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Transient receptor potential channels in pulmonary chemical injuries and as countermeasure targets
Satyanarayana Achanta1, Sven-Eric Jordt1,2,3
1Department of Anesthesiology, Duke University School of Medicine, Durham, North Carolina.
Abstract:
The lung is highly sensitive to chemical injuries caused by exposure to threat agents in industrial or transportation accidents, occupational exposures, or deliberate use as weapons of mass destruction (WMD). There are no antidotes for the majority of the chemical threat agents and toxic inhalation hazards despite their use as WMDs for more than a century. Among several putative targets, evidence for transient receptor potential (TRP) ion channels as mediators of injury by various inhalational chemical threat agents is emerging. TRP channels are expressed in the respiratory system and are essential for homeostasis. Among TRP channels, the body of literature supporting essential roles for TRPA1, TRPV1, and TRPV4 in pulmonary chemical injuries is abundant. TRP channels mediate their function through sensory neuronal and nonneuronal pathways. TRP channels play a crucial role in complex pulmonary pathophysiologic events including, but not limited to, increased intracellular calcium levels, signal transduction, recruitment of proinflammatory cells, neurogenic inflammatory pathways, cough reflex, hampered mucus clearance, disruption of the integrity of the epithelia, pulmonary edema, and fibrosis. In this review, we summarize the role of TRP channels in chemical threat agents-induced pulmonary injuries and how these channels may serve as medical countermeasure targets for broader indications.
Insights
Transient receptor potential (TRP) channels are key players in lung injury from chemical threats. Targeting these TRP channels offers a potential medical countermeasure strategy for toxic inhalations.
Area of Science:
- Toxicology
- Ion Channel Physiology
- Pulmonary Medicine
Background:
- The respiratory system is vulnerable to chemical injuries from industrial accidents, occupational exposures, and chemical warfare agents.
- Despite the long history of chemical threat agent use, effective antidotes are lacking for most toxic inhalations.
- Transient receptor potential (TRP) ion channels are increasingly recognized as critical mediators of lung damage from these agents.
Purpose of the Study:
- To review the emerging evidence on the role of TRP channels in pulmonary injuries induced by chemical threat agents.
- To explore the potential of TRP channels as targets for medical countermeasures against toxic inhalations.
Main Methods:
- Literature review summarizing research on TRP channels (TRPA1, TRPV1, TRPV4) in the context of chemical-induced lung injury.
- Analysis of the pathways through which TRP channels contribute to pulmonary pathophysiology.
Main Results:
- TRP channels are expressed in the respiratory system and play essential roles in maintaining homeostasis.
- TRPA1, TRPV1, and TRPV4 channels are significantly involved in mediating lung injury from various chemical threat agents.
- TRP channel activation leads to diverse pathophysiologic events, including inflammation, edema, and fibrosis.
Conclusions:
- TRP channels are crucial mediators of chemical threat agent-induced pulmonary injuries.
- Targeting TRP channels presents a promising therapeutic strategy for developing medical countermeasures against a range of toxic inhalations.
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