MTOR Suppresses Cigarette Smoke-Induced Epithelial Cell Death and Airway Inflammation in Chronic Obstructive

Yong Wang1, Juan Liu1, Jie-Sen Zhou1

  • 1Key Laboratory of Respiratory Disease of Zhejiang Province, Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China; and.

Insights

Mechanistic target of rapamycin (MTOR) suppresses inflammation and emphysema in chronic obstructive pulmonary disease (COPD). MTOR activation may offer a new therapeutic strategy for COPD patients.

Area of Science:

  • Pulmonary Medicine
  • Cellular Biology
  • Molecular Pathology

Background:

  • Airway epithelial cell death and inflammation are key features of chronic obstructive pulmonary disease (COPD).
  • The role of mechanistic target of rapamycin (MTOR) in COPD pathogenesis, particularly its regulation of cellular processes like autophagy and apoptosis, remains largely unknown.
  • Cigarette smoke (CS) is a primary etiological factor in COPD, inducing significant cellular stress and inflammation in the airways.

Purpose of the Study:

  • To investigate the role of MTOR in regulating CS-induced cell death, airway inflammation, and emphysema.
  • To elucidate the molecular mechanisms by which MTOR influences CS-induced pathological changes in the airways.
  • To explore the potential of MTOR as a therapeutic target for COPD.

Main Methods:

  • Analysis of MTOR and TSC2 expression in human COPD airways and CS-exposed mouse lungs.
  • In vitro studies using human bronchial epithelial cells treated with CS extract (CSE) to assess MTOR activity, autophagy, apoptosis, and necroptosis.
  • Investigation of the NF-κB pathway's role in CSE-induced cytokine release.
  • In vivo studies using mice with targeted knockdown of MTOR in airway epithelial cells exposed to CS.

Main Results:

  • MTOR expression was decreased, while TSC2 expression was increased in COPD airways and CS-exposed lungs.
  • CSE activated TSC2, inhibited MTOR, and induced autophagy, apoptosis, and necroptosis via the TSC2-MTOR axis, regulating IL-6 and IL-8 production through NF-κB.
  • Mice with reduced MTOR in airway epithelial cells showed exacerbated CS-induced airway inflammation and emphysema, with heightened cell death pathways.

Conclusions:

  • MTOR plays a crucial role in suppressing CS-induced airway inflammation and emphysema.
  • The TSC2-MTOR pathway modulates CS-induced autophagy, apoptosis, and necroptosis, impacting COPD pathogenesis.
  • MTOR activation presents a potential novel therapeutic strategy for managing COPD.

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