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3Departamento de Farmacología, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad Universitaria and 2Laboratorio de Investigación en Autoinmunidad and 1Departamento de Hiperreactividad Bronquial, Instituto Nacional de Enfermedades Respiratorias, México DF, México
Submitted 17 December 2003 ; accepted in final form 13 September 2004
| ABSTRACT |
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asthma; intracellular calcium ion; leukotriene D4; tyrosine kinase; extracellular signal-regulated kinase 1/2; sarcoplasmic reticulum
LTD4 is a potent in vivo and in vitro contracting agent for human airway smooth muscle (12) and has been implicated in the pathogenesis of asthma (4). The mechanism by which LTD4 contracts the smooth muscle seems to be a complex phenomenon mediated by several pathways. In this context, it has been proposed that the effect of LTD4 is linked to cytosolic Ca2+ elevation through phosphoinositol hydrolysis (2, 11, 32), the activation of L-type Ca2+ channels and nonselective cation channels (11, 32), and a rise in the capacitative Ca2+ entry (32). Moreover, Ca2+-independent mechanisms such as activation of protein kinase C (PKC)-
and protein tyrosine kinase pathways have also been suggested to be involved in the LTD4-induced smooth muscle contraction (2, 32, 38). Whether these mechanisms involved in the smooth muscle contraction could be also implicated in the development of airway hyperresponsiveness is unclear. Thus the aim of the present study was to evaluate some of these mechanisms, namely the role of L-type Ca2+ channels, PKC and tyrosine kinase pathways, in the LTD4-induced hyperresponsiveness in bovine tracheal smooth muscle. In addition, because sarcoplasmic reticulum (SR)-ATPase Ca2+ pump is a major mechanism involved in the regulation of intracellular Ca2+ concentration ([Ca2+]i; see Ref. 20), we were also interested in investigating the possible role of the SR-ATPase Ca2+ pump in the LTD4-induced airway smooth muscle hyperresponsiveness.
| MATERIALS AND METHODS |
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Organ bath experiments. Bovine tracheas were dissected free of cartilage, epithelium, and connective tissue, and smooth muscle strips (22.5 mm wide, 5 mm long) were suspended in 5-ml organ baths containing Krebs solution (in mM): 118 NaCl, 25 NaHCO3, 4.6 KCl, 1.2 KH2PO4, 1.2 MgSO4, 11 glucose, and 2 CaCl2. Preparations were maintained at 37°C and bubbled with 5% CO2 in oxygen at pH 7.4. Tissues were attached to an isometric force transducer (model FT03; Grass Instruments, West Warwick, RI) connected to a system of signal conditioner (CyberAmp 380, Axon Instruments, Foster City, CA) plus an analog-digital interface (Digidata 1200A; Axon). Recordings were stored in a microcomputer and analyzed using data acquisition and analysis software (AxoScope version 7.0; Axon). Preparations were equilibrated for 30 min under a resting tension of 11.5 g before testing. Tissues were then stimulated three times with 60 mM KCl (lasting 20 min each) until maximum stable responses were obtained.
Concentration-response curves to carbachol (3.2 x 109 to 1 x 103 M) and histamine (3.2 x 108 to 1 x 103 M) were constructed with or without LTC4 (10 nM) or LTD4 (32 nM) preincubation (
35 min). These LTC4 and LTD4 concentrations were selected from pilot experiments demonstrating that they caused no contractile response or a small contraction (
10% of the response to 60 mM KCl) that returned to baseline level after
30 min. Because it was important to avoid biotransformation of exogenous CysLTs, in those experiments using LTC4, tissues were also preincubated with serine borate (15 mM), a well-known
-glutamyl transpeptidase inhibitor (29, 35), to prevent its biotransformation to LTD4. Likewise, in all experiments involving LTD4, we used L-cysteine (6 mM) as inhibitor of the aminopeptidase involved in its biotransformation to LTE4 (33). Contractile responses to carbachol or histamine were expressed as a percentage of the maximum contraction induced by KCl stimulation.
