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Experimental Physiology 90.4 pp 535-544
DOI: 10.1113/expphysiol.2004.028746
© The Physiological Society 2005
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ATP regulation of ciliary beat frequency in rat tracheal and distal airway epithelium

Tetsuya Hayashi1, Manpei Kawakami1, Shinjiro Sasaki1, Takahiro Katsumata1, Hiroshi Mori2, Hideyo Yoshida3 and Takashi Nakahari3

1 Department of Thoracic and Cardiovascular Surgery2 Department of Pathology3 Department of Physiology, Osaka Medical College, Takatsuki, Osaka 569-8686, Japan


    Abstract
 Top
 Abstract
 Introduction
 Methods
 Results
 Discussion
 References
 
Ciliary beat frequency (CBF) was measured by video-optical microscopy in rat tracheal and distal airway ciliary cells using a slice preparation. In tracheal ciliary cells (tracheal slice), ATP or 2-methylthio ATP (MeSATP) increased CBF, which was inhibited by suramin (100 µM, an inhibitor of purinergic receptor). Ionomycin (5 µM) or thapsigargin (2 µM) increased CBF similarly. Ca2+-free solution or addition of Ni2+ (1 mM) decreased CBF gradually by approximately 25% and subsequent stimulation with ATP (10 µM) increased CBF transiently. The purinergic agonist experiments demonstrated that ATP increases CBF in tracheal ciliary cells via both P2X and P2Y receptors. ATP increased the intracellular calcium concentration ([Ca2+]i) in tracheal ciliary cells. However, in distal airway ciliary cells (lung slice), ATP did not increase CBF and [Ca2+]i, although a Ca2+-free solution decreased CBF, and ionomycin (5 µM) or thapsigargin (2 µM) increased it. Moreover, acetylcholine (100 µM) did not increase CBF in distal airway ciliary cells, although it increased CBF in tracheal ciliary cells. Terbutaline (10 µM), a selective ß2-adrenergic agonist, increased CBF in both tracheal and distal airway ciliary cells. These observations suggest that the Ca2+-mobilization mechanisms via purinergic or muscarinic receptors of the distal airway ciliary cell may be different from those of the tracheal ciliary cell. In conclusion, the CBF increase is differently regulated in the tracheal and distal airway epithelia of the rat.

(Received 21 September 2004; accepted after revision 4 March 2005; first published online 15 March 2005)
Corresponding author T. Nakahari: Department of Physiology, Osaka Medical College, Takatsuki, Osaka 569-8686, Japan. Email: takan{at}art.osaka-med.ac.jp


    Introduction
 Top
 Abstract
 Introduction
 Methods
 Results
 Discussion
 References
 
The mucociliary clearance in airway epithelia is a major host defence mechanism of the lung, whereby foreign materials or irritants are trapped in the mucous layer of the epithelial surface and removed by mucous secreted by the submucosal glands (Wanner et al. 1996). Ciliary beating of airway epithelia plays a key role in mucociliary clearance. Dysfunction of ciliary beating, such as in primary ciliary dyskinesia, leads to recurrent airway infections (Cruz et al. 1974; O'Riordan et al. 1992; Rayner et al. 1995; Wanner et al. 1996).

It is widely accepted that ATP increases the ciliary beat frequency (CBF) of ciliated epithelia in nose, trachea, oesophagus and oviduct (Wanner et al. 1996). ATP, a purinergic agonist, is reported to increase intracellular Ca2+ concentration ([Ca2+]i) in tracheal ciliary cells (Marino et al. 1999; Zhang & Sanderson, 2003). However, the effects of ATP on ciliary function of the distal airways in lungs are unknown. Our previous reports demonstrated that the CBF can be measured in tracheal slices using video microscopy (Kawakami et al. 2004). We have developed this technique to study the ciliary function of the distal airway epithelia. This method allows us to compare CBF responses in tracheal and distal airway epithelia during ATP stimulation.

There are some morphological differences between the tracheal ciliary cells and the distal airway ciliary cells, such as the number and length of cilia, cellular height and density of ciliary cells (Ishii, 1977; Wanner et al. 1996). However, we have only limited knowledge about differences in CBF regulation between tracheal and distal airway ciliary cells.

