Background
Increased airway narrowing in response to nonspecific stimuli is a characteristic feature of human obstructive diseases, including bronchial asthma. This abnormality is an important symptom of the disease, although the pathophysiological variations leading to the hyperresponsiveness are unclear now. Several mechanisms have been suggested to explain the airway hyperresponsiveness (AHR), such as alterations in the neural control of airway smooth muscle [
1], increased mucosal secretions [
2], and mechanical factors related to remodeling of the airways [
3]. In addition, it has also been suggested that one of the factors that contribute to the exaggerated airway narrowing in asthmatics is an abnormality of the nature of airway smooth muscle [
4,
5]. Rapid relief from airway limitation in asthmatic patients by β-stimulant inhalation may also suggest an involvement of augmented airway smooth muscle contraction in the airway obstruction. Thus, it may be important for development of asthma therapy to understand changes in the contractile signaling of airway smooth muscle cells associated with the disease.
Smooth muscle contraction including airways is mainly regulated by an increase in cytosolic Ca
2+ concentration in myocytes. Recently, additional mechanisms have been suggested in agonist-induced smooth muscle contraction by studies in which the simultaneous measurements of force development and intracellular Ca
2+ concentration, and chemically permeabilized preparations in various types of smooth muscles were used. It has been demonstrated that agonist stimulation increases myofilament Ca
2+ sensitivity in permeabilized smooth muscles of the rat coronary artery [
6], guinea pig vas deferens [
7], canine trachea [
8] and rat bronchus [
9]. Although the detailed mechanism is not fully understood, a participation of RhoA, a monomeric GTP binding protein, in the agonist-induced Ca
2+ sensitization has been suggested by many investigators [
10]. Moreover, an augmented RhoA-mediated Ca
2+ sensitization in smooth muscle contraction has been reported in experimental animal models of diseases such as hypertension [
11‐
13], coronary [
14‐
16] and cerebral [
17‐
19] vasospasm. It is thus possible that RhoA-mediated signaling is the key for understanding the abnormal contraction of diseased smooth muscles.
Here, we show an increased acetylcholine (ACh)-induced contraction of bronchial smooth muscle (BSM) isolated from repeatedly ovalbumin (OA)-challenged BALB/c mice, which have been reported to have in vivo AHR [
20]. A participation of RhoA-mediated Ca
2+ sensitization in the augmented ACh-induced contraction of BSM was demonstrated in this animal model of AHR.
Discussion
An
in vivo AHR accompanied by increased IgE production and pulmonary eosinophilia has been demonstrated in the actively sensitized and repeatedly OA-challenged BALB/c strain of mice [
20]. By using the same sensitization and challenge protocol in BALB/c mice, the current study demonstrated an increased BSM contractility in ACh-stimulated, but not in high K
+-depolarized (without receptors stimulation), intact muscle strips of the repeatedly OA-challenged mice (Fig.
1). Likewise, the ACh-induced, C3-sensitive Ca
2+ sensitization of BSM contraction was significantly augmented in α-toxin-permeabilized BSMs of the OA-challenged mice (Figs.
2 and
3), whereas the contraction induced by Ca
2+ itself was the same as the control level (see Results section). These findings suggest that the C3-sensitive, RhoA-mediated Ca
2+ sensitization might be augmented in BSMs of the OA-challenged AHR mice. Indeed, the current study also demonstrated a marked increase in the expression and activation of RhoA protein in BSMs of the AHR mice (Fig.
4 and
5).
In the present study, no significant difference in the Ca
2+-induced contraction (in the absence of ACh and GTP) of α-toxin-permeabilized BSMs was observed between groups (see Result section), indicating that the contents of typical contractile elements such as calmodulin, myosin light chain (MLC; Fig.
6) and SM α-actin might be the same as control even in the BSMs of the OA-challenged mice. Moreover, the results also indicate that the downstream signaling activated by Ca
2+-calmodulin complex, including phosphorylation of MLC via activation of MLC kinase, might be in an analogous fashion between groups. The results that the contractile response of intact (non-permeabilized) BSMs induced by high K
+ depolarization was not changed after OA challenge also support our speculation. Thus, the baseline Ca
2+ sensitivity of contractile elements themselves in BSM cells is unlikely to change in AHR.
By contrast with the contraction induced by Ca
2+ itself, the ACh-stimulated contraction of intact BSM strips from the OA-challenged mice was significantly augmented as compared to that from the sensitized control animals (Fig.
