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KISEP Otology Korean J Otolaryngol 2006;49:263-8 사람중이점막상피세포에서 Uridine-5 Triphosphate 에의한칼슘이동과점액분비에미치는카페인의효과 최재영 김성헌 정상호 손은진 박헌이 신중욱 윤주헌 Effect of Caffeine on UTP-induced Ca 2+ Mobilization and Mucin Secretion in Human Middle Ear Epithelial Cells Jae-Young Choi, MD, Sung Huhn Kim, MD, Sang Ho Jung, MD, Eun Jin Son, MD, Hun Yi Park, MD, Joong Wook Shin, MD and Joo-Heon Yoon, MD Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea ABSTRACT Background and Objectives:Puringeric receptors and their agonists like uridine-5-triphosphate UTP and adenosine triphosphate ATP, regulate mucin secretion in middle ear epithelial cells. In the present study, we examined the effects of purinergic agonists on Ca 2+ influx Ca 2 i in normal human middle ear epithelial NHMEE cells. We also examined the effect of caffeine, an inositol 1, 4, 5-triphosphate IP 3 inhibitor, on UTP induced Ca 2 i and mucin secretion in NHMEE cells. Materials and Method:NHMEE cells were stimulated with various purinergic agonists, such as UTP, and Ca 2 i was measured using a miniature double perfusion chamber. UTP-induced mucin secretion was quantitated by immunoblotting assay. Results:The determined order of purinergic agonist potency with respect to Ca 2 i was ATPUTP2-MeSATPADP adenosine. UTP-induced mucin secretion was inhibited when the intracellular Ca 2+ was removed with 2-bis 2-aminophenoxy ethane-n, N, N, N -tetraacetic acid-acetoxymethyl ester. Caffeine suppressed UTP-induced Ca 2 i, and but inhibited UTPinduced and constitutional mucin secretion. Conclusion:Our results suggest that caffeine may have a therapeutic effect in mucoid otitis media by suppressing mucin secretion. (Korean J Otolaryngol 2006;49:263-8) KEY WORDS:Mucin Caffeine Calcium. - 263

카페인이점액분비에미치는영향 Ca 2+ i Ca 2+ i Ca 2+ i - 264 i Ca 2+ i - Ca 2+ i Korean J Otolaryngol 2006;49:263-8

최재영외 t i Ca 2+ i Ca 2+ i Ca 2+ i Ca 2+ i Ca 2+ i Ca 2+ i Ratio352/380 0.1 Units A 1.15 1.05 B 100 MATP 100 MUTP 100 MUDP 100 M 100 M Adenosine 2MeATP 0.95 0 300 600 900 Sec Fig. 1. Mobilization of intracellular Ca 2+ by purinergic agonists in cultured normal human middle ear epithelial cells. Fig. 2. Immunohistochemical analysis of normal human middle ear epithelial NHMEE cells using antibody against the P2Y 2 receptor. NHMEE cells showed positive immunofluorescent reactions in the apical and basal cell layers A, whereas, negative controls, which were treated with anti-sense peptides, showed no immunoreactivity B. 265

카페인이점액분비에미치는영향 500% 400% 400% Mucin secretion % 300% 200% 100% Mucin secretion % 200% 0% Control 0 1 10 20 40 Caffeine mm 0% UTP BAPTA-AM A 100 M of UTP Fig. 3. Effect of intracellular calcium depletion on mucin secretion in NHMEE cells. Intracellular Ca 2+ was depleted by adding 50 M 2-bis 2-aminophenoxy ethane-n, N, N, N -tetraacetic acid-acetoxymethyl ester. This treatment suppressed both UTPinduced mucin secretion and constitutional mucin secretion. Ratio352/380 0.1 Units 150 sec Mucin secretion % B 100% 50% 0% Control 1 10 20 40 Caffeine mm Fig. 5. Effect of caffeine on mucin secretion in NHMEE cells. Caffeine suppressed UTP-induced mucin secretion in NHMEE cells in a dose- dependent manner A. More than 10 mm of caffeine also suppressed constitutional mucin secretion B. 0 1 0 10 0 20 0 40 100 M UTP mm caffeine Fig. 4. Effect of caffeine on UTP-induced Ca 2+ mobilization in NHMEE cells. Caffeine suppressed UTP-induced mucin Ca 2+ influx in a dose-dependant manner. Ca 2+ i Ca 2+ i 0 in vivoin vitro Ca 2+ i Ca 2+ i Ca 2+ i 266 Korean J Otolaryngol 2006;49:263-8

