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Publication : CFTR dysfunction in smooth muscle drives TGFβ dependent airway hyperreactivity.

First Author  Kramer EL Year  2023
Journal  Respir Res Volume  24
Issue  1 Pages  198
PubMed ID  37568151 Mgi Jnum  J:359124
Mgi Id  MGI:7780289 Doi  10.1186/s12931-023-02495-2
Citation  Kramer EL, et al. (2023) CFTR dysfunction in smooth muscle drives TGFbeta dependent airway hyperreactivity. Respir Res 24(1):198
abstractText  BACKGROUND: The primary underlying defect in cystic fibrosis (CF) is disrupted ion transport in epithelia throughout the body. It is unclear if symptoms such as airway hyperreactivity (AHR) and increased airway smooth muscle (ASM) volume in people with CF are due to inherent abnormalities in smooth muscle or are secondary to epithelial dysfunction. Transforming Growth Factor beta 1 (TGFbeta) is an established genetic modifier of CF lung disease and a known driver of abnormal ASM function. Prior studies have demonstrated that CF mice develop greater AHR, goblet cell hyperplasia, and ASM hypertrophy after pulmonary TGFbeta exposure. However, the mechanism driving these abnormalities in CF lung disease, specifically the contribution of CFTR loss in ASM, was unknown. METHODS: In this study, mice with smooth muscle-specific loss of CFTR function (Cftr(fl/fl); SM-Cre mice) were exposed to pulmonary TGFbeta. The impact on lung pathology and physiology was investigated through examination of lung mechanics, Western blot analysis, and pulmonary histology. RESULTS: Cftr(fl/fl); SM-Cre mice treated with TGFbeta demonstrated greater methacholine-induced AHR than control mice. However, Cftr(fl/fl); SM-Cre mice did not develop increased inflammation, ASM area, or goblet cell hyperplasia relative to controls following TGFbeta exposure. CONCLUSIONS: These results demonstrate a direct smooth muscle contribution to CF airway obstruction mediated by TGFbeta. Dysfunction in non-epithelial tissues should be considered in the development of CF therapeutics, including potential genetic therapies.
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