Simultaneous measurement of [Ca2+]i and contraction. Bovine airway smooth muscle strips (11.5 mm wide, 5 mm long) were loaded with fura 2-AM by incubating them under protection from light during 3.5 h at 37°C in a shaking bath at 54 strokes/min with 2 ml aerated (5% CO2 in O2) Krebs containing 20 µM fura 2-AM, 1 mM probenecid, and 0.01% pluronic F-127. Afterward, strips were washed during 1015 min with Krebs solution with 10 µM indomethacin to remove the dye from the extracellular space. Each preparation was mounted vertically in the bottom of a 4-ml fluorimeter cuvette of polymethacrylate using a special adaptor from Photon Technology International (PTI, Princenton, NJ). This cuvette was filled with aerated Krebs (10 µM indomethacin) and put inside of a PTI fluorometer. The lower end of the strip was fixed to the adaptor while the upper end was attached to an isometric force displacement transducer (FSG-01; Experimetria, Budapest, Hungary) connected to an analog-digital interface (PTI) via an EasyGraf recorder (model TA240; Gould Electronics, Cleveland, OH).
Fura 2 loaded in the smooth muscle strips was excited by alternating pulses of 340 and 380 nm light, and emission was collected at 510 nm using a PTI fluorometer. The fluorescence acquisition rate was
0.8/s. [Ca2+]i was calculated according to the formula of Grynkiewicz et al. (17). The Kd of fura 2 was assumed to be 386 nM (22). The mean 340- to 380-nm fluorescence ratios for Rmax and Rmin were obtained by exposing the tissue to 5 mM Ca2+ in the presence of 50 µM ionomycin and in Ca2+-free medium with 10 mM EGTA, respectively. Rmax was 2.49 and Rmin 1.19. The fluorescence ratio at 380-nm light excitation, in Ca2+-free medium and Ca2+-saturated tissues (
), was 1.36. Recordings were stored in a microcomputer and analyzed using data acquisition and analysis software (Felix version 1.21; PTI).
Preparations were equilibrated for 15 min under a resting tension of 11.5 g before testing. Tissues were then stimulated two times with 60 mM KCl during 10 min each to corroborate their viability. Afterward, a first stimulation (S1) with 1.3 µM histamine (approximately the EC50) was done. A second stimulation (S2) with histamine was performed 45 min later. In some experiments, tissues were incubated with 1, 10, or 32 nM LTD4 during 30 min before S2. We corroborated that 32 nM LTD4 concentration did not modify the resting smooth muscle tension, in spite of causing a small [Ca2+]i increment, which returned to basal levels before starting experiments. In separate experiments, smooth muscle strips submitted to LTD4 preincubation were also incubated with staurosporine (an unspecific PKC inhibitor, 10 nM), chelerythrine (a PKC inhibitor, 1 µM), genistein (a tyrosine kinase inhibitor, 10 µM), or daidzein (an inactive analog of genistein that was used as negative control for this drug, 10 µM). In other experiments, we used 100 nM carbachol or 30 mM KCl (equimolar) to produce S1 and S2 responses with or without 32 nM LTD4 preincubation, and with or without genistein (10 µM, KCl experiments only). In all experiments in which LTD4 was added, tissues were also preincubated with L-cysteine (3 mM). To evaluate the role of L-type Ca2+ channels in the responses to carbachol (1 µM) or histamine (10 µM), some tissues were incubated during 15 min with 30 µM methoxyverapamil hydrochloride (D-600). Drugs were administered using a special adaptor from PTI. This adaptor had two metallic tubes. The first one was used to add solutions (with or without drugs) to tracheal strips through syringes mounted in a serial system of three-way stopcocks. Under these conditions, drugs added to the tissues always had a uniform concentration. The second tube was used to remove the solution.
Measurement of [Ca2+]i in tracheal myocytes.
Airway smooth muscle cells were obtained from bovine tracheas, as described elsewhere (26). Smooth muscle (
200 mg) was minced, placed in 5 ml Hanks' solution (GIBCO-BRL, Rockville, MD) containing 2 mg cysteine and 0.05 U/ml papaine, and incubated for 10 min at 37°C. Tissue was washed with Leibovitz's solution (GIBCO) to remove the enzyme excess and then was put in a Krebs solution containing 0.144 mg/ml of a highly purified collagenases and neutral protease mixture (Liberase Blendzyme 2; Roche, Indianapolis, IN) during
12 min until dispersed cells were observed. This procedure allowed us to obtain cells with consistent levels of resting [Ca2+]i. Next, cells were loaded with 0.5 µM fura 2-AM in low Ca2+ (0.1 mM) at room temperature (2225°C). After 1 h, cells were allowed to settle down in a 1.5-ml heated perfusion chamber with a glass cover in the bottom. This chamber was mounted on an inverted microscope (Diaphot 200; Nikon, Tokyo, Japan), and cells that adhered to the glass were continuously perfused at a rate of 22.5 ml/min with Krebs solution (37°C, equilibrated with 5% CO2 in O2, pH 7.4) containing 1.5 mM Ca2+.