최재영외 Ca 2+ i Ca 2+ i - Ca 2+ i Ca 2+ i Ca 2+ i REFERENCES 1) Alessandra R, Alfio F. The pathology and clinical features of glue ear: A review. Eur Arch Otorhinolaryngol 2000;257:300-3. 2) Kim KC, Park HR. Shin CY, Akiyama T, Ko KH. Nucleotide-induced mucin release from primary hamster tracheal surface epithelial cells involves the P2u purinoreceptor. Eur Respir J 1996;9:542-8. 3) Choi JY, Namkung W, Shin JH, Yoon JH. UTP and ATPrS induce mucin secretion via Ca 2+ dependent pathways in human nasal epithelial cells. Acta Otolaryngol 2003;123:1080-6. 4) Choi JY, Cho KN, Yoon JH. Effect of Uridine 5 -Triphosphate on Mucin and Lysozyme Expression in Human Middle Ear Epithelial Cells. Acta Otolaryngol 2003;123:362-6. 5) Ko KH, Jo M, McCracken K, Kim KC. ATP-induced mucin release from cultured airway goblet cells involves, in part, activation of protein kinase C. Am J Respir Cell Mol Biol 1997;16:194-8. 6) Chen Y, Zhao YH, Wu R. Differential regulation of airway mucin gene expression and mucin secretion by extracellular nucleotide triphosphates. Am J Respir Cell Mol Biol 2001;25:409-17. 7) Dartt DA, Rios JD, Kanno H, Rawe IM, Zieske JD, Ralda N, et al. Regulation of conjunctival goblet cell secretion by Ca(2+) and protein kinase C. Exp Eye Res 2000;71:619-28. 8) Dray-Charier N, Paul A, Combettes L, Bouin M, Mergey M, Balladur P, et al. Regulation of mucin secretion in human gallbladder epithelial cells: Predominant role of calcium and protein kinase C. Gastroenterology 1997;112:978-90. 9) Brewer GJ. The methylxanthine beverages and foods: Chemistry, consumption, and health effects. Prog Clin Biol Res 1984;158:1-413. 10) Osipchuk YV, Wakui M, Yule DI, Gallacher DV, Petersen OH. Cytoplasmic Ca 2+ oscillations evoked by receptor stimulation, G-protein - activation, internal application of inositol trisphosphate or Ca 2+ : Simultaneous microfluorimetry and Ca 2+ dependent Cl - current recording in single pancreatic acinar cells. EMBO 1990; 9:697-704. 11) Hamada E, Nakajima T, Hata Y, Hazama H, Iwasawa K, Takahashi M, et al. Effect of caffeine on mucus secretion and agonist-dependent Ca 2+ mobilization in human gastric mucus secreting cells. Biochim Biophys Acta 1997;24;1356:198-206. 12) Choi JY, Kim CH, Lee WS, Kim HN, Song KS, Yoon JH. Ciliary and secretory differentiation of normal human middle ear epithelial cells. Acta Otolaryngol 2002;122:270-5. 13) Yoon JH, Kim KS, Kim SS, Lee JG, Park IY. Secretory differentiation of serially passaged normal human nasal epithelial cells by retinoic acid: Expression of mucin and lysozyme. Ann Otol Rhinol Laryngol 2000;109:594-601. 14) Ko WH, Law VW, Wong HY, Wilson SM. The simultaneous measurement of epithelial ion transport and intracellular free Ca 2+ in cultured equine sweat gland secretory epithelium. J Membr Biol 1999; 170:205-11. 15) King BF, Townsend-Nicholson A, Burnstock G. Metabotropic receptors for ATP and UTP: Exploring the correspondence between 267

카페인이점액분비에미치는영향 native and recombinant nucleotide receptors.trends Pharmacol Sci 1998;19:506-14. 16) Lazarowski ER, Paradiso AM, Watt WC, Harden TK, Boucher RC. UDP activates a mucosal-restricted receptor on human nasal epithelial cells that is distinct from the P2Y2 receptor. Proc Natl Acad Sci USA 1997;94:2599-603. 17) Yen PT, Herman P, Van den Abbeele T, Tan CT, Bordure P, Marianowski R, et al. Extracellular ATP modulates ion transport via P2Y purinoceptors in a middle-ear epithelial cell line. ORL J Otorhinolaryngol Relat Spec 1997;59:170-5. 18) Soltoff SP. Related adhesion focal tyrosine kinase and the epidermal growth factor receptor mediate the stimulation of mitogen-activated protein kinase by the G-protein-coupled P2Y2 receptor. Phorbol ester or [Ca 2+ ]i elevation can substitute for receptor activation. J Biol Chem 1998;273:23110-7. 19) Malgaroli A, Fesce R, Meldolesi J. Spontaneous [Ca 2+ ]i fluctuations in rat chromaffin cells do not require inositol 1, 4, 5-trisphosphate elevations but are generated by a caffeine- and ryanodine-sensitive intracellular Ca 2+ store. J Biol Chem 1990;265:3005-8. 268 Korean J Otolaryngol 2006;49:263-8