Transforming Growth Factor-β1 Drives Airway Remodeling in Cigarette Smoke–Exposed Tracheal Explants

RD Wang, JL Wright, A Churg - American journal of respiratory cell …, 2005 - atsjournals.org
RD Wang, JL Wright, A Churg
American journal of respiratory cell and molecular biology, 2005atsjournals.org
Small airway remodeling (SAR) is an important cause of airflow obstruction in cigarette
smokers, but whether SAR represents a response to smoke-evoked inflammation or is
directly mediated by smoke-induced growth factor production is disputed. To examine this
process, we exposed rat tracheal explants, a model free of exogenous inflammatory cells, to
cigarette smoke in vitro. Cigarette smoke caused release of active transforming growth factor
(TGF)-β1, and this was prevented by the oxidant scavenger tetramethythiourea. Nuclear …
Small airway remodeling (SAR) is an important cause of airflow obstruction in cigarette smokers, but whether SAR represents a response to smoke-evoked inflammation or is directly mediated by smoke-induced growth factor production is disputed. To examine this process, we exposed rat tracheal explants, a model free of exogenous inflammatory cells, to cigarette smoke in vitro. Cigarette smoke caused release of active transforming growth factor (TGF)-β1, and this was prevented by the oxidant scavenger tetramethythiourea. Nuclear immunostaining for phospho-Smad2, a TGF-β downstream signaling molecule, was present in epithelial and interstitial cells within 1 h after exposure. Smoke caused upregulation of gene expression of connective tissue growth factor (CTGF), a mediator of TGF-β fibrogenic effects, within 2 h, and upregulation of procollagen gene expression at 24 h; both changes could be prevented by the TGF-β antagonist fetuin (α2-HS-glycoprotein). In a cell-free system, recombinant human TGF-β latency-associated peptide was oxidized by cigarette smoke, and smoke released active TGF-β1 from recombinant latent TGF-β1 via an oxidant mechanism. These experiments suggest that SAR in cigarette smokers may be caused by direct, smoke-mediated, oxidant-driven induction of growth factor signaling in the airway wall, and that SAR does not necessarily require exogenous inflammatory cells.
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