Cells loaded with fura 2 were exposed to alternating pulses of 340- and 380-nm excitation light, and emission light was collected at 510 nm using a microphotometer (PTI). Background fluorescence was automatically subtracted and determined by removing the cell from the field before starting the experiments. The fluorescence acquisition rate was 0.5/s. [Ca2+]i was calculated according to the formula of Grynkiewicz et al. (17). The Kd of fura 2 was assumed to be 386 nM (22). The mean 340- to 380-nm fluorescence ratios for Rmax and Rmin were obtained by exposing the cells to 10 mM Ca2+ in the presence of 10 µM ionomycin and in Ca2+-free Krebs with 10 mM EGTA, respectively. Rmax was 6.06 and Rmin 0.39. The fluorescence ratio at 380-nm light excitation in Ca2+-free medium and Ca2+-saturated cells (
) was 4.23. Recordings were stored in a microcomputer and analyzed using data acquisition and analysis software (Felix version 1.21; PTI).
The effect of LTD4 on [Ca2+]i changes induced by histamine (100 µM) or carbachol (10 µM) was evaluated by preincubating the isolated myocytes with or without 32 nM LTD4 during 20 min.
To indirectly evaluate the activity of the SR-ATPase Ca2+ pump, we measured the ability of myocytes to refill their SR Ca2+ stores. Before experiments, viability of the single cells was assessed through stimulation with caffeine in Krebs solution. Next, myocytes were perfused with Ca2+-free solution, and 1 min later caffeine (S1) was added during 10 min. The caffeine stimulation in a Ca2+-free medium completely depletes the SR Ca2+ store (7). Afterward, cells were washed with Ca2+-free medium to remove caffeine and perfused with Krebs (2.5 mM Ca2+) during 10 min to allow SR Ca2+ refilling. The stimulation with caffeine was repeated once again (S2) under the same Ca2+-free conditions. In these experiments, the S2-to-S1 ratio corresponded to the degree of SR Ca2+ refilling. In some experiments, cells were incubated with 32 nM LTD4 or 10 µM genistein plus LTD4 before S2.
Finally, the role of the SR-ATPase Ca2+ pump in the normal responses of myocytes to carbachol (3.1 µM) or histamine (3.1 µM) was evaluated through the partial inhibition of this pump with cyclopiazonic acid (CPA, 1 µM, 20-min preincubation). Because we sought to cause a partial impairment (but not the abolishment) of the SR-ATPase Ca2+ pump activity, we chose this CPA concentration, inasmuch as it reduced responses to caffeine in
69%.
Tyrosine kinase pathway activation. Activation of the tyrosine kinase pathway by different drugs was explored by measuring the phosphorylation of its downstream target P44/42 [extracellular signal-regulated kinase (ERK) 1/2] MAP kinase through Western blot analysis. Bovine smooth muscle strips were incubated with 100 nM carbachol or 1.3 µM histamine during 5 min, with or without preincubation with 32 nM LTD4 during 30 min in the presence of 3 mM L-cysteine (added 15 min before LTD4). Separate strips were incubated with LTD4 during 5 min, with or without L-cysteine. Final stimulation was stopped by immersing the tissues in liquid nitrogen, where they remained stored until analysis. After being defrosted on ice, each tissue was homogenized (Polytron PT3100; Kinematica, Luzern, Switzerland) using lysis buffer (1% Triton X-100, 50 mM Tris, pH 7.4, 150 mM NaCl, 0.1 mM EDTA and EGTA, 1.0 mM phenylmethylsulfonyl fluoride, 10 µg/ml aprotinin and leupeptin, 1.0 mM Na3VO4, and 50 mM NaF) according to previous reports (8). Tissue protein (40 µg) from each sample was loaded in different lanes of a 12% SDS-polyacrylamide gel. In an additional lane, ERK2 control protein (phosphorylated or total) was also added. After electrophoretic separation under reducing conditions, proteins were transferred to a nitrocellulose membrane and quenched with Tris-buffered saline (TBS) containing 5% nonfat milk and 0.1% Tween 20. Membrane was submitted to overnight incubation (12 h, 4°C) with rabbit polyclonal antibodies raised against phosphorylated or total ERK1 and ERK2 proteins (Cell Signaling, Beverly, MA) and then washed three times with TBS-Tween 20 (0.1%). ERK1/2 were detected by adding horseradish peroxidase-labeled anti-rabbit antibodies. Immunoblots were developed using an enhanced chemiluminescent reactant (LumiGLO; Cell Signaling) and an optimal exposition of the nitrocellulose sheets to X-ray films (Biomax ML Film; Kodak, Rochester, NY). ERK1/2 immunoblots were analyzed by densitometry using Kodak digital science ID software version 2.03 (Eastman Kodak, New Haven, CT).
