- Open Access
Pseudomonas aeruginosa elastase causes transient disruption of tight junctions and downregulation of PAR-2 in human nasal epithelial cells
© Nomura et al.; licensee BioMed Central Ltd. 2014
- Received: 10 November 2013
- Accepted: 31 January 2014
- Published: 18 February 2014
Pseudomonas aeruginosa causes chronic respiratory disease, and the elastase enzyme that it produces increases the permeability of airway epithelial cells owing to the disruption of tight junctions. P. aeruginosa is also implicated in prolonged chronic rhinosinusitis. However, the effects of P. aeruginosa elastase (PE) against the barrier formed by human nasal epithelial cells (HNECs) remain unknown.
To investigate the mechanisms involved in the disruption of tight junctions by PE in HNECs, primary cultures of HNECs transfected with human telomerase reverse transcriptase (hTERT-HNECs) were used. The hTERT-HNECs were pretreated with inhibitors of various signal transduction pathways, PKC, MAPK, p38MAPK, PI3K, JNK, NF-κB, EGF receptor, proteasome, COX1 and COX2 before treatment with PE. Some cells were pretreated with siRNA and agonist of protease activated receptor-2 (PAR-2) before treatment with PE. Expression and structures of tight junctions were determined by Western blotting, real-time PCR, immunostaining and freeze-fracture. Transepithelial electrical resistance (TER) was examined as the epithelial barrier function.
PE treatment transiently disrupted the epithelial barrier and downregulated the transmembrane proteins claudin-1 and -4, occludin, and tricellulin, but not the scaffold PDZ-expression proteins ZO-1 and -2 and adherens junction proteins E-cadherin and β-catenin. The transient downregulation of tight junction proteins was controlled via distinct signal transduction pathways such as the PKC, MAPK, PI3K, p38 MAPK, JNK, COX-1 and -2, and NF-κB pathways. Furthermore, treatment with PE transiently decreased PAR-2 expression, which also regulated the expression of the tight junction proteins. Treatment with a PAR-2 agonist prevented the downregulation of the tight junction proteins after PE treatment in HNECs.
PE transiently disrupts tight junctions in HNECs and downregulates PAR-2. The transient disruption of tight junctions by PE might occur repeatedly during chronic rhinosinusitis.
- Pseudomonas aeruginosa elastase
- Tight junctions
- Barrier function
- Human nasal epithelial cells
- Signal transduction
Pseudomonas aeruginosa (P. aeruginosa) is a virulent Gram-negative bacterium that causes aggressive infections in patients compromised by pre-existing respiratory disease such as cystic fibrosis and diffuse panbronchiolitis [1, 2]. P. aeruginosa is also associated with prolonged chronic rhinosinusitis (CRS) .
P. aeruginosa secretes several virulence factors such as exotoxin A, exoenzyme S, pyocyanin, and elastase, which play an important role in pathogenesis [4, 5]. P. aeruginosa elastase (PE) increases paracellular permeability in lung epithelial cells via mechanisms involving tight junction disruption and cytoskeletal reorganization . PE affects epithelial cells via multiple mediators of signaling including activation of PKC, EGFR, ERK1/2, NF-κB, urokinase/uPAR, and protease activated receptor-2 (PAR-2) [1, 2, 7–11]. PKC signaling is involved in PE-induced epithelial barrier disruption via tight junction translocation and cytoskeletal reorganization in the human bronchial adenocarcinoma cell line Calu-3 .
PE disables PAR-2 in respiratory epithelial cells . Protease-activated receptors (PARs) are G protein-coupled receptors with seven transmembrane domains, which are cleaved at an activation site within the N-terminal exodomain by a variety of proteases . Four PARs (PAR-1, -2, -3, and -4) have been identified and are widely expressed by cells in blood vessels, connective tissue, leukocytes, epithelium, and many airway cells . PAR-2 is expressed in airway epithelium, and its activation initiates multiple effects including enhanced airway inflammation and reactivity . Upregulation of PAR-2 is observed in the respiratory epithelium of patients with asthma and chronic rhinosinusitis [14, 15]. PAR-2 activation also affects the airway epithelial barrier . However, details of the mechanistic effects of PE against the epithelial barrier via PAR-2 remain unknown.
