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màj 23/07/98
ENFUMOSA
(courriel: Chanez (at) montp.inserm.fr )
The European Network For Understanding
Mechanisms of Severe Asthma
BIOMED 2 Program - European Commission

4th quaterly meeting, with the support of INSERM and
Merck Sharp & Dhome Laboratory
February 13-14th 1998 in Montpellier- France
(see programm, abstracts and experts comments )

Airway Smooth Muscle
Research Group : Laboratoire de Physiologie Cellulaire Respiratoire,
Université Victor Segalen, Bordeaux 2 and INSERM (CRI 98
06)
Presentation : JM. Tunon de Lara

Samedi 14 Février 1998

Présentateurs

Modérateurs

Experts

8h00-9h00

Muscle lisse

Smooth muscle

G. Advenier, M. Molimard (Paris)
J.M. Tunon de Lara (Bordeaux)
Discussion

15' 15' 30'

R. Marthan (Bordeaux)
J. Mercier (Montpellier)

F.P. Nijkamp (Utrecht, NL)
K. Rabe (Grossandorf, D)

Presentation of the Group -Involvement in asthma research
The Laboratoire de Physiologie Cellulaire Respiratoire is a research group granted by INSERM whose topic of research is cellular pathophysiology of bronchial and vascular responsiveness. The laboratory is located at the University Victor Segalen - Bordeaux 2 and is part of the department of Respiratory Diseases (Pr. JM. Tunon de Lara, Pr. R. Marthan) at the teaching hospital. Three aspects of bronchial and vascular responsiveness are studied: pulmonary smooth muscle cell physiology, cellular pathophysiology in human airways and pulmonary arteries, in vivo pathophysiology of bronchial hyperresponsiveness. Experimental approaches include organ bath studies, cell culture, electrophysiology (patch-clamp), microspectrofluorimetry and immunohistochemistry. Most of this research is devoted to the understanding of the mechanisms underlying hyperresponsiveness in asthma.


Recent experimental results and current investigation
In the field of airway smooth muscle physiology, we have characterized the calcium signalling of this cell (1, 2). Regarding bronchial hyperresponsiveness pathophysiology, we have established the dose-effect relationship for atmospheric pollutants (3) and examined the cellular mechanisms implicated in the increase in airway reactivity induced by pollutants (4). Of direct relevance to asthma, one of the aspects of bronchial hyperresponsiveness investigated in the laboratory deals with the role of IgE in passive sensitization of human bronchi. Passive sensitization of human isolated airways with serum from allergic asthmatic patients provides a good opportunity to study the role of IgE in bronchial reactivity. In agreement with findings from several research teams, we have observed that passive sensitization with serum containing high concentration of IgE alters the mechanical response of human isolated airways to nonspecific agonists such as histamine, KCl, tachykinins or to relaxant compounds (5, 6). Passive sensitization of human airways can be mimicked using monoclonal IgE and an anti-IgE challenge (7) but the direct role of IgE in the hyperresponsiveness induced by the sensitizing procedure remains controversial. In a recent study, we found that passive sensitization was mainly related to mast cells bearing the IgE molecule in both submucosal and smooth muscle layers (8). Mast cell-derived products could therefore play an important role in IgE-induced hyperresponsiveness. Current functional studies performed in the laboratory indicate that mast cell-derived tryptase enhances the contractile response of human isolated airways to non specific agonists and that the tryptase inhibitor benzamidine could abolish the alteration of contractile response induced by passive sensitization (unpublished results). Taken together these results suggest that mast cell-derived proteases could contribute to sensitization-induced hyperresponsiveness. Further studies on mast cell activation during the passive sensitization procedure are now undertaken.

