Nitric Oxide System and Bronchial Epithelium: More Than a Barrier

Airway epithelium forms a physical barrier that protects the lung from the entrance of inhaled allergens, irritants, or microorganisms. This epithelial structure is maintained by tight junctions, adherens junctions and desmosomes that prevent the diffusion of soluble mediators or proteins between ap...

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Main Authors: María Amparo Bayarri, Javier Milara, Cristina Estornut, Julio Cortijo
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-06-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2021.687381/full
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author María Amparo Bayarri
Javier Milara
Javier Milara
Javier Milara
Cristina Estornut
Julio Cortijo
Julio Cortijo
Julio Cortijo
author_facet María Amparo Bayarri
Javier Milara
Javier Milara
Javier Milara
Cristina Estornut
Julio Cortijo
Julio Cortijo
Julio Cortijo
author_sort María Amparo Bayarri
collection DOAJ
description Airway epithelium forms a physical barrier that protects the lung from the entrance of inhaled allergens, irritants, or microorganisms. This epithelial structure is maintained by tight junctions, adherens junctions and desmosomes that prevent the diffusion of soluble mediators or proteins between apical and basolateral cell surfaces. This apical junctional complex also participates in several signaling pathways involved in gene expression, cell proliferation and cell differentiation. In addition, the airway epithelium can produce chemokines and cytokines that trigger the activation of the immune response. Disruption of this complex by some inflammatory, profibrotic, and carcinogens agents can provoke epithelial barrier dysfunction that not only contributes to an increase of viral and bacterial infection, but also alters the normal function of epithelial cells provoking several lung diseases such as asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis (CF) or lung cancer, among others. While nitric oxide (NO) molecular pathway has been linked with endothelial function, less is known about the role of the NO system on the bronchial epithelium and airway epithelial cells function in physiological and different pathologic scenarios. Several data indicate that the fraction of exhaled nitric oxide (FENO) is altered in lung diseases such as asthma, COPD, lung fibrosis, and cancer among others, and that reactive oxygen species mediate uncoupling NO to promote the increase of peroxynitrite levels, thus inducing bronchial epithelial barrier dysfunction. Furthermore, iNOS and the intracellular pathway sGC-cGMP-PKG are dysregulated in bronchial epithelial cells from patients with lung inflammation, fibrosis, and malignancies which represents an attractive drug molecular target. In this review we describe in detail current knowledge of the effect of NOS-NO-GC-cGMP-PKG pathway activation and disruption in bronchial epithelial cells barrier integrity and its contribution in different lung diseases, focusing on bronchial epithelial cell permeability, inflammation, transformation, migration, apoptosis/necrosis, and proliferation, as well as the specific NO molecular pathways involved.
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spelling doaj.art-fcf4b39786094d86b72ea46f450602b02022-12-21T19:16:34ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2021-06-011210.3389/fphys.2021.687381687381Nitric Oxide System and Bronchial Epithelium: More Than a BarrierMaría Amparo Bayarri0Javier Milara1Javier Milara2Javier Milara3Cristina Estornut4Julio Cortijo5Julio Cortijo6Julio Cortijo7Department of Pharmacology, Faculty of Medicine, University of Valencia, Valencia, SpainDepartment of Pharmacology, Faculty of Medicine, University of Valencia, Valencia, SpainBiomedical Research Networking Centre on Respiratory Diseases (CIBERES), Health Institute Carlos III, Madrid, SpainPharmacy Unit, University General Hospital Consortium of Valencia, Valencia, SpainDepartment of Pharmacology, Faculty of Medicine, University of Valencia, Valencia, SpainDepartment of Pharmacology, Faculty of Medicine, University of Valencia, Valencia, SpainBiomedical Research Networking Centre on Respiratory Diseases (CIBERES), Health Institute Carlos III, Madrid, SpainResearch and Teaching Unit, University General Hospital Consortium of Valencia, Valencia, SpainAirway epithelium forms a physical barrier that protects the lung from the entrance of inhaled allergens, irritants, or microorganisms. This epithelial structure is maintained by tight junctions, adherens junctions and desmosomes that prevent the diffusion of soluble mediators or proteins between apical and basolateral cell surfaces. This apical junctional complex also participates in several signaling pathways involved in gene expression, cell proliferation and cell differentiation. In addition, the airway epithelium can produce chemokines and cytokines that trigger the activation of the immune response. Disruption of this complex by some inflammatory, profibrotic, and carcinogens agents can provoke epithelial barrier dysfunction that not only contributes to an increase of viral and bacterial infection, but also alters the normal function of epithelial cells provoking several lung diseases such as asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis (CF) or lung cancer, among others. While nitric oxide (NO) molecular pathway has been linked with endothelial function, less is known about the role of the NO system on the bronchial epithelium and airway epithelial cells function in physiological and different pathologic scenarios. Several data indicate that the fraction of exhaled nitric oxide (FENO) is altered in lung diseases such as asthma, COPD, lung fibrosis, and cancer among others, and that reactive oxygen species mediate uncoupling NO to promote the increase of peroxynitrite levels, thus inducing bronchial epithelial barrier dysfunction. Furthermore, iNOS and the intracellular pathway sGC-cGMP-PKG are dysregulated in bronchial epithelial cells from patients with lung inflammation, fibrosis, and malignancies which represents an attractive drug molecular target. In this review we describe in detail current knowledge of the effect of NOS-NO-GC-cGMP-PKG pathway activation and disruption in bronchial epithelial cells barrier integrity and its contribution in different lung diseases, focusing on bronchial epithelial cell permeability, inflammation, transformation, migration, apoptosis/necrosis, and proliferation, as well as the specific NO molecular pathways involved.https://www.frontiersin.org/articles/10.3389/fphys.2021.687381/fullbronchial epitheliumnitric oxidenitric oxide synthasesoluble guanylyl cyclasecyclic guanosine-3′5′-monophosphate
spellingShingle María Amparo Bayarri
Javier Milara
Javier Milara
Javier Milara
Cristina Estornut
Julio Cortijo
Julio Cortijo
Julio Cortijo
Nitric Oxide System and Bronchial Epithelium: More Than a Barrier
Frontiers in Physiology
bronchial epithelium
nitric oxide
nitric oxide synthase
soluble guanylyl cyclase
cyclic guanosine-3′
5′-monophosphate
title Nitric Oxide System and Bronchial Epithelium: More Than a Barrier
title_full Nitric Oxide System and Bronchial Epithelium: More Than a Barrier
title_fullStr Nitric Oxide System and Bronchial Epithelium: More Than a Barrier
title_full_unstemmed Nitric Oxide System and Bronchial Epithelium: More Than a Barrier
title_short Nitric Oxide System and Bronchial Epithelium: More Than a Barrier
title_sort nitric oxide system and bronchial epithelium more than a barrier
topic bronchial epithelium
nitric oxide
nitric oxide synthase
soluble guanylyl cyclase
cyclic guanosine-3′
5′-monophosphate
url https://www.frontiersin.org/articles/10.3389/fphys.2021.687381/full
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