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Updated: Aug 26, 2026

A Microphysiological System to Study Leukocyte-Endothelial Cell Interaction during Inflammation
Published on: December 9, 2021
Protein kinase A attenuates endothelial cell barrier dysfunction induced by microtubule disassembly
Anna A Birukova1, Feng Liu, Joe G N Garcia
1Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA.
Abstract:
Cross talk between the actin cytoskeleton and the microtubule (MT) network plays a critical role in regulation of endothelial permeability. We have previously demonstrated that MT disruption by nocodazole results in increases in MLC phosphorylation, actomyosin contraction, cell retraction, and paracellular gap formation, cardinal features of endothelial barrier dysfunction (Verin AD, Birukova A, Wang P, Liu F, Becker P, Birukov K, and Garcia JG. Am J Physiol Lung Cell Mol Physiol 281: L565-L574, 2001; Birukova AA, Smurova K, Birukov KG, Usatyuk P, Liu F, Kaibuchi K, Ricks-Cord A, Natarajan V, Alieva A, Garcia JG, and Verin AD. J Cell Physiol. In press.). Although activation of PKA opposes barrier-disrupting effects of edemagenic agents on confluent EC monolayers, information about the molecular mechanisms of PKA-mediated EC barrier protection is limited. Our results suggest that MT disassembly alters neither intracellular cAMP levels nor PKA enzymatic activity; however, elevation of cAMP levels and PKA activation by either cholera toxin or forskolin dramatically attenuates the decline in transendothelial electrical resistance induced by nocodazole in human pulmonary EC. Barrier-protective effects of PKA on EC were associated with PKA-mediated inhibition of nocodazole-induced stress fiber formation, Rho activation, phosphorylation of myosin phosphatase regulatory subunit at Thr696, and decreased MLC phosphorylation. In addition, forskolin pretreatment attenuated MT disassembly induced by nocodazole. These results suggest a critical role for PKA activity in stabilization of MT cytoskeleton and provide a novel mechanism for cAMP-mediated regulation of Rho-induced actin cytoskeletal remodeling, actomyosin contraction, and EC barrier dysfunction induced by MT disassembly.
Insights
Protein kinase A (PKA) activation protects endothelial barrier function by stabilizing microtubules and inhibiting actin-myosin contraction, offering a novel therapeutic target for endothelial barrier dysfunction.
Area of Science:
- Cell Biology
- Physiology
Background:
- Endothelial barrier integrity is regulated by the actin cytoskeleton and microtubule (MT) network.
- MT disruption leads to endothelial barrier dysfunction, characterized by increased MLC phosphorylation, actomyosin contraction, and cell retraction.
- The protective mechanisms of protein kinase A (PKA) against endothelial barrier disruption are not fully understood.
Purpose of the Study:
- To investigate the role of PKA in regulating endothelial permeability and cytoskeletal dynamics.
- To elucidate the molecular mechanisms by which PKA protects the endothelial barrier from MT disassembly-induced dysfunction.
Main Methods:
- Human pulmonary endothelial cells (EC) were treated with nocodazole to disrupt MTs.
- Cells were stimulated with cholera toxin or forskolin to elevate cAMP levels and activate PKA.
- Measurements included transendothelial electrical resistance (TEER), stress fiber formation, Rho activation, and MLC phosphorylation.
Main Results:
- PKA activation by cholera toxin or forskolin attenuated nocodazole-induced decline in TEER.
- PKA activation inhibited nocodazole-induced stress fiber formation, Rho activation, and MLC phosphorylation.
- Forskolin pretreatment attenuated MT disassembly induced by nocodazole.
Conclusions:
- PKA plays a critical role in stabilizing the MT cytoskeleton.
- PKA activation provides a novel mechanism for regulating Rho-induced actin cytoskeletal remodeling and endothelial barrier dysfunction.
- Targeting PKA may offer a therapeutic strategy for conditions involving endothelial barrier dysfunction.
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