Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids
ReviewLysophosphatidic acid in airway function and disease
Introduction
For many laboratories, interest in lysophosphatidic acid (LPA) began with its identification as the “serum factor” mediating a response of interest in that laboratory. Subsequent follow-up studies in these and other laboratories then led to important insights on the receptors and signaling pathways mediating the diverse effects of LPA and on its likely physiological and clinical significance, as summarized in multiple chapters in this volume and in other reviews [1], [2], [3], [4]. Similarly, our interest in LPA began when we identified it as the serum factor mediating serum-induced “sensitization” of cyclic AMP (cAMP) responses in several cell types, including airway smooth muscle cells. Subsequent studies in our laboratories have focused on the effects of LPA on various cells from the airway, including airway smooth muscle cells, airway epithelial cells and lung fibroblasts, all of which are summarized in this review. The responses identified to date point to a potential role of LPA as a mediator of airway “repair” and “remodeling”, processes that are now thought to be a major component of the pathology of asthma and chronic obstructive pulmonary disease [5], [6], [7]. Our studies of a striking synergism between LPA and receptor tyrosine kinase (RTK) growth factors such as epidermal growth factor (EGF) in stimulating airway smooth muscle cell mitogenesis have identified mechanisms that are likely to contribute to the prominent effects of LPA on growth regulation, not only of airway smooth muscle but also of vascular smooth muscle and other contractile cell types throughout the body. We suggest that further investigation of the presence and functions of LPA in normal and diseased human airways may point the way to new therapeutic approaches for the treatment or prevention of asthma and other airway diseases.
Section snippets
Regulation of classical second messenger pathways
Our studies of LPA began with its identification as the serum factor mediating “sensitization” of cAMP responses in two glial cell lines [8]. Sensitization is an increase in the responsiveness of the receptor-stimulated adenylyl cyclase system that can occur during exposure to agents that signal through Gi to inhibition of adenylyl cyclase or through Gq to the phosphoinositide (PI) hydrolysis pathway [9]. We compared the abilities of a wide variety of cell types to exhibit sensitization to
EGF receptor regulation
Multiple lines of evidence suggested that synergism was due to LPA enhancement of EGF signaling rather than EGF enhancement of LPA signaling. In particular, a mitogen washout experiment [29] showed that DNA synthesis in response to LPA could be observed at 24 h following as little as 6-h exposure to LPA, whereas significant DNA synthesis at 24 h was observed for EGF only with exposure for at least 8–12 h. Synergism between LPA and EGF also became apparent only following 12-h exposure, similar
LPA effects on airway epithelial cells
Although our recent studies have focused on LPA regulation of airway smooth muscle cells, we have also documented a variety of effects of LPA on other lung cells, effects which are also likely to be of clinical relevance in airway disease. LPA stimulated production of the extracellular matrix molecule fibronectin in both bovine bronchial epithelial cells (BBECs) and in human bronchial epithelial cells [47]. Fibronectin mRNA was also increased, at least for BBECs, suggesting that LPA increases
LPA, airway repair and remodeling, and asthma: a hypothesis
Taken together, the effects of LPA on airway cells and tissue preparations summarized above lead us to hypothesize that LPA may be a contributor to the pathogenesis of asthma in particular and perhaps to other airway diseases as well. The release of LPA from platelets activated at a site of injury and its ability to promote fibroblast proliferation and contraction have led to the widely held view that LPA is a mediator of wound repair, and recent studies have provided evidence that LPA can in
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