The differences in CBF regulation between tracheal and distal airway epithelia appear to be important for independently increasing tracheal CBF or distal airway CBF of patients having respiratory problems. The aim of the present study was to clarify the differences in the ATP-stimulated CBF responses between tracheal and distal airway epithelia.


    Methods
 Top
 Abstract
 Introduction
 Methods
 Results
 Discussion
 References
 
Solutions and chemicals

The control solution (solution I) contained (mM): NaCl 121, KCl 4.5, MgCl2 1, CaCl2 1.5, NaHCO3 25, NaHepes 5, HHepes 5 and glucose 5 (pH 7.4). To prepare the Ca2+-free solution CaCl2 was replaced in solution I by 1 mM (solution II). All the solutions were aerated with 95% O2–5% CO2 at 37°C. Adenosine 5'-triphosphate (ATP), adenosine 5'-diphosphate (ADP), 2-methylthio ATP (MeSATP), {alpha},ß-thylene ATP ({alpha}ßmeATP), 3'-O-(4-benzoyl)benzoyl ATP (BzATP), and uridine 5'-triphosphate (UTP) were from Sigma Chemical (St Louis, MO, USA), acetylcholine (ACh), terbutaline, suramin and thapsigargin were from Wako Pure Chemical (Osaka, Japan) and ionomycin was from Calbiochem-Novabiochem (La Jolla, CA, USA).

Cell preparation

Adult male rats (Slc: Wistar/ST) weighing between 150 and 250 g were purchased from SLC Inc. (Hamamatsu, Japan). The rats were anaesthetized by intraperitoneal injection of pentobarbital sodium (60–70 mg kg–1), followed by injection of heparin (1000 units kg–1). The lungs were transcardially perfused with heparinized Ca2+-free solution (4 units ml–1) (Hosoi et al. 2002, 2004; Shiima-Kinoshita et al. 2004; Kawakami et al. 2004). The trachea, lungs and heart were removed from the animals. The lungs and trachea were then cut into small pieces (5–6 mm x 5–6 mm blocks) and suspended in the control solution (4°C).

The experiments were approved by the Animal Research Committee of Osaka Medical College, and the animals were cared for according to the guidelines of this committee.

Measurement of CBF

Before experiments, a tracheal or lung block was cut into thin pieces by two adherent razor blades, each of which was moved in the opposite direction, and thin slices were placed on a coverslip precoated with Cell-Tak (Becton Dickinson Labware, Bedford, MA, USA) to allow slices to adhere firmly to the coverslip. The coverslip with slices was set in the perfusion chamber, the volume of which was approximately 20 µl, and the rate of perfusion was 200 µl min–1 (Fujiwara et al. 1999; Hosoi et al. 2002, 2004; Shiima-Kinoshita et al. 2004; Kawakami et al. 2004). The chamber was mounted on a differential interference contrast (DIC) microscope (BX50WI, Olympus, Tokyo, Japan) which was connected to a video-enhanced contrast (VEC) system (Argus-20, Hamamatsu Photonics, Hamamatsu, Japan). The CBF of the tracheal or distal airway epithelia in a slice preparation was measured from 60 to 120 video frame images (30 Hz) (Shiima-Kinoshita et al. 2004; Kawakami et al. 2004).

Before the experiments, five CBFs were measured every 30 s for 2.5 min and the averaged values of these five CBFs were used as the basal CBF (CBF0). Changes in CBF were expressed as the CBF ratio (CBFt/CBF0); where CBFt is the CBF at time t after the start of stimulation. One experiment was performed using 5–8 coverslips from two to three animals. Values were expressed as the means ± S.E.M. for n preparations. The statistical significance of differences was assessed by ANOVA. Differences were considered significant at P < 0.05.

