We observed an increase in peribronchovascular collagen fiber content in mice that were exposed to both ovalbumin and cigarette smoke. Palmans et al. (2000) showed the deposition of extracellular matrix components, such as collagen or fibronectin, in the airway walls of sensitized rats subjected to repeated exposures

to allergens. This increase in extracellular matrix component deposition may be Ibrutinib associated with attenuated airway smooth muscle (ASM) shortening due to stiffening of the airways. Postmortem studies showed that the ASM layer of patients with asthma is thickened. This may result in airway hyperresponsiveness if the contractility of ASM cells remains constant. However, thickening of the ASM layer is partly attributed to the increased deposition of check details extracellular matrix around individual ASM cells, which may act against ASM shortening (Bento and Hershenson, 1998, Chen et al., 2003, Niimi et al., 2003 and Palmans et al., 2000). Thus, it is plausible that the attenuation in tissue elastance

observed in the OVA + CS group in this experimental model is related to an increase in collagen fiber content. Exposure to cigarette smoke can also result in airway remodeling. Churg et al. exposed mice to different periods of cigarette smoke (2 h, 6 h, 24 h, 1 week, 1 month and 6 months) and noted that 2 h after cigarette smoke exposure, there was an approximately sixfold increase in type 1 procollagen gene expression, although this increase declined over 24 h. Following chronic exposure, there was an approximately eightfold increase in the expression of this gene. The same pattern was observed in the expression of connective tissue

growth factor (CTGF) and TGF-β1 (Churg et al., 2006). However, after 2 h of exposure to cigarette smoke, these changes abate initially and then show a subtle new increase after 1 week, remaining close to the initial values after 6 months of exposure. These data can partially explain our findings because 3 weeks of cigarette smoke exposure alone was not enough to increase collagen fiber content. We observed Rutecarpine a significant increase in TGF-β-positive cells in the bronchial epithelium only in the CS + OVA group after 3 weeks of cigarette smoke exposure, suggesting an additive or synergic effect of both stimuli (Min et al., 2007). Interestingly, in this group of mice, there was a strong positive correlation between the density of cells in the bronchial epithelium expressing TGF-β and the density of collagen fibers (r = 0.91; p = 0.01). Previous studies both in vivo and in vitro revealed a relationship between TGF-beta in the bronchial epithelium and lung remodeling with particularly increased expression of types I and III collagen ( Kenyon et al., 2003). These findings support the idea that TGF-β can cause lung remodeling even in the absence of detectable inflammation. In our model, we also observed an increase in GM-CSF and VEGF levels in the OVA + CS group.