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receptors
1 Department of Medicine, Vancouver Hospital and Health Sciences Centre, University of British Columbia, Vancouver, British Columbia V6Z 3Z6, Canada; 2 University of Miami School of Medicine, Miami, Florida 33136; and 3 GlaxoSmithKline, Stevenage, Herts SG1 2NY, United Kingdom
Fibrosis around the smooth
muscle of asthmatic airway walls leads to irreversible airway
obstruction. Bronchial epithelial cells release granulocyte/macrophage
colony-stimulating factor (GM-CSF) in asthmatics and are in close
proximity to airway smooth muscle cells (ASMC). The findings in this
study demonstrate that GM-CSF induces confluent, prolonged,
serum-deprived cultures of ASMC to increase expression of collagen I
and fibronectin. GM-CSF also induced ASMC to increase the expression of
transforming growth factor (TGF)-
receptors type I, II, and III
(T
R-I, T
R-II, T
R-III), but had no detectable effect on the
release of TGF-
1 by the same ASMC. The presence of GM-CSF also
induced the association of TGF-
1 with T
R-III, which enhances
binding of TGF-
1 to T
R-II. The induction of T
Rs was parallel
to the increased induction of phosphorylated Smad2 (pSmad2) and
connective tissue growth factor (CTGF), indicative of TGF-
-mediated
connective tissue synthesis. Dexamethasone decreased GM-CSF-induced
T
R-I, T
R-II, T
R-III, pSmad2, CTGF, collagen I, and
fibronectin. In conclusion, GM-CSF increases the responsiveness of ASMC
to TGF-
1-mediated connective tissue expression by induction of
T
Rs, which is inhibited by corticosteroids.
airway remodeling; corticosteroids; irreversible airway
obstruction; phosphorylated Smad2; connective tissue growth factor; granulocyte/macrophage colony-stimulating factor; transforming growth
factor-
; airway smooth muscle cells
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