Target intelligence / Profile preview

Airway smooth muscle contraction pathway

Molecular classification
Other
01

Overview

“Airway smooth muscle contraction pathway" describes the complex signaling events that regulate contraction of airway smooth muscle cells, which modulate airway diameter and airflow resistance. This pathway is activated by agonists such as acetylcholine (via muscarinic receptors), histamine, and leukotrienes, leading to increases in intracellular calcium, activation of myosin light chain kinase, and actin-myosin cross-bridge cycling. Relaxation is mediated by beta-2 adrenergic receptor activation, which increases cyclic AMP. Dysregulation of this pathway underlies diseases such as asthma and chronic obstructive pulmonary disease, where excessive contraction (bronchoconstriction) and airway hyperreactivity occur. While individual components (e.g., muscarinic receptors, beta-2 adrenergic receptors, ion channels) are valid drug targets, the "airway smooth muscle contraction pathway" itself is a functional/process entity, not a single molecular target[1][2][3][4][5]. This entity is not a standardized molecule or receptor, but a catch-all for the interconnected signaling events and effector mechanisms governing airway smooth muscle tone. For structured data, its components should be mapped to the underlying target proteins, such as muscarinic acetylcholine receptors, histamine receptors, Rho kinase, and various ion channels.

Other names
Airway smooth muscle contraction cascadeASM contraction pathwayBronchoconstriction pathway
02

Mechanism of action

Relaxation of ASM by increasing cAMP (adrenergic agonists); Inhibition of muscarinic acetylcholine receptors (muscarinic antagonists); Inhibition of calcium influx; Blocking pro-contraction signaling pathways (e.g. Rho kinase, G-protein signaling)

03

Biological functions

BronchoconstrictionRegulation of airway resistanceModulation of ventilation-perfusionSignal transductionCell proliferation
04

Disease associations

AsthmaChronic obstructive pulmonary diseaseAirway hyperresponsivenessAirway remodeling
05

Safety considerations

Systemic side effects from bronchodilators (e.g., tachycardia, tremor)Loss of efficacy with overuse (tachyphylaxis)Potential airway remodeling with chronic stimulation or inhibitionNon-specific actions of some drugs (e.g., theophylline toxicity)
06

Interacting drugs

Beta-2 adrenergic agonists (e.g., albuterol)

5 more in the full profile.

07

Biomarkers

Phosphorylation state of myosin light chain 20 (LC20)Intracellular calcium concentrationExpression/activity of RhoA/Rho kinaseAirway resistance (functional)

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