Airway epithelium of human nasal mucosa acts as a physical barrier that protects against inhaled substances and pathogens because of its tight junctions, the most apical intercellular junctions [17–19]. Tight junctions are formed by not only the integral membrane proteins claudins, occludin, tricellulin, and junctional adhesion molecules (JAMs), but also by many peripheral membrane proteins, including the scaffold PDZ-expression proteins zonula occludens (ZO) and non-PDZ-expressing proteins [20–23]. We previously reported that, in HNECs in vivo, the tight junction molecules occludin, tricellulin, JAM-A, claudin-1, -4, -7, -8, -12, -13, and -14, and ZO-1 and -2 were detected together with well-developed tight junction strands [17, 24, 25]. The tight junctions and the well-developed barrier function in primary in vitro cultures of HNECs transfected with human telomerase reverse transcriptase (hTERT-HNECs) were very similar to those observed in HNECs in vivo[24–27]. Furthermore, in the in vitro HNECs, tight junction molecules and barrier function are upregulated by various stimuli via distinct signal transduction pathways .
In the present study, to investigate the effects of elastase on the tight junction barrier of HNECs, hTERT-HNECs were treated with PE. Treatment with PE transiently disrupted the epithelial barrier and downregulated the transmembrane proteins claudin-1 and -4, occludin, and tricellulin but not the scaffold PDZ-expression proteins ZO-1 and -2 and adherens junction proteins E-cadherin and β-catenin. Downregulation of tight junction proteins because of PE treatment was mediated via distinct signal transduction pathways. Furthermore, treatment with PE transiently decreased PAR-2 expression, which partially regulated the expression of the tight junction proteins. A PAR-2 agonist prevented the downregulation of tight junction proteins after PE treatment in HNECs.
A pan-PKC inhibitor (GF109203X), MEK1/2 inhibitor (U0126), p38 MAPK inhibitor (SB203580), and PI3K inhibitor (LY294002) were purchased from Calbiochem-Novabiochem Corporation (San Diego, CA). JNK inhibitor (SP600125) and NF-κB inhibitor (IMD-0354) were purchased from Sigma-Aldrich (St. Louis, MO). Epidermal growth factor (EGF) receptor inhibitor (AG1478) was purchased from Calbiochem-Novabiochem Corporation (San Diego, CA). Proteasome inhibitor (MG132), the COX1 inhibitor (FR122047), and COX2 inhibitor were purchased from Calbiochem Novabiochem Corporation (San Diego, CA). Pseudomonas aeruginosa elastase and neutrophil elastase were purchased from Elastin Products Company, Inc. (Owensville, USA). Protease activated receptor 2 (PAR-2) agonist (SLIGKV-NH2) was purchased from R&D Systems, Inc. (Minneapolis, MN). Alexa 488 (green)- and Alexa 594 (red)-conjugated anti-mouse and anti-rabbit IgG antibodies were purchased from Invitrogen. HRP-conjugated polyclonal goat anti-rabbit immunoglobulins were purchased from Dako A/S (Glostrup, Denmark). The ECL Western blotting system was obtained from GE Healthcare UK, Ltd. (Buckinghamshire, UK).
Cell culture and treatments
The cultured HNECs were derived from the mucosal tissues of patients who underwent inferior turbinectomy at the Sapporo Hospital of Hokkaido Railway Company and the KKR Sapporo Medical Center Tonan Hospital. Informed consent was obtained from all patients and this study was approved by the ethical committees of Sapporo Medical University, the Sapporo Hospital of Hokkaido Railway Company, and the KKR Sapporo Medical Center Tonan Hospital.
