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Published ahead of print on February 21, 2008, doi:10.1164/rccm.200709-1376OC

Am. J. Respir. Crit. Care Med., Volume 177, Number 10, May 2008, 1074-1081

A more recent version of this article appeared on May 15, 2008
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Submitted on September 17, 2007
Accepted on February 21, 2008

Basal Expression of Bone Morphogenetic Protein (BMP) Receptor is Reduced in Mild Asthma

Harsha H Kariyawasam1, Georgina Xanthou2, Julia Barkans3, Maxine Aizen3, A. Barry Kay4*, and Douglas S Robinson1

1 Allergy and Clinical Immunology Section, Imperial College London, London, United Kingdom; Leukocyte Biology Section, Imperial College London, London, United Kingdom; MRC and Asthma UK Centre in Allergic Mechanisms of Asthma, National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, United Kingdom, 2 Biomedical Research Foundation for the Academy of Athens, Athens, Greece, 3 Allergy and Clinical Immunology Section, Imperial College London, London, United Kingdom; MRC and Asthma UK Centre in Allergic Mechanisms of Asthma, National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, United Kingdom, 4 Leukocyte Biology Section, Imperial College London, London, United Kingdom; MRC and Asthma UK Centre in Allergic Mechanisms of Asthma, National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, United Kingdom

* To whom correspondence should be addressed. E-mail: a.b.kay{at}imperial.ac.uk.

Rationale: Despite increasing recognition of BMP signalling in tissue remodelling the expression pattern of ligands and signalling pathways remain undefined in the asthmatic airway. Objectives: To determine expression of BMP ligands (BMP-2, 4 and 7) and Type I and Type II receptors (ALK-2, ALK-3, ALK-6 and BMPRII) as well as evidence for activation of BMP signalling via detection of phosphorylated (p)Smad1/5 expression in asthmatic airways at baseline (compared to non-asthmatic controls), and after allergen challenge. Methods: Bronchial biopsies were obtained from 6 non-asthmatic control volunteers, and 15 atopic asthmatics (median age 25 years, median FEV1% predicted 97%) at baseline, then at 24 hours and 7 days after allergen challenge. Expression of BMP ligands, receptors and signalling was analysed using immunohistochemistry. Results: BMP ligand expression did not differ between asthmatic and control airways at baseline. Compared to the normal airway there was significant down regulation of ALK- 2 (p=0.001), ALK-6 (p=0.0009) and BMPRII (p=0.009) expression in asthma. Allergen challenge was associated with marked and sustained up-regulation of BMP-7 in airway epithelium (p=0.017) and infiltrating inflammatory cells (p=0.071) (predominantly in eosinophils, but also CD4+ T cells, mast cells and macrophages). Up-regulation of pSmad1/5 expression (p=0.031), ALK-2 (p=0.002) and ALK-6 (p<0.001) was observed indicating active signalling. Conclusion: BMP receptor expression is down-regulated in the asthmatic airway which may impede repair responses. Allergen provocation increases expression of the regulatory ligand BMP-7, activates BMP signalling and increases receptor expression all of which may contribute to repair and control of inflammation.


Key words: bone morphogenetic protein, BMP ligands, BMP receptors, asthma, signalling







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