Airway hyperresponsiveness (AHR) and inflammation are key pathophysiological
features of asthma. Enhanced contraction of bronchial smooth muscle (BSM) is one
of the causes of the AHR. It is thus important for development of asthma therapy
to understand the change in the contractile signaling of airway smooth muscle
cells associated with the AHR. In addition to the Ca2+-mediated
phosphorylation of myosin light chain (MLC), contractile agonists also enhance
MLC phosphorylation level, Ca2+-independently, by inactivating MLC
phosphatase (MLCP), called Ca2+ sensitization of contraction, in
smooth muscle cells including airways. To date, involvements of RhoA/ROCKs and
PKC/Ppp1r14a (also called as CPI-17) pathways in the Ca2+
sensitization have been identified. Our previous studies revealed that the
agonist-induced Ca2+ sensitization of contraction is markedly
augmented in BSMs of animal models of allergen-induced AHR. In BSMs of these
animal models, the expression of RhoA and CPI-17 proteins were significantly
increased, indicating that both the Ca2+ sensitizing pathways are
augmented. Interestingly, incubation of BSM cells with asthma-associated
cytokines, such as interleukin-13 (IL-13), IL-17, and tumor necrosis factor-α
(TNF-α), caused up-regulations of RhoA and CPI-17 in BSM cells of naive animals
and cultured human BSM cells. In addition to the transcription factors such as
STAT6 and NF-κB activated by these inflammatory cytokines, an involvement of
down-regulation of miR-133a, a microRNA that negatively regulates RhoA
translation, has also been suggested in the IL-13- and IL-17-induced
up-regulation of RhoA. Thus, the Ca2+ sensitizing pathways and the
cytokine-mediated signaling including microRNAs in BSMs might be potential
targets for treatment of allergic asthma, especially the AHR.