The procedures for primary culture of human nasal epithelial cells were as reported previously . Primary cultured HNECs were transfected with the catalytic component of telomerase, the human catalytic subunit of the telomerase reverse transcriptase (hTERT) gene as described previously . The cells were plated on 35-mm or 60-mm culture dishes (Corning Glass Works, Corning, NY, USA), which were coated with rat tail collagen (500 μg of dried tendon/ml 0.1% acetic acid). The cells were cultured in serum-free bronchial epithelial cell basal medium (BEBM, Lonza Walkersville, Inc.; Walkersville, MD, USA) supplemented with bovine pituitary extract (1% v/v), 5 μg/ml insulin, 0.5 μg/ml hydrocortisone, 50 μg/ml gentamycin, 50 μg/ml amphotericin B, 0.1 ng/ml retinoic acid, 10 μg/ml transferrin, 6.5 μg/ml triiodothyronine, 0.5 μg/ml epinephrine, 0.5 ng/ml epidermal growth factor (Lonza Walkersville, Inc.), 100 U/ml penicillin and 100 μg/ml streptomycin (Sigma-Aldrich) and incubated in a humidifier, 5% CO2:95% air incubator at 37°C. This experiment used cells in the second and third passage. The hTERT-HNECs were treated with 0.1 U (a unit of 3.83 μg/ml) Pseudomonas aeruginosa elastase (PE) or 0.01 U (a unit of 1.25 μg/ml) neutrophil elastase (NE). Some cells were pretreated with or without inhibitors of pan-PKC, MEK1/2, p38MAPK, PI3K, JNK, NF-κB, EGF receptor, proteasome, COX1, COX2 and PAR-2 agonist 30 min before treatment with 0.1 U PE. The concentrations of the various inhibitors were used following our previous reports [28, 29].
Transfection with small interfering RNA (siRNA)
siRNA duplex oligonucleotides against human PAR 2 (sc-36188) were synthesized by Santa Cruz Biotechnology, inc. (Santa Cruz, CA). The hTERT-transfected HNECs at 24 h after plating were transfected with 100 nM siRNA of PAR-2 using Lipofectamine™ RNAiMAX Reagent (Invitrogen). Some cells were treated with 0.1 U PE after transfection with 100 nM siRNS of PAR-2 for 48 h.
RNA isolation, RT-PCR, and real-time RT-PCR analysis
Primers for RT-PCR
Product size (bp)
Real-time PCR detection was performed using a TaqMan Gene Expression Assay kit with a StepOnePlus™ real-time PCR system (Applied Biosystems; Foster City, CA, USA). The amount of 18S ribosomal RNA (rRNA) (Hs99999901) in each sample was used to standardize the quantity of the following mRNAs: tricellulin (Hs00930631), claudin-1 (Hs00221623), claudin-4 (Hs00533616), claudin-7 (Hs00154575), occludin (Hs00170162).
The relative mRNA expression levels between the control and treated samples were calculated by the difference of the threshold cycle (comparative CT [∆∆CT] method) and presented as the average of triplicate experiments with a 95% confidence interval.
Western blot analysis
The hTERT-transfected HNECs were scraped from a 60 mm dish containing 300 μl of buffer (1 mM NaHCO3 and 2 mM phenylmethylsulfonyl fluoride), collected in microcentrifuge tubes, and then sonicated for 10 s. The protein concentrations of the samples were determined using a BCA protein assay reagent kit (Pierce Chemical Co.; Rockford, IL, USA). Aliquots of 15 μl of protein/lane for each sample were separated by electrophoresis in 5–20% SDS polyacrylamide gels (Daiichi Pure Chemicals Co.; Tokyo, Japan), and electrophoretic transfer to a nitrocellulose membrane (Immobilon; Millipore Co.; Bedford, UK) was performed.
