Related Experiment Video
Updated: Dec 25, 2025

Author Spotlight: Developing Parmodulins to Target Protease-Activated Receptors for Inflammation Control
Published on: May 24, 2024
Polarization of protease-activated receptor 2 (PAR-2) signaling is altered during airway epithelial remodeling and
Ryan M Carey1, Jenna R Freund1, Benjamin M Hariri1
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania 19104.
Abstract:
Protease-activated receptor 2 (PAR-2) is activated by secreted proteases from immune cells or fungi. PAR-2 is normally expressed basolaterally in differentiated nasal ciliated cells. We hypothesized that epithelial remodeling during diseases characterized by cilial loss and squamous metaplasia may alter PAR-2 polarization. Here, using a fluorescent arrestin assay, we confirmed that the common fungal airway pathogen Aspergillus fumigatus activates heterologously-expressed PAR-2. Endogenous PAR-2 activation in submerged airway RPMI 2650 or NCI-H520 squamous cells increased intracellular calcium levels and granulocyte macrophage-colony-stimulating factor, tumor necrosis factor α, and interleukin (IL)-6 secretion. RPMI 2650 cells cultured at an air-liquid interface (ALI) responded to apically or basolaterally applied PAR-2 agonists. However, well-differentiated primary nasal epithelial ALIs responded only to basolateral PAR-2 stimulation, indicated by calcium elevation, increased cilia beat frequency, and increased fluid and cytokine secretion. We exposed primary cells to disease-related modifiers that alter epithelial morphology, including IL-13, cigarette smoke condensate, and retinoic acid deficiency, at concentrations and times that altered epithelial morphology without causing breakdown of the epithelial barrier to model early disease states. These altered primary cultures responded to both apical and basolateral PAR-2 stimulation. Imaging nasal polyps and control middle turbinate explants, we found that nasal polyps, but not turbinates, exhibit apical calcium responses to PAR-2 stimulation. However, isolated ciliated cells from both polyps and turbinates maintained basolateral PAR-2 polarization, suggesting that the calcium responses originated from nonciliated cells. Altered PAR-2 polarization in disease-remodeled epithelia may enhance apical responses and increase sensitivity to inhaled proteases.
Insights
Disease-related airway remodeling alters Protease-activated receptor 2 (PAR-2) polarization in nasal epithelial cells. This shift may increase sensitivity to inhaled proteases and contribute to airway inflammation.
Area of Science:
- Immunology
- Cell Biology
- Respiratory Medicine
Background:
- Protease-activated receptor 2 (PAR-2) is typically found on the basolateral side of nasal ciliated cells.
- Airway diseases can cause epithelial changes, including loss of cilia and squamous metaplasia, potentially affecting PAR-2 localization.
- Fungal pathogens like Aspergillus fumigatus can activate PAR-2.
Purpose of the Study:
- To investigate how epithelial remodeling in diseases affects PAR-2 polarization.
- To determine if altered PAR-2 localization impacts airway cell responses to proteases.
- To model early disease states and their effect on PAR-2 function.
Main Methods:
- Used a fluorescent arrestin assay to confirm Aspergillus fumigatus activation of PAR-2.
- Measured intracellular calcium and cytokine secretion (GM-CSF, TNFα, IL-6) following PAR-2 activation in cell lines and primary cultures.
- Utilized air-liquid interface (ALI) cultures of primary nasal epithelial cells and explants from nasal polyps and turbinates.
- Exposed cells to disease-related modifiers (IL-13, cigarette smoke condensate, retinoic acid deficiency) to mimic early disease states.
Main Results:
- Aspergillus fumigatus activated heterologously expressed PAR-2.
- PAR-2 activation in squamous cells increased calcium and cytokine release.
- Differentiated primary nasal ALIs initially responded only to basolateral PAR-2 stimulation.
- Disease-modified primary cultures responded to both apical and basolateral PAR-2 stimulation.
- Nasal polyps showed apical calcium responses to PAR-2 stimulation, unlike controls.
- Isolated ciliated cells retained basolateral PAR-2, suggesting non-ciliated cells mediate apical responses in polyps.
Conclusions:
- Epithelial remodeling in diseases alters PAR-2 polarization, shifting it from basolateral to allow apical responses.
- This altered polarization may increase airway sensitivity to inhaled proteases.
- Non-ciliated cells in remodeled airways likely contribute to aberrant apical PAR-2 signaling.
- Findings suggest a mechanism for enhanced inflammation in diseases like nasal polyps.
Related Concept Videos
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
Chronic Inflammation
GPCR Desensitization
Amplifying Signals via Enzymatic Cascade
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Cell Polarization by Rho Proteins
TGF - β Signaling Pathway

