Extracellular matrix composition is modified by β₂-agonists through cAMP in COPD.
Long acting β₂-agonists (LABA) have been reported to modify the extracellular matrix (ECM) composition in the airway wall. Based on our earlier studies we here investigated the mechanism underlying the control of ECM modification by LABA in primary human airway smooth muscle cells. Cells were treated with formoterol or salmeterol (30 min) before TGF-β₁ stimulation (2-3 days) Using RT-PCT, immuno-blotting and ELISA the de novo synthesis and deposition of collagen type-I, -III, -IV and fibronectin were determined. Matrix metalloproteinases (MMP)-2 and -9 were analyzed by zymography. Both LABA activated cAMP and its corresponding transcription factor CREB within 60 min and thus partly reduced TGF-β₁-induced gene transcription of collagen type-I, -III, fibronectin and connective tissue growth factor (CTGF). The inhibitory effect of both LABA on collagen type-I and -III deposition involved a cAMP dependent mechanism, while the inhibitory effect of the two drugs on TGF-β1-induced fibronectin deposition and on CTGF secretion was independent of cAMP. Interestingly, none of the two LABA reduced CTGF-induced synthesis of collagen type-I or type-III deposition. In addition, none of the two LABA modified collagen type-IV deposition or the expression and activity of MMP-2 or MMP-9. Our results show that LABA can prevent de novo deposition of specific ECM components through cAMP dependent and independent signaling. However, they do not reduce all ECM components by the same mechanism and they do not reduce existing collagen deposits. This might explain some of the controversial reports on the anti-remodeling effect of LABA in chronic inflammatory lung diseases.
['Lambers|Christopher|C|', 'Qi|Ying|Y|', 'Eleni|Papakonstantinou|P|', 'Costa|Luigi|L|', 'Zhong|Jun|J|', 'Tamm|Michael|M|', 'Block|Lutz-Henning|LH|', 'Roth|Michael|M|']
D058666:Adrenergic beta-2 Receptor Agonists D002454:Cell Differentiation D002478:Cells, Cultured D003094:Collagen D000242:Cyclic AMP D017362:Cyclic AMP Response Element-Binding Protein D004983:Ethanolamines D005109:Extracellular Matrix D000068759:Formoterol Fumarate D006801:Humans D020778:Matrix Metalloproteinase 2 D020780:Matrix Metalloproteinase 9 D009130:Muscle, Smooth D029424:Pulmonary Disease, Chronic Obstructive D016212:Transforming Growth Factor beta
Extracellular matrix Airway smooth muscle cells Airway remodeling Chronic obstructive pulmonary disease Long acting beta2-agonists