Zymed Laboratories (San Francisco, CA)
Zymed Laboratories (San Francisco, CA)
Zymed Laboratories (San Francisco, CA)
Zymed Laboratories (San Francisco, CA)
Zymed Laboratories (San Francisco, CA)
Zymed Laboratories (San Francisco, CA)
Zymed Laboratories (San Francisco, CA)
Sigma-Aldrich (St. Louis, MO)
BD Biosciences (San Jose, CA)
Zymed Laboratories (San Francisco, CA)
The hTERT-transfected HNECs grown in 35-mm glass-coated wells (Iwaki, Chiba, Japan), were fixed with cold acetone and ethanol (1:1) at –20°C for 10 min. After rinsing in PBS, the cells were incubated with anti-occludin and anti-claudin-1 antibodies (Table 2) at room temperature for 1 h. Alexa Fluor 488 (green)-conjugated anti-rabbit IgG and Alexa Fluor 592 (red)-conjugated anti-mouse IgG (Invitrogen) were used as secondary antibodies. The specimens were examined using a confocal laser scanning microscope (LSM510; Carl Zeiss, Jena, Germany).
For the freeze-fracture technique, the cells were immersed in 40% glycerin solution after fixation in 2.5% glutaraldehyde/0.1 M phosphate-buffered saline (PBS). The specimens were fractured at –150°C to –160°C in a JFD-7000 freeze-fracture device (JEOL, Ltd., Tokyo, Japan) and replicated by deposition of platinum/carbon from an electron beam gun positioned at a 45° angle followed by carbon applied from overhead. Replicas were examined at 100kV with a JEM transmission electron microscope (JEOL Ltd., Tokyo, Japan).
Continuous online measurements of transepithelial electrical resistance (TER)
Cells were cultured to confluence on the inner chambers of 12-mm Transwell 0.4-μm pore-size filters (Corning Life Science). Transepithelial electrical resistance (TER) was monitored using a cellZscope (nanoAnalytics, Germany), a computer controlled automated multi-well device (12 wells). The values are expressed in standard units of ohms per square centimeter and presented as the mean ± SD of triplicate experiments.
Signals were quantified using Scion Image Beta 4.02 Win (Scion Co.; Frederick, MA). Each set of results shown is representative of at least three separate experiments. Results are given as means ± SEM. Differences between groups were tested by ANOVA followed by a post-hoc test and an unpaired two-tailed Student’s t test and considered to be significant when p < 0.05.
P. aeruginosaelastase (PE) transiently reduces the expression of transmembrane proteins in the tight junctions in HNECs
Furthermore, we investigated the effects of neutrophil elastase (NE) on the expression of tight junction and adherens junction molecules in HNECs, to compare the effects of PE. When hTERT-HNECs were treated with 0.01 U NE for 30 min, 1 h, 2 h, and 4 h, claudin-1, occludin, and tricellulin protein levels were transiently reduced 30 min post-treatment with NE, while no changes in claudin-4, -7, ZO-1, ZO-2, E-cadherin and β-catenin protein levels were observed (Additional file 1). NE did not affect mRNA levels of claudin-1, occludin, and tricellulin (Additional file 1).
PE affects the distribution of transmembrane tight junction proteins and the formation of tight junction strands in HNECs
Furthermore, we performed freeze-fracture analysis to investigate changes in the tight junction strands in hTERT-HNECs 1 h after treatment with 0.1 U of PE. In the control cells, a network composed of several continuous tight junction strands was observed (Figure 3B). The cells treated with PE exhibited a reduced number of tight junction strands, which were partially disrupted (Figure 3B).
PE transiently reduces the tight junction barrier function of HNECs
The reduction of transmembrane tight junction proteins by PE is regulated via distinct signaling pathway
PE reduces PAR-2 expression in HNECs
Knockdown of PAR-2 downregulates transmembrane tight junction proteins in HNECs with or without treatment with PE
We investigated whether PAR-2 expression affects transmembrane tight junction proteins in HNECs with or without treatment with PE. Occludin and claudin-1 mRNA and protein levels in hTERT-HNECs without PE-treatment were reduced by the knockdown of PAR-2 using siRNA (Figure 6C and D). The occludin and claudin-1 protein levels in hTERT-HNECs 1 h post treatment with 0.1 U PE decreased after the knockdown of PAR-2 (Figure 6E).
