Bronchoconstriction damages airway epithelia by crowding-induced excess cell extrusion.
Dustin C BagleyTobias RussellElena Ortiz-ZapaterSally StinsonKristina FoxPolly F ReddMerry JosephCassandra E Deering-RiceChristopher A ReillyMaddy ParsonsChristopher E BrightlingJody RosenblattPublished in: Science (New York, N.Y.) (2024)
Asthma is deemed an inflammatory disease, yet the defining diagnostic feature is mechanical bronchoconstriction. We previously discovered a conserved process called cell extrusion that drives homeostatic epithelial cell death when cells become too crowded. In this work, we show that the pathological crowding of a bronchoconstrictive attack causes so much epithelial cell extrusion that it damages the airways, resulting in inflammation and mucus secretion in both mice and humans. Although relaxing the airways with the rescue treatment albuterol did not affect these responses, inhibiting live cell extrusion signaling during bronchoconstriction prevented all these features. Our findings show that bronchoconstriction causes epithelial damage and inflammation by excess crowding-induced cell extrusion and suggest that blocking epithelial extrusion, instead of the ensuing downstream inflammation, could prevent the feed-forward asthma inflammatory cycle.
Keyphrases
- oxidative stress
- cell death
- diabetic rats
- single cell
- induced apoptosis
- chronic obstructive pulmonary disease
- cystic fibrosis
- high glucose
- machine learning
- cell cycle arrest
- transcription factor
- signaling pathway
- type diabetes
- stem cells
- deep learning
- endothelial cells
- bone marrow
- air pollution
- high fat diet induced
- mesenchymal stem cells