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1 Pulmonary and Critical Care
Division,
Hypertrophy and hyperplasia of airway smooth
muscle (ASM) are important pathological features that contribute to
airflow obstruction in chronic severe asthma. Despite considerable
research effort, the cellular mechanisms that modulate ASM growth
remain unknown. Recent evidence suggests that mitogen-induced
activation of phosphoinositide (PI)-specific phospholipase C (PLC) and
PI-dependent calcium mobilization are neither sufficient nor necessary
to stimulate human ASM proliferation. In this study, we identify
phosphatidylinositol (PtdIns) 3-kinase as a key regulator of human ASM
proliferation. Pretreatment of human ASM with the PtdIns 3-kinase
inhibitors wortmannin and LY-294002 significantly reduced thrombin- and
epidermal growth factor (EGF)-induced DNA synthesis
(IC50 ~10 nM and ~3 µM,
respectively). In separate experiments, wortmannin and LY-294002
markedly inhibited PtdIns 3-kinase and 70-kDa S6 protein kinase
(pp70S6k) activation induced by
stimulation of human ASM cells with EGF and thrombin but had no effect
on EGF- and thrombin-induced p42/p44 mitogen-activated protein kinase
(MAPK) activation. The specificity of wortmannin and LY-294002
was further suggested by the demonstrated inability of
these compounds to alter thrombin-induced calcium transients,
total PI hydrolysis, or basal cAMP levels. Transient expression of
constitutively active PtdIns 3-kinase (p110*) activated pp70S6k, whereas a
dominant-negative PtdIns 3-kinase (
p85) blocked EGF- and
thrombin-stimulated pp70S6k
activity. Collectively, these data suggest that activation of PtdIns
3-kinase is required for the mitogenic effect of EGF and thrombin in
human ASM cells. Further investigation of the role of PtdIns 3-kinase
may offer new therapeutic approaches in the treatment of diseases
characterized by smooth muscle cell hyperplasia such as asthma
and chronic bronchitis.
asthma; thrombin; airway remodeling; epidermal growth factor; p42/p44 mitogen-activated protein kinase; 70-kDa S6 protein kinase
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