Clinical evidence supports the notion of age-related differences in the acquisition of airways hyperactivity following an acute inflammatory insult to the lungs. In view of the latter, two interrelated hypotheses are raised: I: That the transmembrane signaling mechanisms regulating non-specific airway smooth muscle responsiveness vary maturationally; and II: That acute pulmonary inflammation alters airways responsiveness in an age-dependent manner, secondary to maturational differences in perturbed transmembrane signaling. In addressing these hypotheses, in vivo and in vitro pharmacodynamic, biochemical, and molecular studies examining mechanisms of altered agonist-induced airways responsiveness will be conducted in rabbits of varying post-natal age. A: To assess the maturation of transmembrane signaling mechanisms regulating airways constrictor responsiveness, we will examine whether ontogenetic differences exist in: 1) the partitioned in vivo airway and lung tissue contributions to cholinergic-, endothelin-, and eicosanoid-induced changes in lung mechanics; 2) the expression, characteristics, and modulation by guanine nucleotide-binding (G) proteins of receptors coupled to the latter agonists; 3) the agonist-specific regulation of production, metabolism, and intracellular receptor binding of the key second messenger, inositol 1,4,5-triphosphate; and 4) the regulatory actions of protein kinase C activation on the latter processes. B: To assess the maturation of transmembrane signaling mechanisms regulating airway beta-adrenoceptor-mediated relaxant responsiveness, we will examine ontogenetic changes in: 1) the expression, characteristics, and G protein-coupled modulation of binding of the beta-adrenergic receptor in airway smooth muscle and lung tissue; and 2) the effects of beta-adrenergic stimulation on constrictor agonist-specific accumulation, metabolism, and receptor binding of inositol 1,4,5-triphosphate. To assess the age-related effects of acute pulmonary inflammation on airways responsiveness, separate experiments are designed to evaluate: 1) the airway and lung tissue responses to allergic/atopic-mediated and non-allergically-mediated pulmonary inflammation induced by ozone inhalation in maturing rabbits; 2) whether age-dependent, proinflammatory changes in airways responsiveness are attributed to maturational alterations in the contributions of the above signaling mechanisms (i.e., under A and B) regulating airway contraction and relaxation; and 3) the roles of specific cytokines in mediating age-dependent changes in airway responsiveness under the different proinflammatory conditions. It is anticipated that the above collection of proposed studies will provide significant new insights into the mechanistic interrelationship between maturation, altered airways responsiveness, and pulmonary inflammation.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
2R01HL031467-14
Application #
2705870
Study Section
Special Emphasis Panel (ZRG2-RAP (01))
Project Start
1988-07-01
Project End
2002-06-30
Budget Start
1998-07-01
Budget End
1999-06-30
Support Year
14
Fiscal Year
1998
Total Cost
Indirect Cost
Name
Children's Hospital of Philadelphia
Department
Type
DUNS #
073757627
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Nino, Gustavo; Grunstein, Michael M (2010) Current concepts on the use of glucocorticosteroids and beta-2-adrenoreceptor agonists to treat childhood asthma. Curr Opin Pediatr 22:290-5
Nino, Gustavo; Hu, Aihua; Grunstein, Judith S et al. (2010) Mechanism of glucocorticoid protection of airway smooth muscle from proasthmatic effects of long-acting beta2-adrenoceptor agonist exposure. J Allergy Clin Immunol 125:1020-7
Hu, Aihua; Fatma, Sumbul; Cao, Jing et al. (2009) Th2 cytokine-induced upregulation of 11beta-hydroxysteroid dehydrogenase-1 facilitates glucocorticoid suppression of proasthmatic airway smooth muscle function. Am J Physiol Lung Cell Mol Physiol 296:L790-803
Nino, Gustavo; Hu, Aihua; Grunstein, Judith S et al. (2009) Mechanism regulating proasthmatic effects of prolonged homologous beta2-adrenergic receptor desensitization in airway smooth muscle. Am J Physiol Lung Cell Mol Physiol 297:L746-57
Hu, Aihua; Nino, Gustavo; Grunstein, Judith S et al. (2008) Prolonged heterologous beta2-adrenoceptor desensitization promotes proasthmatic airway smooth muscle function via PKA/ERK1/2-mediated phosphodiesterase-4 induction. Am J Physiol Lung Cell Mol Physiol 294:L1055-67
Veler, Haviva; Hu, Aihua; Fatma, Sumbul et al. (2007) Superantigen presentation by airway smooth muscle to CD4+ T lymphocytes elicits reciprocal proasthmatic changes in airway function. J Immunol 178:3627-36
Shan, Xiaoyin; Hu, Aihua; Veler, Haviva et al. (2006) Regulation of Toll-like receptor 4-induced proasthmatic changes in airway smooth muscle function by opposing actions of ERK1/2 and p38 MAPK signaling. Am J Physiol Lung Cell Mol Physiol 291:L324-33
Grunstein, Michael M; Veler, Haviva; Shan, Xiaoyin et al. (2005) Proasthmatic effects and mechanisms of action of the dust mite allergen, Der p 1, in airway smooth muscle. J Allergy Clin Immunol 116:94-101
Hakonarson, Hakon; Grunstein, Michael M (2003) Autocrine regulation of airway smooth muscle responsiveness. Respir Physiol Neurobiol 137:263-76
Grunstein, M M; Hakonarson, H; Leiter, J et al. (2002) IL-13-dependent autocrine signaling mediates altered responsiveness of IgE-sensitized airway smooth muscle. Am J Physiol Lung Cell Mol Physiol 282:L520-8

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