells. Furthermore, AECs engulf dying eosinophils to clear them by phagocytosis. Therefore, in the airway epithelium apoptosis serves three main roles: (1) to eliminate damaged cells, (2) to restore homeostasis following hyperplastic changes, and (3) to control inflammation, and thereby, support the barrier and antiinflammatory functions.