Measurement of [Ca2+]i

The tracheal and lung blocks were incubated in solution I containing 2% bovine serum albumin (BSA) and 10 µM acetoxymethyl ester (AM) of fura 2 (Dojindo, Kumamato, Japan) for 60 min at room temperature (22–24°C), and then washed three times with solution I containing 2% BSA. The tracheal blocks were resuspended and stored in the solution I containing 2% BSA at 4°C. Fura 2-loaded tracheal slices were placed on a coverslip precoated with neutralized Cell-Tak. The coverslip with slices was set in a perfusion chamber, which was then mounted on the stage of an inverted microscope (IX70, Olympus, Tokyo, Japan) connected to an image-analysis system (Argus/HiSCa, Hamamatsu Photonics) (Fujiwara et al. 1999; Nakahari et al. 1999, 2002; Yoshida et al. 2003). All the experiments were performed at 37°C. The volume of the perfusion chamber was approximately 80 µl and the rate of perfusion was 500 µl min–1. Fura 2 was excited at 340 nm and 380 nm, and emission was measured at 510 nm, and the fluorescence ratio (F340/F380) was calculated and stored in an image-analysis system (Argus/HiSCa). The calibration curve was obtained from the F340/F380 values of the cell-free Ca2+-calibration solutions containing 10 µM fura 2. Solution III contained (mM): KCl 130, NaCl 20, EGTA 2 and Hepes 10. To prepare the cell-free Ca2+-calibration solutions, an appropriate amount of CaCl2 (0.2–2 mM) calculated using a computer program was added to solution III (Fabiato & Fabiato, 1976). The pH was adjusted to 7.05 by adding KOH (1 M). The dissociation constant of Ca2+ and EGTA used was 214 nM (37°C, pH 7.05) (Konishi et al. 1988). One experiment was performed using 5–6 coverslips, and the F340/F380 values of three cells from two to three coverslips were expressed as means ± S.E.M.


    Results
 Top
 Abstract
 Introduction
 Methods
 Results
 Discussion
 References
 
Video frame images obtained from a tracheal slice have been shown in our previous report (Kawakami et al. 2004). In unstimulated tracheal ciliary cells in a slice preparation, the CBFs ranged from 4 to 12 Hz. In the present study, we used ciliary cells the CBFs of which were 6–12 Hz (9.2 ± 0.2 Hz; n = 50). We also observed the ciliary cells of distal airways obtained from lung slices. The CBF of unstimulated distal airway ciliary cells (9.0 ± 0.2 Hz; n = 33) was found to be similar to that of tracheal ciliary cells.

Effects of ATP

Figure 1 shows the effects of ATP on the CBF in tracheal ciliary cells and distal airway ciliary cells. ATP (100 µM) increased CBF biphasically in tracheal ciliary cells; an initial transient phase followed by a sustained phase (Fig. 1A). When ATP was removed from the perfusion solution, CBF decreased immediately. The CBF ratios 1 and 4 min after the addition of ATP (100 µM) were 1.42 ± 0.02 and 1.25 ± 0.06 (n = 5), respectively. ATP (10 µM) induced a similar biphasic increase in CBF. Similar experiments were also performed in distal airway ciliary cells. However, ATP ranging from 0.1 to 100 µM did not induce any increase in the CBF of distal airway ciliary cells (Fig. 1B). The CBF ratio of the initial peak (Fig. 1C) and the sustained phase (Fig. 1D, 4 min after the ATP addition) were plotted against ATP concentration. ATP (100 µM) maximally increased the CBF ratios in the initial peak and the sustained phase in the ciliary cells of tracheal slices. Again, ATP did not increase CBF in the ciliary cells of lung slices.



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Figure 1.  Effects of ATP on CBF in tracheal ciliary cells and distal airway ciliary cells
A, ATP (100 µM) induced a biphasic increase in the CBF of tracheal ciliary cells (Tr, n = 5). B, ATP (100 µM) did not induce any increase in the CBF of distal airway ciliary cells (DA, n = 5). *Significantly different from the control value (P < 0.01). C and D, dose-dependent effects of ATP on the initial peak (C) and sustained phase (D) of CBF in tracheal and distal airway ciliary cells. CBF ratios 4 min after the ATP stimulation were plotted. Tr, tracheal ciliary cells; DA, distal airway ciliary cells.

 
The effects of MeSATP (100 µM, a non-selective agonist of purinergic receptor) were examined in both tracheal and distal airway ciliary cells. MeSATP increased CBF of the tracheal ciliary cells by a similar amount to ATP (100 µM) (Fig. 2A); however, it did not induce any increase in CBF in the distal airway ciliary cells (Fig. 2B).



