Alcohol decreases RhoA activity through a nitric oxide (NO)/cyclic GMP(cGMP)/protein kinase G (PKG)-dependent pathway in the airway epithelium
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Published on: July 3, 2025
Kristina L Bailey1, James E Robinson, Joseph H Sisson
1Pulmonary, Critical Care, Sleep & Allergy Division, University of Nebraska Medical Center, Omaha, NE 68198, USA. kbailey@unmc.edu
Background:
Alcohol has been shown to have a number of harmful effects on the lung, including increasing the risk of pneumonia and bronchitis. How alcohol increases the risk of these diseases is poorly defined. RhoA is a small guanosine triphosphate (GTP)ase that plays an integral role in many basic functions of airway epithelial cells. It is not known how alcohol affects RhoA activity in the airway epithelium. We hypothesized that brief alcohol exposure modulates RhoA activity in the airway epithelium through a nitric oxide (NO)/cyclic GMP (cGMP)/protein kinase G (PKG)-dependent pathway.
Methods:
Primary airway epithelial cells were cultured and exposed to ethanol at various concentrations and times. The cell layers were harvested and RhoA activity was measured.
Results:
Alcohol induced a time- and concentration-dependent decrease in RhoA activity in airway epithelial cells. We were able to block this decrease in activity using Nω-nitro-l-arginine methyl ester (L-NAME) hydrochloride, a nitric oxide synthase (NOS) inhibitor. Likewise, we were able to demonstrate the same decrease in RhoA activation using 0.1 μM sodium nitroprusside, an NO donor. To determine the role of cGMP/PKG, we pretreated the cells with a cGMP antagonist analog, Rp-8Br-cGMPS. This blocked the decrease in RhoA activity caused by alcohol, suggesting that alcohol exerts its effect on RhoA activity through cGMP/PKG.
Conclusions:
Alcohol decreases airway epithelial RhoA activity through an NO/cGMP/PKG-dependent pathway. RhoA activity controls many aspects of basic cellular function, including cell morphology, tight junction formation, and cell cycle progression and gene regulation. Dysregulation of RhoA activity can potentially have several consequences, including dysregulation of inflammation. This may partially explain how alcohol increases the risk of pneumonia and bronchitis.
Insights
Alcohol exposure decreases airway epithelial RhoA activity via a nitric oxide (NO)/cyclic GMP (cGMP)/protein kinase G (PKG) pathway. This finding may help explain alcohol
Area of Science:
- Pulmonary medicine
- Cellular biology
- Toxicology
Background:
- Alcohol consumption is linked to increased risk of pneumonia and bronchitis.
- The precise mechanisms by which alcohol harms the lungs are not fully understood.
- RhoA GTPase is crucial for airway epithelial cell function.
Purpose of the Study:
- To investigate how alcohol affects RhoA activity in airway epithelial cells.
- To determine if nitric oxide (NO)/cyclic GMP (cGMP)/protein kinase G (PKG) pathway mediates alcohol's effects on RhoA.
Main Methods:
- Primary human airway epithelial cells were cultured.
- Cells were exposed to varying concentrations and durations of ethanol.
- RhoA activity was measured using established assays.
Main Results:
- Ethanol exposure decreased RhoA activity in a time- and concentration-dependent manner.
- Inhibition of nitric oxide synthase (NOS) with L-NAME blocked this decrease.
- NO donor and cGMP antagonist experiments confirmed the involvement of the NO/cGMP/PKG pathway.
Conclusions:
- Alcohol reduces airway epithelial RhoA activity through an NO/cGMP/PKG-dependent signaling cascade.
- Dysregulated RhoA activity can impact cellular functions like morphology and inflammation.
- This pathway may partially elucidate alcohol's contribution to respiratory infections like pneumonia and bronchitis.
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