Impaired sphingolipid synthesis in the respiratory tract induces airway hyperreactivity

Sci Transl Med. 2013 May 22;5(186):186ra67. doi: 10.1126/scitranslmed.3005765.

Abstract

Asthma is a clinically heterogeneous genetic disease, and its pathogenesis is incompletely understood. Genome-wide association studies link ORM (yeast)-Like protein isoform 3 [corrected] (ORMDL3), a member of the ORM gene family, to nonallergic childhood-onset asthma. Orm proteins negatively regulate sphingolipid (SL) synthesis by acting as homeostatic regulators of serine palmitoyl-CoA transferase (SPT), the rate-limiting enzyme of de novo SL synthesis, but it is not known how SPT activity or SL synthesis is related to asthma. The present study analyzes the effect of decreased de novo SL synthesis in the lung on airway reactivity after administration of myriocin, an inhibitor of SPT, and in SPT heterozygous knockout mice. We show that, in both models, decreased de novo SL synthesis increases bronchial reactivity in the absence of inflammation. Decreased SPT activity affected intracellular magnesium homeostasis and altered the bronchial sensitivity to magnesium. This functionally links decreased de novo SL synthesis to asthma and so identifies this metabolic pathway as a potential target for therapeutic interventions.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Airway Remodeling / drug effects
  • Animals
  • Bronchial Hyperreactivity / complications
  • Bronchial Hyperreactivity / metabolism*
  • Bronchial Hyperreactivity / pathology*
  • Bronchial Hyperreactivity / physiopathology
  • Fatty Acids, Monounsaturated / pharmacology
  • Female
  • Homeostasis / drug effects
  • Lung / enzymology
  • Lung / metabolism*
  • Lung / pathology*
  • Lung / physiopathology
  • Magnesium / metabolism
  • Mice
  • Mice, Inbred BALB C
  • Mucus / metabolism
  • Pneumonia / complications
  • Pneumonia / pathology
  • Serine C-Palmitoyltransferase / metabolism
  • Sphingolipids / biosynthesis*

Substances

  • Fatty Acids, Monounsaturated
  • Sphingolipids
  • Serine C-Palmitoyltransferase
  • Magnesium
  • thermozymocidin