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A Novel Ca²⁺ Influx Pathway Activated by Mechanical Stretch in Human Airway Smooth Muscle Cells

¹ Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan; ² Department of Cardiovascular Physiology, Okayama University Graduate School of Medicine, Okayama, Japan; ³ ICORP/SORST Cell Mechanosensing, JST, Nagoya, Japan; ⁴ Department of Physiology, Nagoya University Graduate School of Medicine, Nagoya, Japan; and ⁵ Department of Molecular Physiology, National Institute for Physiological Sciences, Okazaki, Japan

Correspondence and requests for reprints should be addressed to Hiroaki Kume, M.D., Ph.D., Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. E-mail: hkume{at}med.nagoya-u.ac.jp

In response to mechanical stretch, airway smooth muscle exhibits various cellular functions such as contraction, proliferation, and cytoskeletal remodeling, all of which are implicated in the pathophysiology of asthma. We tested the hypothesis that mechanical stretch of airway smooth muscle cells increases intracellular Ca²⁺ concentration ([Ca²⁺]_i) by activating stretch-activated (SA) nonselective cation channels. A single uniaxial stretch (3 s) was given to human bronchial smooth muscle cells cultured on an elastic silicone membrane. After the mechanical stretch, a transient increase in [Ca²⁺]_i was observed. The [Ca²⁺]_i increase was significantly dependent on stretch amplitude. The augmented [Ca²⁺]_i due to stretch was completely abolished by removal of extracellular Ca²⁺ and was markedly attenuated by an application of Gd³⁺, an inhibitor of SA channels, or ruthenium red, a transient receptor potential vanilloid (TRPV) inhibitor. In contrast, the stretch-induced rises of [Ca²⁺]_i were not altered by other Ca²⁺ channel inhibitors such as nifedipine, BTP-2, and SKF-96365. Moreover, the [Ca²⁺]_i increases were not affected by indomethacin, a cyclooxygenase inhibitor, U-73122, a phospholipase C inhibitor, or xestospongin C, an inhibitor of the inositol-trisphosphate receptor. These findings demonstrate that a novel Ca²⁺ influx pathway activated by mechanical stretch, possibly through the Ca²⁺-permeable SA channel activated directly by stretch rather than by indirect mechanisms via intracellular messenger production, is involved in human airway smooth muscle cells. A molecular candidate for the putative SA channel may be one of the members of the TRPV channel family. Thus, abnormal Ca²⁺ homeostasis in response to excessive mechanical strain would contribute to the pathogenesis of asthma.

Key Words: Ca²⁺ channels • mechanotransduction • mechanical stress • transient receptor potential

CLINICAL RELEVANCE Mechanical stretch alters airway smooth muscle (ASM) functions implicated in the pathophysiology of asthma. We demonstrate a novel Ca2+ influx pathway activated by stretch in ASM cells that could be a novel target molecule for the treatment of asthma.