mTOR信号传导调节与重度哮喘相关的气道黏液细胞化生的发展。

MTOR signaling regulates the development of airway mucous cell metaplasia associated with severe asthma.

作者信息

Kudrna Katrina M, Vilches Luis F, Eilers Evan M, Maurya Shailendra K, Brody Steven L, Horani Amjad, Bailey Kristina L, Wyatt Todd A, Dickinson John D

机构信息

Department of Internal Medicine, Division of Pulmonary, Critical Care, & Sleep, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Department of Medicine, Division of Pulmonary and Critical Care, Washington University, St. Louis, Missouri, USA.

出版信息

JCI Insight. 2025 May 29;10(13). doi: 10.1172/jci.insight.187904. eCollection 2025 Jul 8.

Abstract

In asthma, airway epithelial remodeling is characterized by aberrant goblet cell metaplastic differentiation accompanied by epithelial cell hyperplasia and hypertrophy. These pathologic features in severe asthma indicate a loss of control of proliferation, cell size, differentiation, and migration. MTOR is a highly conserved pathway that regulates protein synthesis, cell size, and proliferation. We hypothesized that the balance between MTOR and autophagy regulates mucous cell metaplasia. Airways from individuals with severe asthma showed increased MTOR signaling by RPS6 phosphorylation, which was reproduced using an IL-13-activated model of primary human airway epithelial cells (hAEC). MTOR inhibition by rapamycin led to a decrease of IL-13-mediated cell hypertrophy, hyperplasia, and MUC5AC mucous metaplasia. BrdU labeling during IL-13-induced mucous metaplasia confirmed that MTOR was associated with increased basal-to-apical hAEC migration. MTOR activation by genetic deletion of Tsc2 in cultured mouse AECs increased IL-13-mediated hyperplasia, hypertrophy, and mucous metaplasia. Transcriptomic analysis of IL-13-stimulated hAEC identified MTOR-dependent expression of genes associated with epithelial migration and cytoskeletal organization. In summary, these findings point to IL-13-dependent and -independent roles of MTOR signaling in the development of pathogenic epithelial changes contributing to airway obstruction in severe asthma.

摘要

在哮喘中,气道上皮重塑的特征是杯状细胞化生异常,伴有上皮细胞增生和肥大。重度哮喘的这些病理特征表明细胞增殖、细胞大小、分化和迁移的调控失控。mTOR是一条高度保守的信号通路,可调节蛋白质合成、细胞大小和增殖。我们推测mTOR与自噬之间的平衡调节着黏液细胞化生。重度哮喘患者的气道显示,RPS6磷酸化导致mTOR信号增强,这在原发性人气道上皮细胞(hAEC)的IL-13激活模型中得到重现。雷帕霉素抑制mTOR可导致IL-13介导的细胞肥大、增生和MUC5AC黏液化生减少。在IL-13诱导的黏液化生过程中进行BrdU标记证实,mTOR与hAEC从基底到顶端的迁移增加有关。在培养的小鼠AEC中通过基因敲除Tsc2激活mTOR,可增加IL-13介导的增生、肥大和黏液化生。对IL-13刺激的hAEC进行转录组分析,确定了与上皮迁移和细胞骨架组织相关的基因的mTOR依赖性表达。总之,这些发现表明mTOR信号在重度哮喘导致气道阻塞的致病性上皮变化发展过程中具有依赖IL-13和不依赖IL-13的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc08/12288895/e7f435957829/jciinsight-10-187904-g098.jpg

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