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Figure 2.  Effects of MeSATP on CBF
MeSATP (100 µM, a non-selective purinergic receptor agonist) increased CBF by a similar amount to ATP (100 µM) in the trachea (A) but had no effect in the distal airway (B).

 
The effects of suramin (100 µM, an inhibitor of purinergic receptors) were examined during ATP stimulation. In tracheal ciliary cells, ATP (10 µM) increased CBF biphasically, and the subsequent addition of suramin immediately decreased CBF to the prestimulation level, and then, the removal of suramin increased CBF to the sustained level present before the addition of suramin (Fig. 3A). The CBF ratios before and 1 min after the addition of suramin were 1.28 ± 0.02 and 0.99 ± 0.03 (n = 6), respectively. Thus, increases in CBF induced by ATP were inhibited by suramin in tracheal ciliary cells. However, in distal airway ciliary cells, suramin (100 µM) did not induce any change in CBF ratio (Fig. 3B).



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Figure 3.  Effects of suramin on the CBF in airway ciliary epithelial cells
Suramin (100 µM) eliminated the ATP-induced increase in the CBF of tracheal ciliary cells (A, n = 6) but did not induce any change in the CBF of distal airway ciliary cells (B, n = 4). Concentration of ATP used was 10 µM.

 
Effect of a Ca2+-free solution

Infusion of a Ca2+-free solution (solution II) decreased the CBF gradually to a plateau value in tracheal ciliary cells (CBF ratio at 11 min after the switching to the Ca2+-free solution (solution II) was 0.68 ± 0.06; n = 4) (Fig. 4A). Cells were perfused with solution II for 7 min prior to stimulation with 10 µM ATP. Stimulation with ATP increased CBF rapidly to a peak value and CBF returned to baseline values shortly thereafter in tracheal ciliary cells. The CBF ratios at 1 and 5 min after the ATP stimulation were 1.26 ± 0.08 and 0.85 ± 0.09 (n = 5), respectively (Fig. 4B). Experiments were performed in the presence of Ni2+ (1 mM, an inhibitor of Ca2+ channels). Addition of Ni2+ decreased CBF gradually in tracheal ciliary cells, in a similar manner to solution II (CBF ratio at 7 min after the addition of NaCl2 was 0.77 ± 0.06; n = 5) in tracheal ciliary cells, and then ATP (10 µM) induced a transient increase in the CBF of tracheal ciliary cells (Fig. 4C).



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Figure 4.  Effects of Ca2+ on the CBF of tracheal ciliary cells
A, Ca2+-free solution decreased CBF gradually (CBF ratio 11 min after the infusion of Ca2+-free solution was 0.68 ± 0.06; n = 4). B, ATP (10 µM) increased CBF transiently during perfusion with a Ca2+-free solution (n = 4). C, Ni2+ decreased CBF gradually and the subsequent addition of ATP (10 µM) increased CBF transiently. CBF ratio 7 min after the infusion of Ni2+ was 0.77 ± 0.04 (n = 5).

 
Distal airway ciliary cells were perfused with the Ca2+-free solution, which decreased the CBF gradually (CBF ratio at 11 min after the removal of Ca2+ was 0.76 ± 0.04; n = 4) (Fig. 5A). The addition of Ni2+ also decreased the CBF in the distal airway ciliary cells (Fig. 5B).



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Figure 5.  Effects of Ca2+ on the CBF of distal airway ciliary cells
A, Ca2+-free solution; B, 1 mM Ni2+.

 
To increase [Ca2+]i, cells were treated with ionomycin (5 µM) or thapsigargin (2 µM). Ionomycin or thapsigargin gradually increased the CBF in both tracheal and distal airway ciliary cells. The CBF ratio after the addition of ionomycin or thapsigargin was 1.26 ± 0.06 (at 6 min, n = 4) or 1.26 ± 0.04 (at 9 min, n = 6), respectively, in tracheal ciliary cells (Fig. 6A and B), and 1.19 ± 0.03 (at 6 min, n = 3) or 1.17 ± 0.03 (at 9 min, n = 4), respectively, in distal airway ciliary cells (Fig. 6C and D). Therefore, increases in [Ca2+]i increase CBF in both tracheal and distal airway ciliated cells.