The downregulation of transmembrane tight junction proteins by PE treatment is prevented by PAR-2 agonist
In this study, we first found that PE transiently disrupted the epithelial barrier of HNECs by the downregulation of transmembrane tight junction proteins via distinct signal transduction pathways. Furthermore, PE decreased PAR-2 expression, which plays a crucial role in the maintenance of tight junction proteins in HNECs.
PE increases paracellular permeability in lung epithelial cells by causing tight junction disruption and cytoskeletal reorganization . Furthermore, PE decreases epithelial barrier function in a time-dependent manner in the human bronchial adenocarcinoma cell line Calu-3 by reduced localization of occludin and ZO-1 in the membrane fraction . In these airway epithelial cells, the barrier function is not recovered after treatment with PE. In the present study, treatment with PE transiently decreased the epithelial barrier of HNECs together with downregulation of the transmembrane proteins claudin-1 and -4, occludin, and tricellulin but not the scaffold PDZ-expression proteins ZO-1 and -2 and adherens junction proteins E-cadherin and β-catenin. Furthermore, reduced localization of occludin and claudin-1 and the disruption of tight junction structure were observed following PE treatment. Nevertheless the expression of claudin-1 and occludin by treatment with PE was markedly reduced at the level of mRNA and protein compared to the control, the immunostaining of these two proteins did not represent the dramatic reduction. In the present study using HNECs, it is possible that PE may strongly affect the synthesis of the tight junction proteins rather than the localization, although the detailed mechanisms are unclear. Treatment with NE also transiently decreased claudin-1, occludin, and tricellulin protein levels in HNECs. The sensitivity to PE in HNECs and other airway epithelial cells is different. PE, as a thermolysin-like metalloproteinase , may more strongly degrade the extracellular loops of transmembrane proteins in HNECs than other airway epithelial cells.
The tight junction proteins are regulated by various cytokines and growth factors via distinct signal transduction pathways [23, 31]. In HNECs in vitro, tight junction proteins and the barrier function are also regulated by various stimuli via distinct signal transduction pathways . On the other hand, PE affects the epithelial cells via multiple mediators of signaling, including activation of PKC, EGFR, Erk1/2, NF-κB, urokinase/uPAR and protease activated receptor-2 (PAR-2) [1, 2, 7–11]. PKC signaling is involved during PE-induced epithelial barrier disruption via tight junction translocation and cytoskeletal reorganization in the human bronchial adenocarcinoma cell line Calu-3 . In the present study of HNECs, the transient downregulation of the transmembrane tight junction proteins by treatment with PE was controlled via distinct signal transduction pathways such as PKC, MEK1/2, PI3K, p38 MAPK, JNK, COX-1, -2 and NF-κB. Furthermore, there are, in part, the different signal pathways among downregulation of the tight junction proteins by PE. Treatment with PE transiently downregulated mRNAs of the tight junction molecules in HNECs. These data suggest that PE rapidly induces the activation of multiple signaling mediators in HNECs and indirectly affects the synthesis of transmembrane tight junction proteins via distinct signaling pathways.
PE disables PAR-2 in A549 airway epithelial cells and in 16 HBE cells . The activation of PAR-2 initiates multiple effects including enhanced airway inflammation and reactivity . PAR-2 also affects the airway epithelial barrier . In the present study, PE transiently reduced PAR-2 at mRNA and protein level in HNECs. Knockdown of PAR-2 using siRNA resulted in the downregulation of occludin and claudin-1 at the mRNA and protein levels. Furthermore, the knockdown of PAR-2 greatly enhanced the downregulation of occludin and claudin-1 by treatment with PE. It is thought that PAR-2 may play a crucial role in maintenance of tight junctions in HNECs. These data indicate that PE affects expression of tight junction proteins via PAR-2 in HNECs. We investigated whether PAR-2 agonist prevents the reduction of transmembrane tight junction proteins by treatment with PE in HNECs. Treatment with more than 100 μM PAR-2 agonist could prevent delocalization of occludin and claudin-1 and downregulation of the mRNAs. However, in the present study, the knockdown of PAR-2 with siRNA did not affect the barrier function in the control HNECs (data not shown). Furthermore, when we measured TER in HNECs pretreated with a PAR-2 agonist before treatment with PE, a PAR-2 agonist did not protect the disruption of barrier function by PE (data not shown). These suggest that PAR-2 in part regulates the expression of tight junction proteins but not the barrier function in HNECs.
