Tissue remodeling often reflects alterations in local mechanical conditions
and manifests as an integrated response among the different cell types tha
t share, and thus cooperatively manage, an extracellular matrix. Here we ex
amine how two different cell types, one that undergoes the stress and the o
ther that primarily remodels the matrix, might communicate a mechanical str
ess by using airway cells as a representative in vitro system. Normal stres
s is imposed on bronchial epithelial cells in the presence of unstimulated
lung fibroblasts. We show that (i) mechanical stress can be communicated fr
om stressed to unstressed cells to elicit a remodeling response, and (ii) t
he integrated response of two cell types to mechanical stress mimics key fe
atures of airway remodeling seen in asthma: namely, an increase in producti
on of fibronectin, collagen types III and V, and matrix metalloproteinase t
ype 9 (MMP-9) (relative to tissue inhibitor of metalloproteinase-1, TIMP-1)
, These observations provide a paradigm to use in understanding the managem
ent of mechanical forces on the tissue level.