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Figure 6.  Effect of ionomycin (IM, 5 µµM) and thapsigargin (TG, 2 µµM) on the CBF in airway ciliary epithelial cells
Ionomycin (5 µM) increased the CBF of both tracheal ciliary cells (A, n = 4) and distal airway ciliary cells (C, n = 3). Thapsigargin (2 µM) increased the CBF of both tracheal ciliary cells (B, n = 6) and distal airway ciliary cells (D, n = 4). *Significantly higher than the control value (P < 0.01).

 
Effects of P2Y receptor agonists

The tracheal ciliary cells were stimulated with ADP and UTP (Fig. 7A and B). ADP (100 µM) induced a sustained increase in CBF (CBF ratio 1 min after the addition was 1.12 ± 0.07, n = 9). UTP (100 µM) also induced a sustained increase in CBF (CBF ratio 1 min after the addition was 1.34 ± 0.06, n = 6). Thus, the effects of P2Y receptor agonists on tracheal CBF were as follows; UTP = ATP >> ADP.



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Figure 7.  Effects of P2Y receptor agonists (ADP and UTP) on CBF of the tracheal ciliary cells
A, ADP (100 µM) induced a sustained increase in CBF. The extent of CBF increase induced by ADP is small compared with that induced by ATP (100 µM). B, UTP (100 µM) induced a sustained increase in CBF. The extent of CBF increase induced by UTP is similar to that induced by ATP (100 µM).

 
Effects of P2X receptor agonists

Tracheal ciliary cells were stimulated with {alpha}ßmeATP and BzATP (Fig. 8A and B). {alpha}ßmeATP (100 µM) induced a rapid increase followed by a gradual decrease in CBF. The CBF ratios 1 and 5 min after the addition were 1.26 ± 0.04 and 1.12 ± 0.06 (n = 5), respectively. BzATP (100 µM) also induced a rapid increase followed by a gradual decrease in CBF. The CBF ratios 1 and 5 min after the addition were 1.24 ± 0.08 and 1.06 ± 0.08 (n = 5), respectively. Thus, the effects of P2X receptor agonists on the tracheal CBF were as follows; ATP > {alpha}ßmeATP = BzATP.



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Figure 8.  Effects of P2X receptor agonists ({alpha}ß{alpha}ßmeATP and BzATP) on CBF of the tracheal ciliary cells
A, {alpha}ßmeATP (100 µM) induced a rapid increase followed by a gradual decrease in CBF. The extent of CBF increase induced by {alpha}ßmeATP is small compared with that induced by ATP (100 µM). B, BzATP (100 µM, a P2X7 receptor agonist) induced a rapid increase followed by a gradual decrease in CBF. The extent of CBF increase induced by BzATP (100 µM) is similar to that induced by {alpha}ßmeATP (100 µM).

 
Measurement of [Ca2+]i

The [Ca2+]i of ciliary cells were measured using fura 2 (Fig. 9). ATP (10 µM) increased the F340/F380 biphasically in tracheal cells; a transient increase followed by a sustained increase. However, ATP (10 µM) did not induce any increase in F340/F380 in distal airway cells.



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Figure 9.  Effect of ATP (10 µµM) on [Ca2+]i in airway ciliary epithelial cells
Change in [Ca2+]i was expressed as the fura 2 fluorescence ratio (F340/F380). ATP (10 µM) evoked a transient increase followed by a sustained increase in F340/F380 in tracheal ciliary cells (•, n = 3), but no increase in distal airway ciliary cells ({circ}, n = 3).

 
Effects of ACh and terbutaline

The effects of acetylcholine (Fig. 10) or terbutaline (Fig. 11) were also examined, because both agonists are well known to increase the CBF of tracheal ciliary cells. Acetylcholine (ACh, 100 µM, a muscarinic agonist) increased and sustained the rise in CBF. The CBF ratio at 2.5 min after ACh stimulation was 1.23 ± 0.02 (n = 4) in tracheal cells (Fig. 10A), and Ach did not induce an increase in the CBF of the distal airway cells (Fig. 10B).



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Figure 10.  Effect of ACh (100 µµM) on the CBF in airway ciliary epithelial cells
A, tracheal ciliary cells (tracheal slice). ACh (100 µM) increased the CBF (CBF ratio, 1.23 ± 0.02, n = 4) of tracheal ciliary cells. *Significantly higher than the control CBF (P < 0.01). B, distal airway ciliary cells (lung slice). ACh (100 µM) did not increase the CBF of distal airway ciliary cells.