Drugs. Fura 2-AM, probenecid, pluronic F-127, ionomycin, histamine dihydrochloride, carbamylcholine chloride (carbachol), LTC4, LTD4, L-cysteine, L-serine, boric acid, staurosporine, chelerythrine chloride, methoxyverapamil hydrochloride (D-600), indomethacin, and CPA were obtained from Sigma (St. Louis, MO). Fura 2-AM, ionomycin, and CPA were dissolved in DMSO (final concentration in the experiments was 0.025%, a concentration devoid of effects on the contractile and [Ca2+]i responses). Genistein was purchased from GIBCO-BRL. Daidzein was obtained from Biomol (Plymouth Meeting, PA).
Data analysis. Every concentration-response curve to carbachol or histamine in smooth muscle strips was analyzed through the maximum contraction and the log effective concentration at 50% of the response (log EC50), calculated by interpolation in a straight line regression of the log concentration vs. the probit-transformed response.
In simultaneous measurements, the evaluation of [Ca2+]i was done by measuring the peak response and the averaged plateau (measured from the visually identified beginning of plateau until the end of the 10-min record), whereas the contractile response was evaluated by the maximum contraction. To minimize the biological variability, responses to histamine, carbachol, KCl, and caffeine were evaluated in S2 compared with their respective basal responses (S1). Thus an S2/S1 ratio was used in all evaluations. Differences in S2/S1 ratios were compared among groups.
Most data were evaluated through one-way ANOVA followed by Dunnett's test or Bonferroni correction. For assessment of ERK1/2 phosphorylation, data from each treatment group were expressed as a percentage of control tissue phosphorylation. Tissues stimulated with LTD4, carbachol, or histamine were evaluated through one-sample t-test, whereas remaining pairwise comparisons were evaluated through nonpaired Student's t-test. Adjustment of data according to ERK1/2 total protein load was considered not necessary, since these last values did not change with the different treatments. In other experiments, we used paired and nonpaired Student's t-tests. Statistical significance was considered with a P value <0.05 bimarginally. Data in the text and Figs. 111 are means ± SE.
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| RESULTS |
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Organ bath experiments.
Carbachol and histamine produced a concentration-dependent contraction of the bovine airway smooth muscle strips. The concentration-response curve to carbachol was not modified by preincubating the tissues for
35 min with LTC4 or LTD4. Thus the log EC50 (M) for carbachol in the control group (7.1494 ± 0.1192) was not statistically different from the log EC50 in the LTC4 (7.2118 ± 0.1088) or LTD4 (7.2101 ± 0.1326) groups, and the same occurred for the maximum contraction (Fig. 1). By contrast, LTD4 but not LTC4 caused a leftward displacement of the concentration-response curve to histamine (5.8638 ± 0.0691, P < 0.01 and 5.4511 ± 0.1658, respectively) compared with controls (5.4246 ± 0.0740, Fig. 2). Neither LTD4 nor LTC4 changed the maximum contraction to histamine.
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1; Fig. 4).
