Levine D, Rockey D C, Milner T A, Breuss J M, Fallon J T, Schnapp L M
Department of Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA.
Am J Pathol. 2000 Jun;156(6):1927-35. doi: 10.1016/s0002-9440(10)65066-3.
The fibrotic response after diverse forms of injury is characterized by the accumulation of extracellular matrix proteins, proliferation of myofibroblast-like cells, and organ contraction. Myofibroblasts are key effector cells in the development of the fibrotic response. They contribute to fibrosis through both increased cell number (proliferation) and enhanced matrix synthesis. Integrins, a class of cell adhesion molecules, are mediators of cell-extracellular matrix protein interactions that are important in the proliferative and migratory response of cells to matrix proteins. We have previously cloned the human integrin subunit alpha8, documented its high expression in lung tissue, and established it as a receptor for the matrix proteins fibronectin, vitronectin, and tenascin. We now demonstrate that alveolar interstitial cells are the primary cell type expressing alpha8beta1 in the lung parenchyma. Expression of alpha8beta1 is concentrated primarily along the thinned extensions of cells and at the tips of filopodia. Because of its unique distribution in alveolar interstitial cells, we hypothesized that it may play a role in the fibrotic response after injury. In bleomycin-induced pulmonary fibrosis, there is increased expression of alpha8beta1 by interstitial fibroblasts, the majority of which coexpress alpha smooth muscle actin, a marker of tissue myofibroblasts. To establish a more general role for alpha8beta1 during organ fibrosis, we further examined its expression in two rat models of liver fibrosis. During hepatic injury due to either carbon tetrachloride injury or bile duct ligation, we demonstrate de novo expression of alpha8beta1 in activated hepatic stellate cells, the myofibroblast equivalent in liver. Taken together, the data localize alpha8beta1 to myofibroblast-like cells during wound healing and suggest that signal transduction through the alpha8beta1 integrin may contribute to the fibrotic response of organs to injury.
多种形式的损伤后的纤维化反应的特征是细胞外基质蛋白的积累、肌成纤维细胞样细胞的增殖以及器官收缩。肌成纤维细胞是纤维化反应发展中的关键效应细胞。它们通过增加细胞数量(增殖)和增强基质合成来促进纤维化。整合素是一类细胞粘附分子,是细胞与细胞外基质蛋白相互作用的介质,在细胞对基质蛋白的增殖和迁移反应中起重要作用。我们之前克隆了人整合素亚基α8,记录了其在肺组织中的高表达,并将其确立为基质蛋白纤连蛋白、玻连蛋白和腱生蛋白的受体。我们现在证明肺泡间质细胞是肺实质中表达α8β1的主要细胞类型。α8β1的表达主要集中在细胞的变薄延伸处和丝状伪足的尖端。由于其在肺泡间质细胞中的独特分布,我们推测它可能在损伤后的纤维化反应中起作用。在博来霉素诱导的肺纤维化中,间质成纤维细胞中α8β1的表达增加,其中大多数共表达α平滑肌肌动蛋白,这是组织肌成纤维细胞的标志物。为了确定α8β1在器官纤维化过程中更普遍的作用,我们进一步研究了它在两种大鼠肝纤维化模型中的表达。在四氯化碳损伤或胆管结扎引起的肝损伤过程中,我们证明在活化的肝星状细胞(肝脏中相当于肌成纤维细胞的细胞)中α8β1从头表达。综上所述,这些数据将α8β1定位在伤口愈合过程中的肌成纤维细胞样细胞上,并表明通过α8β1整合素的信号转导可能有助于器官对损伤的纤维化反应。