Department of Cellular and Integrative Physiology, Graduate School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan.
Department of Otolaryngology Head and Neck Surgery, Graduate School of Medicine, Fukushima Medical University, Fukushima 960-1295, Japan.
Int J Mol Sci. 2023 Dec 25;25(1):289. doi: 10.3390/ijms25010289.
Airway remodeling caused by asthma is characterized by structural changes of subepithelial fibrosis, goblet cell metaplasia, submucosal gland hyperplasia, smooth muscle cell hyperplasia, and angiogenesis, leading to symptoms such as dyspnea, which cause marked quality of life deterioration. In particular, fibrosis exacerbated by asthma progression is reportedly mediated by epithelial-mesenchymal transition (EMT). It is well known that the molecular mechanism of EMT in fibrosis of asthmatic airway remodeling is closely associated with several signaling pathways, including the TGF-β1/Smad, TGF-β1/non-Smad, and Wnt/β-catenin signaling pathways. However, the molecular mechanism of EMT in fibrosis of asthmatic airway remodeling has not yet been fully clarified. Given that Cl transport through Cl channels causes passive water flow and consequent changes in cell volume, these channels may be considered to play a key role in EMT, which is characterized by significant morphological changes. In the present article, we highlight how EMT, which causes fibrosis and carcinogenesis in various tissues, is strongly associated with activation or inactivation of Cl channels and discuss whether Cl channels can lead to elucidation of the molecular mechanism of EMT in fibrosis of asthmatic airway remodeling.
哮喘引起的气道重塑的特征是上皮下纤维化、杯状细胞化生、黏膜下腺体增生、平滑肌细胞增生和血管生成等结构变化,导致呼吸困难等症状,从而导致生活质量显著恶化。特别是,据报道,哮喘进展加剧的纤维化是由上皮-间充质转化(EMT)介导的。众所周知,哮喘气道重塑纤维化中 EMT 的分子机制与包括 TGF-β1/Smad、TGF-β1/非 Smad 和 Wnt/β-catenin 信号通路在内的几个信号通路密切相关。然而,哮喘气道重塑纤维化中 EMT 的分子机制尚未完全阐明。鉴于 Cl 通过 Cl 通道的转运会导致被动水流和细胞体积的相应变化,这些通道可能被认为在 EMT 中发挥关键作用,EMT 的特征是显著的形态变化。在本文中,我们强调了 EMT 如何与各种组织中的纤维化和癌变密切相关,以及 EMT 与 Cl 通道的激活或失活之间的关系,并讨论了 Cl 通道是否可以阐明哮喘气道重塑纤维化中 EMT 的分子机制。
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