title: Extracellular matrix components and regulators in the airway smooth muscle in asthma.
abstract: There is an intimate relationship between the extracellular matrix (ECM) and smooth muscle cells within the airways. Few studies have comprehensively assessed the composition of different ECM components and its regulators within the airway smooth muscle (ASM) in asthma. With the aid of image analysis, the fractional areas of total collagen and elastic fibres were quantified within the ASM of 35 subjects with fatal asthma (FA) and compared with 10 nonfatal asthma (NFA) patients and 22 nonasthmatic control cases. Expression of collagen I and III, fibronectin, versican, matrix metalloproteinase (MMP)-1, -2, -9 and -12 and tissue inhibitor of metalloproteinase-1 and -2 was quantified within the ASM in 22 FA and 10 control cases. In the large airways of FA cases, the fractional area of elastic fibres within the ASM was increased compared with NFA and controls. Similarly, fibronectin, MMP-9 and MMP-12 were increased within the ASM in large airways of FA cases compared with controls. Elastic fibres were increased in small airways in FA only in comparison with NFA cases. There is altered extracellular matrix composition and a degradative environment within the airway smooth muscle in fatal asthma patients, which may have important consequences for the mechanical and synthetic functions of airway smooth muscle.
authors.affiliation: Dept of Pathology, São Paulo University Medical School, Avenida Dr Arnaldo, 455, 01246-903, São Paulo SP, Brazil.
authors.forename: B B
authors.initials: BB
authors.lastname: Araujo
authors.forename: M
authors.initials: M
authors.lastname: Dolhnikoff
authors.forename: L F F
authors.initials: LF
authors.lastname: Silva
authors.forename: J
authors.initials: J
authors.lastname: Elliot
authors.forename: J H N
authors.initials: JH
authors.lastname: Lindeman
authors.forename: D S
authors.initials: DS
authors.lastname: Ferreira
authors.forename: A
authors.initials: A
authors.lastname: Mulder
authors.forename: H A P
authors.initials: HA
authors.lastname: Gomes
authors.forename: S M
authors.initials: SM
authors.lastname: Fernezlian
authors.forename: A
authors.initials: A
authors.lastname: James
authors.forename: T
authors.initials: T
authors.lastname: Mauad
mesh_terms: D000293:Adolescent; D000328:Adult; D001249:Asthma / Q000378:metabolism* / Q000473:pathology; D001980:Bronchi / Q000378:metabolism / Q000473:pathology; D016022:Case-Control Studies; D005109:Extracellular Matrix / Q000378:metabolism* / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D020782:Matrix Metalloproteinases / Q000378:metabolism*; D008875:Middle Aged; D009130:Muscle, Smooth / Q000378:metabolism* / Q000473:pathology; D019714:Tissue Inhibitor of Metalloproteinases / Q000378:metabolism*
chemical_list: D019714:Tissue Inhibitor of Metalloproteinases; D020782:Matrix Metalloproteinases