Relevance to severe asthma
Some aspects of our research could be relevant to severe asthma study:

  1. Calcium signalling of airway smooth muscle cells from patients suffering from severe asthma.
  2. Immunohistochemistry of bronchi from severe asthmatic patients with special attention to IgE-bearing cells.
  3. Sensitization of human isolated airways using serum from patients suffering from severe asthma

References

Ref (1): Roux E., Guibert C., Savineau J.P., Marthan R. [Ca2+] oscillation induced by muscarinic stimulation in airway smooth muscle cells: receptor subtypes and correlation with the mechanical activity. British Journal of Pharmacology, 1997, 120, 1294-1301. (partial abstract from http://www.healthy.net/library/search/medline.htm )

Author : Roux E; Guibert C; Savineau JP; Marthan R
Address : Laboratoire de Physiologie Cellulaire Respiratoire, Université Bordeaux 2, France.
Source : Br J Pharmacol, 120(7):1294-301 1997 Apr
Abstract :
1. Cytosolic calcium concentration ([Ca2+]i) by indo 1 microspectrofluorimetry in freshly isolatedcells and isometric contraction of isolated rings were measured in response to muscarinic cholinoceptor stimulation in rat tracheal smooth muscle. 2. In isolated myocytes, acetylcholine (ACh, 0.03-1 microM) caused a rapid and graded increase in [Ca2+]i up to a net amplitude of 492 +/- 26 nM (n = 19) which gradually declined. The EC50 for ACh was 0.13 microM. This first [Ca2+]i peak was followed, when the ACh concentration increased, in approximately 50-60% of the cells, by successive peaks of decreased amplitude ([Ca2+]i oscillations) superimposed on the plateau phase. Whereas the percentage of cells exhibiting [Ca2+]i oscillations remained consistent, the frequency of these oscillations increased to up to 10 min-1 with an ACh concentration of 100 microM. 3. Removal of extracellular calcium (in the presence of EGTA, 0.4 mM) or addition of the voltage-dependent Ca(2+)-channel blocker verapamil (10 microM) did not alter the first [Ca2+]i peak, the plateau or the oscillations induced by ACh or carbachol. In contrast, the specific inhibitor of the sarcoplasmic Ca(2+)-ATPase, thapsigargin (1 microM), completely abolished the [Ca2+]i response....

... for the complete abstract, please enquire http://www.healthy.net/library/search/medline.htm


Ref (2): Savineau J.P., Marthan R. Modulation of the calcium sensitivity of the smooth muscle contractile apparatus: molecular mechanisms, pharmacological and pathophysiological implications. Fundamental and Clinical Pharmacology, 1997, 11, 289-299. (partial abstract from http://www.healthy.net/library/search/medline.htm )

Author : Savineau JP; Marthan R
Address : Laboratoire de Physiologie Cellulaire Respiratoire, Université-Victor Ségalen-Bordeaux 2, France.
Source : Fundam Clin Pharmacol, 11(4):289-99 1997
Abstract : Smooth muscle contraction is the basis of the physiological reactivity of several systems (vascular, respiratory, gastrointestinal, urogenital ...). Hyperresponsiveness of smooth muscle may also contribute to a variety of problems such as arterial hypertension, asthma and spontaneous abortion. An increase in cytoplasmic calcium concentration ([Ca2+]i) is the key event in excitation-contraction coupling in smooth muscle and the relationship linking the [Ca2+]i value to the force of contraction represents the calcium sensitivity of the contractile apparatus (CaSCA). Recently, it has become evident that CaSCA can be modified upon the action of agonists or drugs as well as in some pathophysiological situations. Such modifications induce, at a fixed [Ca2+]i value, either an increase (referred to as sensitization) or a decrease (desensitization) of the contraction force. The molecular mechanisms underlying this modulation are not yet fully elucidated. Nevertheless, recent studies have identified sites of regulation of the actomyosin interaction in smooth muscle. ...

... for the complete abstract, please enquire http://www.healthy.net/library/search/medline.htm


Ref (3): Roux E., Guibert C., Crevel H., Savineau J.P., Marthan R. Human and rat airway smooth muscle responsiveness after ozone exposure in vitro. American Journal of Physiology (Lung Cell and Molecular Physiology 15), 1996, 271 : L631-L636. (partial abstract from http://www.healthy.net/library/search/medline.htm )