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To evaluate if extracellular Ca2+ plays a role in the development of LTD4-induced hyperresponsiveness, the effect of LTD4 incubation on the KCl responses was also evaluated. We found that LTD4 (n = 5) promoted an enhancement of the S2/S1 ratio of KCl-induced contraction (1.66 ± 0.20 vs. control 1.31 ± 0.12, n = 5, P < 0.05) in spite of the lack of effect on the KCl-induced [Ca2+]i change (Fig. 3, E and F, and Fig. 4). Although preincubation with genistein (n = 8) avoided the LTD4-induced enhancement of the smooth muscle contraction to KCl (1.20 ± 0.11, P < 0.05), this drug also caused a mild but statistically significant diminution (P < 0.05) of the contractile response to KCl alone (1.05 ± 0.05, n = 8, P < 0.05, Fig. 6). Daidzein (n = 6), the negative control for genistein, did not modify the response to KCl alone (S2/S1 contraction, 1.36 ± 0.21).
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| DISCUSSION |
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Changes induced by LTD4 in strips and in myocytes were abolished by genistein (Figs. 5, 6, and 9). Although the latter drug is considered a tyrosine kinase pathway inhibitor, it also possesses other nonspecific effects (13). Thus, to discard such nonspecific actions, we used daidzein as a negative control, a substance having all the effects of genistein, except the capability to inhibit tyrosine kinase. The fact that genistein, but not daidzein, attenuated the LTD4-induced hyperresponsiveness to histamine suggested the participation of the tyrosine kinase pathway in this phenomenon. This possibility was corroborated by the analysis of phosphorylation of ERK1/2 MAP kinase, a well-known downstream target of tyrosine kinase. In such analysis, we found that preincubation with LTD4 notably enhanced the amount of phosphorylated ERK1/2 proteins (Fig. 11). Involvement of tyrosine kinase in the activity of LTD4 has already been postulated for explaining its contractile effect on the smooth muscle (32, 38). Additionally, LTD4 acts through G protein-coupled receptors (19), and cross talk between the G protein-coupled receptor signaling and the tyrosine kinase pathway has been documented (21, 37). A number of studies in smooth muscles have demonstrated that one consequence of ERK1/2 activation is the phosphorylation of caldesmon (14, 18), a protein that in its nonphosphorylated state inhibits the actomyosin ATPase and reduces smooth muscle force production (24). Phosphorylation of caldesmon abolishes its inhibitory action, thus allowing the smooth muscle contraction. Therefore, if LTD4-induced ERK1/2 activation can produce caldesmon phosphorylation, the ensuing facilitation of contraction might constitute one mechanism involved in the LTD4-induced hyperresponsiveness to histamine.
A potential mechanism explaining the linkage between the tyrosine kinase pathway and SR-ATPase Ca2+ pump activity has not been described so far. It is known that the SR-ATPase Ca2+ pump could be inhibited by phospholamban, but such inhibitory effect ends when this protein is phosphorylated by cAMP-dependent PKA, cGMP-dependent protein kinase, PKC, or calmodulin-dependent kinase (9, 27, 15). On the other hand, it has been postulated that calmodulin-dependent kinase directly phosphorylates the SR-ATPase Ca2+ pump and activates it (16). Thus it would be possible that the tyrosine kinase pathway, playing a similar role as the previously mentioned protein kinases, might phosphorylate phospholamban (or by a direct phosphorylation of the pump), thus increasing the SR-ATPase Ca2+ pump activity. Nevertheless, this possibility remains to be demonstrated.
An interesting finding of our study was the lack of an LTD4 effect on the responses to carbachol (Figs. 1, 3, 4, and 8). Airways from asthmatic subjects are extremely sensitive to many contractile agonists, including cholinergic agents (4). In the clinical setting, the degree of airway hyperresponsiveness is commonly measured through a bronchial challenge with increasing concentrations of inhaled methacholine. Thus the inability of LTD4 to induce hyperresponsiveness to carbachol suggests that, in asthmatic patients, molecules other than LTD4 must also be involved in the generation of airway hyperresponsiveness, probably through different mechanisms. For example, Deshpande et al. (10) found that tumor necrosis factor-
-induced hyperresponsiveness to ACh in human airway smooth muscle cells seems to be mediated through an increased production of CD38/cADP-ribose, a pathway that elicits SR-Ca2+ release through activation of ryanodine receptor channels.
Possible explanations for the differential effect of LTD4 on the responses to histamine but not to carbachol are difficult to outline. At least two mechanisms can be postulated.