In conclusion, PE transiently disrupts tight junctions in HNECs through multiple effects: direct degradation, distinct signal transduction, and downregulation of PAR-2. P. aeruginosa is related to prolonged CRS . The transient disruption of tight junctions may be repeatedly caused during CRS by PE and induce secondary infection by bacteria. PAR-2 agonists might be useful for the prevention and treatment of CRS.
This work was supported by Grants-in-Aid from the Ministry of Education, Culture, Sports Science, and Technology, and the Ministry of Health, Labour and Welfare of Japan.
- Dulon S, Leduc D, Cottrell GS, D’Alayer J, Hansen KK, Bunnett NW, Hollenberg MD, Pidard D, Chignard M: Pseudomonas aeruginosa elastase disables proteinase-activated receptor 2 in respiratory epithelial cells. Am J Respir Cell Mol Biol. 2005, 32: 411-419. 10.1165/rcmb.2004-0274OC.PubMedView ArticleGoogle Scholar
- Clark CA, Thomas LK, Azghani AO: Inhibition of protein kinase C attenuates Pseudomonas aeruginosa elastase-induced epithelial barrier disruption. Am J Respir Cell Mol Biol. 2011, 45: 1263-1271. 10.1165/rcmb.2010-0459OC.PubMedView ArticleGoogle Scholar
- Ramakrishnan JB, Kingdom TT, Ramakrishnan VR: Allergic rhinitis and chronic rhinosinusitis: their impact on lower airways. Immunol Allergy Clin North Am. 2013, 33: 45-60. 10.1016/j.iac.2012.10.009.PubMedView ArticleGoogle Scholar
- Döring G, Goldstein W, Röll A, Schiøtz PO, Høiby N, Botzenhart K: Role of Pseudomonas aeruginosa exoenzymes in lung infections of patients with cystic fibrosis. Infect Immun. 1985, 49: 557-562.PubMedPubMed CentralGoogle Scholar
- Woods DE, Lam JS, Paranchych W, Speert DP, Campbell M, Godfrey AJ: Correlation of Pseudomonas aeruginosa virulence factors from clinical and environmental isolates with pathogenicity in the neutropenic mouse. Can J Microbiol. 1997, 43: 541-551. 10.1139/m97-077.PubMedView ArticleGoogle Scholar
- Azghani AO, Miller EJ, Peterson BT: Virulence factors from Pseudomonas aeruginosa increase lung epithelial permeability. Lung. 2000, 178: 261-269. 10.1007/s004080000031.PubMedView ArticleGoogle Scholar
- Azghani AO, Baker JW, Shetty S, Miller EJ, Bhat GJ: Pseudomonas aeruginosa elastase stimulates ERK signaling pathway and enhances IL-8 production by alveolar epithelial cells in culture. Inflamm Res. 2002, 51: 506-510. 10.1007/PL00012420.PubMedView ArticleGoogle Scholar
- Leduc D, Beaufort N, de Bentzmann S, Rousselle JC, Namane A, Chignard M, Pidard D: The Pseudomonas aeruginosa LasB metalloproteinase regulates the human urokinase-type plasminogen activator receptor through domain-specific endoproteolysis. Infect Immun. 2007, 75: 3848-3858. 10.1128/IAI.00015-07.PubMedPubMed CentralView ArticleGoogle Scholar
- Beaufort N, Seweryn P, de Bentzmann S, Tang A, Kellermann J, Grebenchtchikov N, Schmitt M, Sommerhoff CP, Pidard D, Magdolen V: Activation of human pro-urokinase by unrelated proteases secreted by Pseudomonas aeruginosa. Biochem J. 2010, 428: 473-482. 10.1042/BJ20091806.PubMedView ArticleGoogle Scholar
