Introduction: β-Nicotinamide adenine dinucleotide (β-NAD) has been reported to relax vascular and
intestinal smooth muscle via purinergic P2Y1 and P2Y11 receptors, and we recently
demonstrated its relaxing activity on murine and human airway smooth muscle. This
bronchodilator activity, however, was independent from purinergic receptors, and occurred
concomitantly with increases in intracellular calcium concentration and cell depolarization.
We here set out to further evaluate intracellular signaling pathways induced by β-NAD
in airway smooth muscle.
Methods: The relaxing effect of β-NAD was investigated by force recording of precontracted
(10µM muscarine) murine trachea in organ bath experiments. Intracellular cAMP was
measured in cultured human bronchial smooth muscles cells (HBMSC; Promocell, Heidelberg)
transfected by electroporation with a FRET-sensor based on exchange protein directly
activated by cAMP (EPAC).
Results: HBMSC responded to β-NAD (1 mM) with an increase in intracellular cAMP concentration
which was additionally elevated by isoproterenol (10µM), a known stimulator of membrane-bound
adenylate cyclase via activation of β2-adrenoreceptors. This additive effect certainly
is pointed towards independent pathways of cAMP generation. Rolipram (100µM), an inhibitor
of the cAMP degrading enzyme phosphodiesterase 4, augmented β-NAD-induced relaxation
of precontracted murine trachea. Relaxation was insensitive, however, to phospholipase
C-inhibition by U73122, to the purinergic inhibitors suramin, PPADS, and MRS2179,
to inhibition of G(s)- and G(i)-signaling by pertussis toxin and cholera toxin, respectively,
to NO-synthase blockade by L-NAME, inhibition of endoplasmic reticulum Ca2+-ATPase
by thapsigargin, of Rho kinase by y-27632, of PKA by rp-cAMPs, and to activation of
L-type voltage dependent calcium channels by FPL 64176.
Discussion: The data demonstrate that β-NAD increases intracellular cAMP, which is likely linked
to its bronchodilator effect since it is augmented by phosphodiesterase 4-inhibition.
Further, there is increase in calcium concentration and depolarization of the cell
membrane. β-NAD potentially represents a novel therapeutic tool inobstructive airway
disorders.
*Presenting author