Abstract

Tissue factor (TF) is involved in multiple processes implicated in asthma, including coagulation, inflammation and angiogenesis. TF is released from well-differentiated human bronchial epithelial (HBE) cells in response to mechanical compression mimicking asthmatic bronchospasm. Here we investigated the combined effect of mechanical compression and exposure to the Th2 cytokine, IL-13, on the expression and release of TF from airway epithelial cells. Primary HBE cells were grown in air-liquid interface (ALI) culture for 14-17 days and were treated with IL-13 or vehicle and exposed to a trans-cellular pressure of 30 cmH20 for 3 hours. The pro-coagulant activity of basolateral media from HBE cells was significantly greater in compressed versus non-compressed cells, and was TF-dependent. Pretreatment of cells with IL-13 augmented compression-induced TF mRNA expression. Exposure to IL-13 alone did not affect the release of TF, but pretreatment with IL-13 augmented the compression-induced release of TF. Released TF was exclusively contained in the exosome fraction isolated by ultracentrifugation. Lastly, the TF level and pro-coagulant activity were significantly greater in BAL from mice challenged with ovalbumin versus PBS. Our data are consistent with the hypothesis that bronchoconstriction contributes to the generation of a lung microenvironment favoring asthma development. Compressive stress-mediated production and release of active TF from airway epithelial cells was augmented in the presence of the Th2 cytokine, IL-13.

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