 


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Figure 11.  Effect of terbutaline (10 µM) on the CBF in airway ciliary epithelial cells
Terbutaline (10 µM) increased the CBF (CBF ratio, 1.30 ± 0.07, n = 4) of tracheal ciliary cells (A) and of distal airway ciliary cells (B; CBF ratio, 1.21 ± 0.09 n = 3). *Significantly higher than the control CBF (P < 0.01).

 
In contrast to ACh, terbutaline (10 µM, a selective ß2-agonist) stimulated CBF in both tracheal and distal airway cells. The CBF ratios at 4 min after terbutaline stimulation were 1.30 ± 0.07 (n = 4) in the tracheal cells, and 1.21 ± 0.09 (n = 3) in the distal airway cells (Fig. 11A and B).


    Discussion
 Top
 Abstract
 Introduction
 Methods
 Results
 Discussion
 References
 
Regulation of CBF in airway epithelium has been investigated extensively by many investigators, although most studies were performed using tracheal or nasal ciliary cells in primary culture (Wanner et al. 1996; Zagoory et al. 2002; Lieb et al. 2002; Zhang & Sanderson, 2003). The present study demonstrates that the CBF of tracheal or distal airway epithelium can be measured directly by video-enhanced contrast (VEC) microscopy using slice preparations (Kawakami et al. 2004). The CBFs of tracheal or lung slices were found to be in the range of 7–14 Hz. Because the national television standards committee (NTSC) video frame rate is 30 Hz, we can measure the CBF from video images, and these values were found to be similar to those reported in tracheal ciliary cells in primary culture (Wanner et al. 1996; Zagoory et al. 2002; Lieb et al. 2002; Zhang & Sanderson, 2003) as well as to those in single isolated distal airway ciliary cells (Shiima-Kinoshita et al. 2004). The results of the present study demonstrates that CBF responses to ATP are different between the tracheal and the distal airway epithelia.

In unstimulated ciliated cells of tracheal and distal airway epithelia, the CBF was mainly maintained by Ca2+-independent mechanisms, as a reduction of Ca2+ influx by a Ca2+-free solution or Ni2+ decreased CBF by approximately 20%, as previously reported (Kawakami et al. 2004), and [Ca2+]i in the ciliated cells was similar in both tracheal and distal airway epithelia.

In tracheal ciliary cells, ATP increased CBF biphasically; an initial transient increase, followed by a sustained increase, and this was also induced by the addition of ionomycin or thapsigargin. A Ca2+-free solution (solution II) or the addition of Ni2+ eliminated the ATP-induced CBF increase, although it is interesting that the inital transient phase was still maintained. Measurement of the fura 2 fluorescence ratio (F340/F380) demonstrated that ATP increased the [Ca2+]i in tracheal ciliary cells. These results suggest that ATP increases the CBF via [Ca2+]i elevation (Ca2+ release from internal stores followed by Ca2+ entry) in the ATP-stimulated tracheal ciliary cells.

On the other hand, ATP did not induce any CBF increase in distal airway ciliary cells, and measurement of [Ca2+]i demonstrated that ATP does not increase [Ca2+]i in distal airway cells. In single distal airway ciliary cells obtained by elastase treatment (Shiima-Kinoshita et al. 2004), ATP also failed to increase the CBF (data not shown). Ionomycin or thapsigargin did, however, increase the CBF in distal airway cells. This indicates that no [Ca2+]i increase occurred in ATP-stimulated distal airway ciliary cells.