Author : Roux E; Guibert C; Crevel H; Savineau JP; Marthan R
Address : Laboratoire de Physiologie Cellulaire Respiratoire, Université Bordeaux 2, France.
Source : Am J Physiol, 271(4 Pt 1):L631-6 1996 Oct
Abstract : We previously reported that NO2 and acrolein administered ex vivo to the lung altered the subsequent responsiveness of airway smooth muscle. The aim of this study was to determine the dose-response relationship for O3 in both human isolated bronchi and rat tracheae and to investigate the mechanisms underlying O3-induced airway responsiveness. Exposure to 1 ppm O3 for 15 min significantly increased the maximal response to carbachol of rat tracheal rings to 149.6 +/- 5.4% of the reference response to acetylcholine (ACh) compared with that of unexposed rings (131.3 +/- 2.4%, n = 6, P < 0.05). The change in maximal airway responsiveness to carbachol, when plotted against the product of exposure concentration and exposure time to O3, a surrogate for the dose, formed a bell-shaped curve. The peak of this dose-response curve was shifted to the right for human bronchi (50 ppm x min, n = 5) compared with that of rat tracheae (15 ppm x min, n = 6). In the rat trachea, responses to KCl were not altered by O3, whereas those to 5-hydroxytryptamine hydrochloride (5-HT) were significantly increased. Finally, in the absence of external Ca2+, O3 exposure still potentiated the maximal response to carbachol from 73.6 +/- 13.9 to 137.0 +/- 6.0% and that to 5-HT from 21.5 +/- 5.5 to 38.7 +/- 2.2% of the reference ACh response....

... for the complete abstract, please enquire http://www.healthy.net/library/search/medline.htm


Ref (4): Marthan R., Roux E., Savineau J.P. Human bronchial smooth muscle responsiveness after exposure in vitro to oxidizing pollutants. Cell Biology and Toxicology, 1996, 12 : 245-249. (partial abstract from http://www.healthy.net/library/search/medline.htm )

Author : Marthan R; Roux E; Savineau JP
Address : Laboratoire de Physiologie Cellulaire Respiratoire, Université Bordeaux 2, France.
Source : Cell Biol Toxicol, 12(4-6):245-9 1996 Dec
Abstract : The aims of this work were (1) to determine the dose-response relationship between ex vivo exposure to oxidizing pollutants such as nitrogen dioxide (NO2), the aldehyde acrolein, and ozone (O3), and the reactivity to agonists in isolated human bronchial smooth muscle; and (2) to investigate the alterations in the cellular mechanisms of human airway smooth muscle contraction induced by such exposures. Experiments were performed in isolated human bronchi obtained at thoracotomy. Isometric contraction in response to a variety of agonists was compared between pollutant-exposed preparations and paired controls. Short exposures to NO2, acrolein, or O3 altered the subsequent airway smooth muscle responsiveness in a dose-dependent manner. The cellular mechanisms producing the airway hyperresponsiveness observed in vitro are shared by the three pollutants and include alterations in airway smooth muscle excitation-contraction coupling as well as indirect effects on neutral endopeptidase activity.

... for the complete abstract, please enquire http://www.healthy.net/library/search/medline.htm


Ref (5): Ben-Jebria, A., R. Marthan, M. Rossetti, and J.P. Savineau. 1993. Effect of passive sensitization on the mechanical activity of human isolated bronchial smooth muscle induced by substance P, neurokinin A and VIP. British Journal of Pharmacology. 109:131-136.. (partial abstract from http://www.healthy.net/library/search/medline.htm )

Author : Ben-Jebria A; Marthan R; Rossetti M; Savineau JP
Address : Laboratoire de Physiologie, Faculté de Médecine Victor Pachon, Université de Bordeaux II, France.
Source : Br J Pharmacol, 109(1):131-6 1993 May
Abstract : 1. The effect of passive sensitization on the mechanical activity of human isolated bronchial smooth muscle induced by the following neuropeptides substance P (SP), neurokinin A (NKA) and vasoactive intestinal peptide (VIP) was studied both in the absence and in the presence of the neutral endopeptidase (NEP) inhibitor, phosphoramidon. 2. Cumulative concentration-response curves (CCRC) to these neuropeptides were constructed in human passively sensitized isolated bronchial rings and compared to those in paired controls. Passively sensitized human isolated bronchial rings were tissues incubated overnight in serum from asthmatic patients atopic to Dermatophagoides pteronyssinus and paired controls were tissues originating from the same lung specimens but incubated overnight in serum from healthy donors. 3. In the absence of phosphoramidon, passive sensitization significantly increased the amplitude of the contractile responses to SP and NKA including that to the maximal concentration given from 50 +/- 5% to 76 +/- 6% (n = 5, P < 0.05) and from 70 +/- 7% to 101 +/- 6% (n = 5, P < 0.05) of the maximal response to acetylcholine, respectively. Passive sensitization significantly shifted to the left the CCRC for both tachykinins as measured by the geometric means dose-ratios which were 8.5 (95% confidence limits (CL): 3.1-13.9) and 7.3 (95% CL: 4.2-10.3) for SP and NKA, respectively....

