Abstract
Cell barrier function is, on the one hand, of outmost importance in our
lungs, as the respiratory tract is exposed to a hostile environment from
both sites: the airways and the vasculature. On the other hand, however,
an efficient gas exchange of oxygen (O 2) and CO
2 is only possible through a very thin alveolo-capillary
membrane. On the vascular site, endothelial cells form a natural
barrier, while in the airways epithelial cells are most important for
protection of the lung tissues. Moreover, fibroblasts, by transforming
to myofibroblasts, are essential for wound closure after mechanical and
chemical microinjuries in the respiratory tract. Along this line, loss
of cell resistance in vascular endothelial and lung epithelial cells
enhances invasion of pathogens (e.g. SARS-CoV-2) and results in
pulmonary edema formation, while increasing barrier function of
pulmonary (myo)fibroblasts blocks gas exchange in patients with
pulmonary fibrosis (PF). Therefore, electrical cell-substrate impedance
sensing (ECIS)-based quantification of changes in cell barrier function
in lung endothelial and epithelial cells as well as fibroblasts after
application of harmful triggers (e.g. hypoxia, receptor agonists and
toxicants) is a convenient and state-of-the-art technique. After
isolation of primary cells from mouse models and human tissues, changes
in cell resistance can be detected in real time. By using lung cells
from gene-deficient mouse models, micro (mi) RNAs or the
small-interfering (si) RNA technology essential proteins for cell
adhesion e.g. ion channels of the transient receptor potential (TRP)
family are identified in comparison to wild type control cells. In the
future, these proteins may be useful as drug targets for novel
therapeutic options in patients with lung edema or pulmonary fibrosis.