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First Department of Internal Medicine, Tohoku University School of Medicine, Sendai 980-8574, Japan
Submucosal glands were
isolated within 4 h of death from tracheae and bronchi obtained
from autopsied lungs, and the secretory response of secretory leukocyte
protease inhibitor (SLPI) was examined with ELISA and a secretory
index. Although human neutrophil elastase (HNE) at low concentrations
increased SLPI secretion above the control level (i.e., 149% of
control level at 10
11 M), HNE at high concentrations
significantly decreased it below the control level (i.e., 16% of
control level at 10
7 M). The decrease in SLPI
concentration was shown to result from the degradation of SLPI by
excessive HNE. Methacholine induced significant secretion (i.e., 363%
of control level at 10
5 M) that was abolished by both
M1 and M3 receptor antagonists. A
semiquantitative analysis of SLPI mRNA by RT-PCR and Southern blot
showed that compared with the superficial epithelium, submucosal glands
had a 30-fold or higher level of SLPI mRNA. Both HNE and methacholine
significantly increased the level of SLPI mRNA in submucosal glands in
a dose-dependent manner (i.e., 357% of control level at
10
7 M and 175% of control level at 10
5 M,
respectively). These findings indicate that human airway submucosal glands can transcribe 30-fold or more SLPI mRNA than the superficial epithelium and that SLPI mRNA transcription and secretion are regulated
by both HNE and muscarinic receptors.
neutrophil elastase; muscarinic agonist
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