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.

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.

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