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Am J Physiol Lung Cell Mol Physiol 295: L708-L717, 2008. First published August 8, 2008; doi:10.1152/ajplung.00536.2007
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Long-term exposure to LPS enhances the rate of stimulated exocytosis and surfactant secretion in alveolar type II cells and upregulates P2Y2 receptor expression

Ignacio Garcia-Verdugo,1 Andrea Ravasio,2 Elvira Garcia de Paco,1 Monique Synguelakis,1 Nina Ivanova,3 Jean Kanellopoulos,1 and Thomas Haller2

1Institut de Biochimie et Biophysique Moléculaire et Cellulaire, University of Paris-Sud, Orsay, France; 2Department of Physiology, Innsbruck Medical University, Innsbruck, Austria; and 3Institute of General Physiology, University of Ulm, Ulm, Germany

Submitted 28 December 2007 ; accepted in final form 3 August 2008

Bacterial LPS is a potent proinflammatory molecule. In the lungs, LPS induces alterations in surfactant pool sizes and phospholipid (PL) contents, although direct actions of LPS on the alveolar type II cells (AT II) are not yet clear. For this reason, we studied short- and long-term effects of LPS on basal and agonist-stimulated secretory responses of rat AT II by using Ca2+ microfluorimetry, a microtiter plate-based exocytosis assay, by quantitating PL and 3H-labeled choline released into cell supernatants and by using quantitative PCR and Western blot analysis. Long term, but not short term, exposures to LPS led to prolonged ATP-induced Ca2+ signals and an increased rate in vesicle fusions with an augmented release of surfactant PL. Most notably, the stimulatory effect of LPS was ATP-dependent and may be mediated by the upregulation of the purinergic receptor subtype P2Y2. Western blot analysis confirmed higher levels of P2Y2, and suramin, a P2Y receptor antagonist, was more effective in LPS-treated cells. From these observations, we conclude that LPS, probably via Toll-like receptor-4, induces a time-dependent increase in P2Y2 receptors, which, by yet unknown mechanisms, leads to prolonged agonist-induced Ca2+ responses that trigger a higher activity in vesicle fusion and secretion. We further conclude that chronic exposure to endotoxin sensitizes AT II to increase the extracellular surfactant pool, which aids in the pulmonary host defense mechanisms.

endotoxin; lipopolysaccharide; lung; P2Y2



Address for reprint requests and other correspondence: T. Haller, Dept. of Physiology and Medical Physics, Division of Physiology, Innsbruck Medical Univ., Fritz-Pregl-Str. 3/1, A-6020 Innsbruck, Austria (e-mail: thomas.haller{at}i-med.ac.at)







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