First, it is well known that muscarinic responses strongly depend on inositol trisphosphate (IP3) production, with the subsequent Ca2+ release from internal SR-Ca2+ stores (5, 6). As has been observed by others (23, 34), we found that L-type Ca2+ channel participation in contractile responses to muscarinic agonists is minimal, whereas contraction induced by histamine mainly depends on extracellular Ca2+ sources (Fig. 7). Although histamine can induce the production of IP3, the amount of this second messenger is much lower than the quantity produced by muscarinic agents (6, 30). In addition, it has been recently described that SR-ATPase Ca2+ pump activity is required for an appropriate histamine response, but not for muscarinic stimulation (3, 30). This requirement is probably explained by a reduced SR-Ca2+ content diminishing the IP3 receptor sensitivity (36), and thus the activity of SR-ATPase Ca2+ pump is necessary to maintain high Ca2+ fluxes through the IP3 receptors (25). Moreover, we were able to corroborate in tracheal myocytes the hypothesis that the SR-ATPase Ca2+ pump plays an essential role in the response to histamine, inasmuch as partial deterioration of this pump diminished such response without affecting the response to carbachol (Fig. 10). Therefore, in our study, the LTD4-induced increase in the Ca2+ transient peak during the histamine stimulation might be explained by the enhanced activity of SR-ATPase Ca2+ pump, promoting a higher sensitivity of IP3 receptors and a greater SR-Ca2+ release. The lack of effect of LTD4 on the carbachol responses would be explained because muscarinic agonists cause such a high production of IP3 that it is not necessary for the increased sensitivity of the IP3 receptors to produce an appropriate response. In addition, we discarded that increased responses to histamine induced by LTD4 were because of L-type Ca2+ channel involvement, since LTD4 incubation did not modify the Ca2+ changes induced by KCl (Figs. 3F and 4).
Furthermore, Western blot analysis demonstrated that carbachol alone was able to induce an intense phosphorylation of ERK1/2, and the presence of LTD4 did not enhance this action, which is in agreement with the lack of LTD4 effect on the carbachol-induced contraction. As commented above, histamine, by contrast, did not modify basal levels of ERK1/2 phosphorylation, but a notable enhancement of this effect could be observed when tissues were incubated with LTD4.
Although LTD4 did not modify the changes in [Ca2+]i caused by KCl, this leukotriene increased the contractile response to KCl, i.e., provoked hyperresponsiveness to KCl (Figs. 3F and 4). These findings suggest that the augmented contraction of the smooth muscle was not because of an increment of extracellular Ca2+ influx and that other mechanisms, probably through phosphorylation processes, might be involved. This enhanced reactivity was abolished by genistein, suggesting the participation of the tyrosine kinase pathway. However, genistein also provoked a significant reduction of the KCl response, and thus it is not clear to what extent the diminution of the LTD4-induced hyperresponsiveness caused by genistein was the result of a direct effect of this drug on KCl responses. On the other hand, in a recent study, Setoguchi et al. (31) explored for the first time possible mechanisms explaining the hyperresponsiveness induced by LTC4 in porcine tracheal smooth muscle strips. They found that LTC4 preincubation almost duplicated the contractile response to 40 mM KCl without affecting the Ca2+ fluorescence ratio and that a rho-rho kinase pathway was responsible of this phenomenon. They also found that genistein did not modify the LTC4-induced hyperresponsiveness to KCl. Although these results differed from ours, differences in both studies concerning animal species and type of leukotriene render them hardly comparable, and further studies are necessary.
In conclusion, our results suggested that LTD4-induced hyperresponsiveness to histamine in bovine airway smooth muscle is mediated by activation of the tyrosine kinase pathway, probably by activation of the downstream target ERK1/2 proteins, and an increasing SR-ATPase Ca2+ pump activity. L-type Ca2+ channels seemed not to be involved. The participation of other mechanisms known to be induced by LTD4 remains to be explored.
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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J. M. Dai, K.-H. Kuo, J. M. Leo, P. D. Pare, C. van Breemen, and C.-H. Lee Acetylcholine-Induced Asynchronous Calcium Waves in Intact Human Bronchial Muscle Bundle Am. J. Respir. Cell Mol. Biol., May 1, 2007; 36(5): 600 - 608. [Abstract] [Full Text] [PDF] |
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