Document Detail


Na-K-2Cl cotransporter inhibition impairs human lung cellular proliferation.
MedLine Citation:
PMID:  15155267     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The widespread presence of the Na-K-2Cl (NKCC) cotransporter protein suggests that chronic administration of inhibitors may result in adverse effects. Inhibition of the NKCC cotransporter by loop diuretics is felt to underlie the diuretic and the pulmonary smooth muscle relaxant effects of this drug class. However, the fundamental regulation of salt and water movement by this cotransporter suggests that it may also mediate cell volume changes occurring during cell cycle progression. Thus we hypothesized that NKCC cotransporter inhibition by loop diuretics would decrease cellular proliferation. Normal human bronchial smooth muscle cells (BSMC) showed a significant concentration-dependent decrease in cell counts after 7 days of exposure to both bumetanide (n=5-10) and furosemide (n=6-16) compared with controls. Proliferation was similarly inhibited in normal human lung fibroblasts (n=5-9). To determine whether this was due to loss of cells, we performed apoptosis assays on BSMC. Both annexin V-propidium iodide staining (n=5-10) and single cell gel electrophoresis assays (n=4) were negative for necrosis and apoptosis in BSMC exposed to 10 microM bumetanide. Subsequent analysis of the cell cycle by flow cytometry showed that bumetanide-exposed BSMC were delayed in G1 phase compared with controls (n=4-8). This is the first evidence for loop diuretic inhibition of airway smooth muscle cell proliferation. NKCC cotransporter inhibition impeded G1-S phase transition without facilitating cell death. Thus although inhibition by loop diuretics relaxes airway smooth muscle, the NKCC cotransporter may have a more important role in cell proliferation regulation.
Authors:
Lynn M Iwamoto; Naomi Fujiwara; Kenneth T Nakamura; Randal K Wada
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.     Date:  2004-05-21
Journal Detail:
Title:  American journal of physiology. Lung cellular and molecular physiology     Volume:  287     ISSN:  1040-0605     ISO Abbreviation:  Am. J. Physiol. Lung Cell Mol. Physiol.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-08-13     Completed Date:  2004-09-29     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  100901229     Medline TA:  Am J Physiol Lung Cell Mol Physiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  L510-4     Citation Subset:  IM    
Affiliation:
Dept. of Pediatrics, Honolulu, HI 96826, USA. lynni@kapiolani.org
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MeSH Terms
Descriptor/Qualifier:
Apoptosis / drug effects
Biological Transport / drug effects,  physiology
Bronchi / cytology*
Bumetanide / pharmacology
Cell Count
Cell Division / physiology
Cell Survival / drug effects
Cells, Cultured
Diuretics / pharmacology
Fibroblasts / cytology*,  drug effects,  metabolism*
Furosemide / pharmacology
G1 Phase / drug effects
Humans
Myocytes, Smooth Muscle / cytology*,  drug effects,  metabolism*
S Phase / drug effects
Sodium-Potassium-Chloride Symporters / antagonists & inhibitors,  metabolism*
Grant Support
ID/Acronym/Agency:
P20 RR-11091/RR/NCRR NIH HHS; U54 RR-14607/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Diuretics; 0/Sodium-Potassium-Chloride Symporters; 0/sodium-potassium-chloride cotransporter 1 protein; 28395-03-1/Bumetanide; 54-31-9/Furosemide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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