Oxygen dose responsiveness of human fetal airway smooth muscle cells

William R Hartman1, Dan F Smelter, Venkatachalem Sathish

  • 1Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA.

Insights

Supplemental oxygen for premature infants can cause hyperoxia, impacting developing airway smooth muscle (ASM). This study reveals oxygen

Area of Science:

  • Neonatal respiratory physiology
  • Cellular biology
  • Developmental pulmonology

Background:

  • Supplemental oxygen is crucial for premature infants but hyperoxia may increase asthma risk.
  • Mechanisms of oxygen's impact on airway structure and function relevant to asthma are not fully understood.

Purpose of the Study:

  • To investigate the effects of varying oxygen concentrations on human fetal airway smooth muscle (fASM) cells.
  • To examine oxygen-induced changes in intracellular calcium ([Ca(2+)](i)) and cellular proliferation in fASM.

Main Methods:

  • Isolated human fASM cells (18-20 weeks postconceptual age) were cultured.
  • Cells were exposed to hypoxia (10%) and hyperoxia (up to 90% oxygen).
  • Intracellular calcium responses and cellular proliferation/apoptosis markers were measured.

Main Results:

  • fASM cells exhibited functional calcium signaling and proliferation capacity.
  • Hyperoxia showed dose-dependent effects: enhanced proliferation at <60% oxygen, increased apoptosis and mitochondrial fission at >60% oxygen.
  • Acetylcholine-induced calcium responses were altered by oxygen levels, enhanced at <60% and blunted at >60% oxygen.

Conclusions:

  • Oxygen exposure has dose-dependent effects on the structure and function of developing airway smooth muscle.
  • These findings suggest potential long-term consequences for childhood airway diseases.
  • Detrimental effects of hyperoxia on fASM should be considered when assessing risks of supplemental oxygen in premature infants.

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