There are two subtypes of ATP receptors (P2X and P2Y) in tracheal epithelial cells (Marino et al. 1999). The P2X receptors induce Ca2+ influx via ATP-gated Ca2+-permeable channels, while the P2Y receptors induce Ca2+ release from stores via inositol 1,4,5-trisphosphate (IP3) (Harden et al. 1995; Ralevic & Burnstock, 1998). As mentioned above, in the absence of extracellular Ca2+, CBF measurements suggest that ATP mobilizes Ca2+ from internal stores in the tracheal ciliary cells. The P2Y agonist studies (order of efficacy, UTP = ATP >> ADP) suggest that P2Y2 exists in tracheal ciliary cells, while the P2X agonist studies (order of efficacy, ATP = MeSATP > {alpha}ßmeATP = BzATP) suggest that P2X1, P2X2, P2X3 and P2X7 may exist in tracheal ciliary cells. It has been reported already that messenger RNAs for the P2X4, P2X7, P2Y1 and P2Y2 receptors are expressed in rat tracheal epithelial cells (Marino et al. 1999). These observstions indicate that P2X receptor subtypes (P2X1–4 and 7) and P2Y receptor subtypes (P2Y1–2) play an important role in CBF regulation of tracheal eptheium.

On the other hand in distal airway ciliary cells, ATP did not induce an increase in CBF or in [Ca2+]i. There are some reports showing that culture conditions and culture time alter the activity, number or expression of P2 receptors (Turner et al. 1997; Clunes et al. 1998). There are some morphological differences between tracheal ciliary cells and distal airway ciliary cells, such as cell height, number of cilia, length of cilia and the proportion of ciliary cells and goblet cells (Ishii, 1977; Wanner et al. 1996; Rhee et al. 2001). The ciliary cells in the trachea and distal airways may differ in their stages of differentiation, which would cause some difference in the purinergic receptor activity.

ACh failed to increase CBF in distal airway epithelia, although it did increase CBF in tracheal ciliary cells. The slice preparations are unlikely to have affected the CBF responses to agonists, as terbutaline (a ß2-agonist) increased the CBF in both tracheal and distal airway ciliary cells.

ATP and ACh, which lead to the accumulation of [Ca2+]i in many cell types, do not increase the CBF of distal airway epithelia. However terbutaline, which leads to the accumulation of cAMP in many cell types, increases the CBF in both tracheal and distal airway epithelia. Thus, the CBF of the rat distal airway epithelia was mainly under ß2-adrenergic regulation, and not under purinergic or muscarinic regulation.

The physiological role of the differences in CBF regulation between the tracheal and the distal airway epithelia still remains uncertain. Foreign materials, which are trapped within the distal airways, are removed via the trachea. Therefore, activation of CBF in the tracheal epithelial cells is required to remove foreign material originating in the distal airways. Thus, tracheal cells may require various activation mechanisms, as they are exposed to foreign material more frequently than the distal airway epithelium. Mechanical stimulation of tracheal ciliary cells causes an increase in CBF by elevation of [Ca2+]i mediated by ATP receptors (Hansen et al. 1993; Sanderson & Dirksen, 1989). Moreover, Smith et al. (1996) reported that the interactions between cAMP and Ca2+ regulate CBF in the proximal airways. These mechanisms appear to play an important role in the removal of foreign material from the trachea. The Ca2+-mobilizing systems that regulate CBF may develop in tracheal ciliary cells during cellular differentiation. Further studies will be required to clarify the difference between the regulation of tracheal and distal airway cell CBF.

In conclusion, CBF is differently regulated in tracheal and distal airway ciliary cells; the CBF of tracheal ciliary cells is increased by ATP, ACh and terbutaline, while that of distal airway ciliary cells is increased only by terbutaline. These differences may play an important role in removing irritants from distal to proximal airway trees.


    References
 Top
 Abstract
 Introduction
 Methods
 Results
 Discussion
 References
 
Clunes MT, Collet A, Baines DL, Bovell DL, Murphie H, Inglis SK, McAlroy HL, Olver RE & Wilson SM (1998). Culture substrate-specific expression of P2Y2 receptors in distal lung epithelial cells isolated from foetal rats. Br J Pharmacol 124, 845–847.[CrossRef][Medline]

Cruz RS, Landa J, Hirsch J & Sackner MA (1974). Tracheal mucous velocity in normal man and patients with obstructive lung disease; effects of terbutaline. Am Rev Respir Dis 109, 458–463.[Medline]

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Fujiwara S, Shimamoto C, Katsu K, Imai Y & Nakahari T (1999). Isosmotic modulation of Ca2+-regulated exocytosis in guinea-pig antral mucous cells: role of cell volume. J Physiol 516, 85–100.[Abstract/Free Full Text]

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