- Kida Y, Higashimoto Y, Inoue H, Shimizu T, Kuwano K: A novel secreted protease from Pseudomonas aeruginosa activates NF-kappaB through protease-activated receptors. Cell Microbiol. 2008, 10: 1491-1504. 10.1111/j.1462-5822.2008.01142.x.PubMedView ArticleGoogle Scholar
- Cosgrove S, Chotirmall SH, Greene CM, McElvaney NG: Pulmonary proteases in the cystic fibrosis lung induce interleukin 8 expression from bronchial epithelial cells via a heme/meprin/epidermal growth factor receptor/Toll-like receptor pathway. J Biol Chem. 2011, 286: 7692-7704. 10.1074/jbc.M110.183863.PubMedPubMed CentralView ArticleGoogle Scholar
- Cocks TM, Fong B, Chow JM, Anderson GP, Frauman AG, Goldie RG, Henry PJ, Carr MJ, Hamilton JR, Moffatt JD: A protective role for protease-activated receptors in the airways. Nature. 1999, 398: 156-160. 10.1038/18223.PubMedView ArticleGoogle Scholar
- Ebeling C, Forsythe P, Ng J, Gordon JR, Hollenberg M, Vliagoftis H: Proteinase-activated receptor 2 activation in the airways enhances antigen-mediated airway inflammation and airway hyperresponsiveness through different pathways. J Allergy Clin Immunol. 2005, 115: 623-630.PubMedView ArticleGoogle Scholar
- Knight DA, Lim S, Scaffidi AK, Roche N, Chung KF, Stewart GA, Thompson PJ: Protease-activated receptors in human airways: upregulation of PAR-2 in respiratory epithelium from patients with asthma. J Allergy Clin Immunol. 2001, 108: 797-803.PubMedView ArticleGoogle Scholar
- Yoshida T, Matsuwaki Y, Asaka D, Hama T, Otori N, Moriyama H: The expression of protease-activated receptors in chronic rhinosinusitis. Int Arch Allergy Immunol. 2013, 161: 138-146. 10.1159/000350386.PubMedView ArticleGoogle Scholar
- Yeoh S, Church M, Lackie P, McGill J, Mota M, Hossain P: Increased conjunctival expression of protease activated receptor 2 (PAR-2) in seasonal allergic conjunctivitis: a role for abnormal conjunctival epithelial permeability in disease pathogenesis?. Br J Ophthalmol. 2011, 95: 1304-1308. 10.1136/bjo.2010.191221.PubMedView ArticleGoogle Scholar
- Takano K, Kojima T, Go M, Murata M, Ichimiya S, Himi T, Sawada N: HLA-DR- and CD11c-positive dendritic cells penetrate beyond well-developed epithelial tight junctions in human nasal mucosa of allergic rhinitis. J Histochem Cytochem. 2005, 53: 611-619. 10.1369/jhc.4A6539.2005.PubMedView ArticleGoogle Scholar
- Holgate ST: Epithelium dysfunction in asthma. J Allergy Clin Immunol. 2007, 120: 1233-1244.PubMedView ArticleGoogle Scholar
- Schleimer RP, Kato A, Kern R, Kuperman D, Avila PC: Epithelium: at the interface of innate and adaptive immune responses. J Allergy Clin Immunol. 2007, 120: 1279-1284.PubMedPubMed CentralView ArticleGoogle Scholar
- Tsukita S, Furuse M, Itoh M: Multifunctional strands in tight junctions. Nat Rev Mol Cell Biol. 2001, 2: 285-293. 10.1038/35067088.PubMedView ArticleGoogle Scholar
- Sawada N, Murata M, Kikuchi K, Osanai M, Tobioka H, Kojima T, Chiba H: Tight junctions and human diseases. Med Elecron Microsc. 2003, 36: 147-156. 10.1007/s00795-003-0219-y.View ArticleGoogle Scholar
