令人烦恼的复杂性:Smad3 在上皮-肌成纤维细胞转化中的作用。
Smaddening complexity: the role of Smad3 in epithelial-myofibroblast transition.
机构信息
Keenan Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, and Department of Surgery, University of Toronto, Toronto, Ont., Canada.
出版信息
Cells Tissues Organs. 2011;193(1-2):41-52. doi: 10.1159/000320180. Epub 2010 Nov 3.
Epithelial-mesenchymal transition (EMT) has emerged as a major mechanism in the pathogenesis of organ fibrosis. The epithelium has been proposed to be a significant source of matrix-producing fibroblasts and of myofibroblasts (MFs), a motile and contractile cell type hallmarked by the expression of α-smooth muscle actin (SMA). Importantly, tissue accumulation of MFs shows strong correlation with the severity and progression of fibrotic diseases. The pleiotropic cytokine transforming growth factor-β(1) has been long known as the chief inducer of fibrosis, EMT and MF generation. Accordingly, receptor Smads (Smad2 and particularly Smad3), the direct targets of the activated transforming growth factor-β receptor have been implicated as critical mediators in fibrogenesis and EMT. However, evidence is accumulating that the role of Smad3 is complex and apparently controversial; in fact, Smad3 may differentially affect the various components of EMT, including the loss of epithelial markers (de-epithelialization), the production of extracellular matrix (fibrogenesis) and the expression of SMA (myogenic program). In this review, we revisit the role of Smad3 in epithelial-myofibroblast transition (EMyT). We first summarize the evidence supporting the thesis that Smad3 is a key mediator of EMT and MF generation; next, we present evidence supporting the antithesis that Smad3 is in fact a negative regulator of SMA expression and the activation of the myogenic program in the epithelium; finally, we propose a synthesis, which depicts Smad3 as a timekeeper and context-dependent modulator of EMyT. We suggest that EMyT is composed of an early, mesenchymal, Smad3-promoted phase and a late, myogenic, Smad3-inhibitable phase.
上皮-间充质转化 (EMT) 已成为器官纤维化发病机制中的主要机制。上皮细胞被认为是产生基质的成纤维细胞和肌成纤维细胞 (MFs) 的重要来源,MFs 是一种具有运动和收缩能力的细胞类型,其特征是表达α-平滑肌肌动蛋白 (SMA)。重要的是,MFs 在组织中的积累与纤维化疾病的严重程度和进展呈强相关性。转化生长因子-β(1) 作为纤维化、EMT 和 MF 产生的主要诱导因子,长期以来一直被人们所熟知。相应地,激活的转化生长因子-β 受体的直接靶受体 Smads(Smad2 和特别是 Smad3)已被认为是纤维化和 EMT 中的关键介质。然而,越来越多的证据表明 Smad3 的作用是复杂的,显然存在争议;事实上,Smad3 可能会对 EMT 的各个组成部分产生不同的影响,包括上皮标志物的丧失(去上皮化)、细胞外基质的产生(纤维化)和 SMA 的表达(肌生成程序)。在这篇综述中,我们重新审视了 Smad3 在上皮-肌成纤维细胞转化 (EMyT) 中的作用。我们首先总结了支持 Smad3 是 EMT 和 MF 产生的关键介质这一论点的证据;接下来,我们提出了支持 Smad3 实际上是 SMA 表达和上皮中肌生成程序激活的负调节剂这一反论点的证据;最后,我们提出了一个综合观点,将 Smad3 描绘为 EMyT 的时间控制器和上下文依赖的调节剂。我们认为 EMyT 由早期的、间质的、Smad3 促进的阶段和晚期的、肌源性的、Smad3 抑制的阶段组成。