Differential Signaling Defects Associated with the M201V Polymorphism in the Cysteinyl Leukotriene Type 2 Receptor

The cysteinyl-leukotrienes (cysLTs) LTC4, LTD4, and LTE4, are involved in a variety of inflammatory diseases, including asthma, and act on at least two distinct receptors, CysLT1 and CysLT2. Specific antagonists of CysLT1 are currently used to control bronchoconstriction and inflammation in asthmatic pa-tients. The potential role of CysLT2 in asthma remains poorly understood. A polymorphism in the CysLT2 gene, resulting in a single amino acid substitution (M201V), was found to be asso-ciated with asthma in three separate population studies. Here, we investigated whether the M201V mutation affected the af-finity of CysLT2 for its natural ligands and its signaling effi-ciency. Human embryonic kidney 293 cells were stably trans-fected with either wild-type (wt) or mutant (M201V) CysLT2. Affinity of the M201V receptor for LTC4 was reduced by 50%, whereas affinity for LTD4 was essentially lost. LTC4-induced production of inositol phosphates (IPs) in M201V-expressing cells was significantly decreased at suboptimal concentrations of the ligand, but no difference was observed at high concen-trations. In contrast, LTD4-induced IP production was 10- to 100-fold less in M201V- than in wt-expressing cells. Similar results were also observed with the transactivation of the inter-leukin-8 promoter induced by LTC4 or LTD4. Moreover, in con-trast to wt-expressing cells, phosphorylation of nuclear factor B p65 was absent in LTD4-stimulated M201V-expressing cells. Likewise, phosphorylation of c-Jun N-terminal kinase was not induced in LTD4-stimulated M201V cells, whereas activa-tion of extracellular response kinase and p38 was maintained, at least at higher LTD4 concentrations. Our results indicate that the M201V polymorphism drastically affects CysLT2 responses to LTD4 and less to LTC4