- Schneeberger EE, Lynch RD: The tight junction: a multifunctional complex. Am J Physiol Cell Physiol. 2004, 286: 1213-1228. 10.1152/ajpcell.00558.2003.View ArticleGoogle Scholar
- Kojima T, Murata M, Yamamoto T, Lan M, Imamura M, Son S, Takano K, Yamaguchi H, Ito T, Tanaka S, Chiba H, Hirata K, Sawada N: Tight junction proteins and signal transduction pathways in hepatocytes. Histol Histopathol. 2009, 24: 1463-1472.PubMedGoogle Scholar
- Ohkuni T, Kojima T, Ogasawara N, Masaki T, Ninomiya T, Kikuchi S, Go M, Takano K, Himi T, Sawada N: Expression and localization of tricellulin in human nasal epithelial cells in vivo and in vitro. Med Mol Morphol. 2009, 42: 204-211. 10.1007/s00795-009-0470-y.PubMedView ArticleGoogle Scholar
- Kojima T, Go M, Takano K, Kurose M, Ohkuni T, Koizumi J, Kamekura R, Ogasawara N, Masaki T, Fuchimoto J, Obata K, Hirakawa S, Nomura K, Keira T, Miyata R, Fujii N, Tsutsumi H, Himi T, Sawada N: Regulation of tight junctions in upper airway epithelium. Biomed Res Int. 2013, 2013: 947072-PubMedPubMed CentralGoogle Scholar
- Kurose M, Kojima T, Koizumi JI, Kamekura R, Ninomiya T, Murata M, Ichimiya S, Osanai M, Chiba H, Himi T, Sawada N: Induction of claudins in passaged hTERT-transfected human nasal epithelial cells with an extended life span. Cell Tissue Res. 2007, 330: 63-74. 10.1007/s00441-007-0453-z.PubMedView ArticleGoogle Scholar
- Koizumi J, Kojima T, Ogasawara N, Kamekura R, Kurose M, Go M, Harimaya A, Murata M, Osanai M, Chiba H, Himi T, Sawada N: Protein kinase C enhances tight junction barrier function of human nasal epithelial cells in primary culture by transcriptional regulation. Mol Pharmacol. 2008, 74: 432-442. 10.1124/mol.107.043711.PubMedView ArticleGoogle Scholar
- Ohkuni T, Kojima T, Ogasawara N, Masaki T, Fuchimoto J, Kamekura R, Koizumi JI, Ichimiya S, Murata M, Tanaka S, Himi T, Sawada N: Poly(I:C) reduces expression of JAM-A and induces secretion of IL-8 and TNF-α via distinct NF-κB pathways in human nasal epithelial cells. Toxicol Appl Pharmacol. 2011, 250: 29-38. 10.1016/j.taap.2010.09.023.PubMedView ArticleGoogle Scholar
- Obata K, Kojima T, Masaki T, Okabayashi T, Yokota S, Hirakawa S, Nomura K, Takasawa A, Murata M, Tanaka S, Fuchimoto J, Fujii N, Tsutsumi H, Himi T, Sawada N: Curcumin prevents replication of respiratory syncytial virus and the epithelial responses to it in human nasal epithelial cells. PLoS One. 2013, 8: e70225-10.1371/journal.pone.0070225.PubMedPubMed CentralView ArticleGoogle Scholar
- Kooi C, Hodges RS, Sokol PA: Identification of neutralizing epitopes on Pseudomonas aeruginosa elastase and effects of cross-reactions on other thermolysin-like proteases. Infect Immun. 1997, 65: 472-477.PubMedPubMed CentralGoogle Scholar
- Gonzalez-Mariscal L, Hernández S, Vega J: Inventions designed to enhance drug delivery across epithelial and endothelial cells through the paracellular pathway. Recent Pat Drug Deliv Formul. 2008, 2: 145-176. 10.2174/187221108784534117.PubMedView ArticleGoogle Scholar
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