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-Adrenergic agonists inhibit corticosteroid-induced apoptosis of airway epithelial cells
1Section of Pulmonary and Critical Care Medicine, Division of Biological Sciences, University of Chicago, Chicago, Illinois 60637; and 2McDonald Research Laboratories and iCAPTURE Centre, University of British Columbia, Vancouver, British Columbia, Canada V6Z 1Y6
Submitted 30 January 2003 ; accepted in final form 22 April 2003
Airway epithelial damage is a feature of persistent asthma. Treatment with
inhaled and oral corticosteroids may suppress inflammation and gain clinical
control despite continued epithelial damage. We have previously demonstrated
that corticosteroids elicit apoptosis of airway epithelial cells in culture.
-Adrenergic receptor agonists are commonly used in asthma therapy and
can inhibit corticosteroid-induced apoptosis of eosinophils. We tested the
hypothesis that
-adrenergic agonists would inhibit
corticosteroid-induced airway epithelial cell apoptosis in cultured primary
airway epithelial cells and in the cell line 1HAEo-. Albuterol
treatment inhibited dexamethasone-induced apoptosis completely but did not
inhibit apoptosis induced by Fas receptor activation. The protective effect of
albuterol was duplicated by two different analogs of protein kinase A. The
protective effect was not associated with increased translocation of the
glucocorticoid receptor to the nucleus nor with changes in glucocorticoid
receptor-mediated transcriptional activation or repression. We demonstrate
that
-adrenergic agonists can inhibit corticosteroid-induced apoptosis
but not apoptosis induced by Fas activation. These data suggest that one
potential deleterious effect of corticosteroid therapy in asthma can be
prevented by concomitant
-adrenergic agonist treatment.
airway epithelium;
-adrenergic receptor agonist; protein kinase A
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