Pulmonary epithelial cells are exposed to mechanical strain during physiolo
gical breathing and mechanical ventilation. Strain regulates pulmonary grow
th and development and is implicated in volutrauma-induced fibrosis. The me
chanisms of strain-induced effects are not well understood. It was hypothes
ized that mechanical strain induces proliferation of pulmonary epithelial c
ells and that this is mediated by signals initiated within seconds of strai
n. To test this hypothesis, human pulmonary adenocarcinoma H441 cells were
strained in vitro. Cyclic as well as tonic strain resulted in increased cel
lular proliferation. Western blot analysis of strained cells demonstrated t
hree newly phosphorylated tyrosine residues within 30 s of strain. Phosphor
ylation of mitogen-activated protein kinases p42/44 increased, electrophore
tic mobility shift assay demonstrated activation of transcription factor ac
tivating protein-1, and immunohistochemistry demonstrated increased phospho
rylation of c-jun in response to strain. The tyrosine kinase inhibitor geni
stein blocked the strain-induced proliferation. We conclude that strain ind
uces proliferation in pulmonary epithelial cells and that tyrosine kinase a
ctivity is necessary to signal the proliferative response to mechanical str
ain.