... for the complete abstract, please enquire http://www.healthy.net/library/search/medline.htm


Ref (6): Villanove X., Marthan R., Tunon de Lara M., Johnson P., Savineau J.P., McKay K., Alouan L., Armour, C., Black J. Sensitization decreases relaxation in human isolated airways. American Review of Respiratory Disease, 1993, 148 : 107-112. (partial abstract from http://www.healthy.net/library/search/medline.htm )

Author : Villanove X; Marthan R; Tunon de Lara JM; Johnson PR; Savineau JP; McKay KO; Alouan LA; Armour CL; Black JL
Address : Laboratoire de Physiologie, Université de Bordeaux II, France.
Source : Am Rev Respir Dis, 148(1):107-12 1993 Jul
Abstract : Passively sensitized human isolated airways provide an opportunity to study some aspects of bronchial hyperresponsiveness in vitro. Since it has been suggested that excessive airway narrowing could be due to impaired relaxation, we examined the effect of a variety of agents producing relaxation via different mechanisms, i.e., verapamil and lemakalim (a calcium channel antagonist and a potassium channel opener, respectively) and isoproterenol, forskolin, and dibutyryl cAMP (modulators of the beta-adrenoceptor signal transduction pathway). Human bronchial rings, obtained at thoracotomy, were passively sensitized by incubation in serum from atopic asthmatic patients, and control rings were incubated in serum from nonatopic subjects. We also studied bronchial rings from five spontaneously sensitized human lung specimens. Responses to the relaxant compounds were measured isometrically. Passive sensitization significantly decreased the efficacy of verapamil in maximally contracted tissues from 60 +/- 10 to 45 +/- 7% of the maximal carbachol response (n = 6, p < 0.05) and that of lemakalim from 51 +/- 16 to 38
+/- 14% (n = 7, p < 0.05) in tissues at baseline tone....

... for the complete abstract, please enquire http://www.healthy.net/library/search/medline.htm


Ref (7): Tunon de Lara J. M., Okayama Y., Savineau J.P., Marthan R. IgE-induced sensitization of human isolated bronchi and lung mast cells. European Respiratory Journal, 1995, 8 : 1861-1865. (partial abstract from http://www.healthy.net/library/search/medline.htm )

Author : Tunon de Lara JM; Okayama Y; Savineau JP; Marthan R
Address : Laboratoire de Physiologie, Université de Bordeaux II, France.
Source : Eur Respir J, 8(11):1861-5 1995 Nov
Abstract : Passive sensitization of human isolated lung with serum from atopic asthmatic patients provides an opportunity to study the link between airway hyper-responsiveness and the allergic process. To directly demonstrate the role of immunoglobulin E (IgE) in the effect of the atopic serum, we have compared the effect of passively sensitizing both human bronchi and isolated lung mast cells with either serum from atopic asthmatic patients or human monoclonal IgE. Peripheral bronchi ( < 5 mm in internal diameter) were dissected out from human lung obtained at thoractomy and isometric contraction was studied in response to a variety of immunological stimuli according to the sensitization protocol. Mast cells were also isolated from human lung and histamine release was measured under similar experimental conditions. A contractile response was elicited by either the specific antigen or anti-IgE (0.6-600 ng.mL-1) but not anti-immunoglobulin G (IgG) 0.2-20 micrograms.mL-1) in airways sensitized with atopic serum (total IgE concentration of approximately 1,000 international units (IU).mL-1). The maximal contractile response to anti-IgE was 75 +/- 22% of the response to 1 mM acetylcholine....

... for the complete abstract, please enquire http://www.healthy.net/library/search/medline.htm


Ref (8): Berger P., Walls A.P., Marthan R., Tunon de Lara J.M. IgE-induced passive sensitization of human isolated bronchi: an immunohistochemical study. American Journal of Respiratory and Critical Care Medicine, 1998 (in press). (partial abstract from http://www.healthy.net/library/search/medline.htm )

in press

... for the complete abstract, please enquire http://www.healthy.net/library/search/medline.htm


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