1). BSMs are predominantly innervated by vagal efferent nerves, which release ACh when stimulated leading to an activation of muscarinic ACh receptors. The activation of muscarinic receptors existing on BSM, which are mainly thought to be of the M
3 subtype [
27], results in BSM contraction by increasing intracellular Ca
2+ concentration through Ca
2+ release from sarcoplasmic reticulum and Ca
2+ influx from voltage-dependent (nicardipine-sensitive) and receptor-operated (nicardipine-insensitive) Ca
2+ channels [
28]. Therefore, one possible explanation for the increased response to ACh of OA-challenged BSMs may be attributable to an enhanced Ca
2+ mobilization in BSM cells. However, the possibility might be denied by the current result that the ACh-induced contraction of α-toxin-permeabilized BSMs from the OA-challenged mice was significantly augmented as compared with that from the control animals even at a constant Ca
2+ concentration (pCa 6.0; Fig.
2B). Moreover, it has also been reported that there is no difference between normal and antigen-induced AHR animals in ACh-induced increase in intracellular Ca
2+ concentration in BSMs, irrespective of a great difference in ACh-induced BSM contraction [
29,
30].
In addition to the classical Ca
2+-mediated contractile signaling in smooth muscle, it has been demonstrated that agonist stimulation increases myofilament Ca
2+ sensitivity in various types of smooth muscles including airways [
8,
10,
21,
31]. Recent studies suggest a participation of RhoA in the agonist-induced Ca
2+ sensitization of smooth muscle contraction [
10]. Hirata
et al. [
32] firstly reported an involvement of RhoA in the mechanism for the increase in Ca
2+ sensitization in smooth muscle. It was then shown that RhoA is responsible for the inhibition of MLC phosphatase through the activation of Rho-associated kinases [
33]. The present study demonstrated an ACh-induced Ca
2+ sensitization in murine BSM contraction (Fig.
2),which is sensitive to C3 exoenzyme (Fig.
3), in the α-toxin-permeabilized BSMs. Furthermore, western blot analysis clearly demonstrated a distinct expression of RhoA protein in BSMs of mice (Fig.
4). Collectively, these findings firstly demonstrated a participation of RhoA-mediated Ca
2+ sensitization in ACh-induced BSM contraction in mice.
One of the important findings in the present study is that the C3-sensitive, RhoA-mediated Ca
2+ sensitization in ACh-induced contraction was significantly augmented in BSMs of the repeatedly OA-challenged AHR mice (Figs.
2 and
3). Moreover, the protein level of RhoA in BSMs of the AHR mice was significantly increased (Fig.
4). Thus, the current study demonstrated an augmentation of ACh-induced, RhoA-mediated Ca
2+ sensitization of BSM contraction, which coincides with enhanced protein expression of RhoA, in antigen-induced AHR. Although the mechanism(s) of up-regulation of RhoA in OA-challenged BSMs is not known here, inflammatory cytokines such as tumor necrosis factor-α [
34], which is also demonstrated in airways of this murine model of asthma (unpublished data), may be involved in. On the other hand, it has been reported that an introduction of active forms of RhoA to permeabilized smooth muscle induced contractile response [
32,
35]. It is thus likely that ACh stimulation activates the upregulated RhoA (Fig.
5), resulting in a greater phosphorylation of MLC (Fig.
6) and contraction of BSMs in AHR mice.
An increase in responsiveness to muscarinic agonists of airway smooth muscle has been demonstrated in animal models of AHR [
21,
22,
36,
37] and asthmatic patients [
38], although no change in the levels of plasma membrane receptors was observed [
36,
37,
39]. Moreover, the agonist-induced increase in cytosolic Ca
2+ level was within normal level even in the hyperresponsive BSMs [
29,
30]. Taken together with our current findings, it is likely that the enhanced contractility to agonists reflects, at least in part, the augmentation of muscarinic receptor- and RhoA-mediated Ca
2+ sensitization, although the mechanism(s) for activation of RhoA by ACh is still unclear. If RhoA proteins are activated by receptors other than muscarinic receptor, it might account for the 'non-specific' AHR, which is a common feature of allergic asthmatics. Indeed, the BSMs of the OA-challenged mice also have hyperresponsiveness to endothelin-1 [
40], which has been reported to activate RhoA via its own receptors [
41].
An upregulation of RhoA/Rho-kinase associated with the augmented smooth muscle contractility has also been reported in rat myomertium during pregnancy [
42,
43], arterial smooth muscle of spontaneously hypertensive rats [
12], coronary vasospasm in pigs [
16], dog femoral artery in heart failure [
44], and BSMs in rat experimental asthma [
21]. Thus, the upregulation of RhoA might be widely involved in the enhanced contraction of the diseased smooth muscles including the BSMs in AHR over species.
Authors' contributions
YC conceived of the study, participated in its design and coordination, and drafted the manuscript. AU carried out the intact smooth muscle studies. KS, HT and HS carried out the skinned fiber studies and immunoblot analysis. SN carried out the analysis of active RhoA. MM participated in the direction of the study as well as writing and preparing the manuscript. All authors read and approved the final manuscript.