Department of Biochemistry and Molecular Biology, Pediatric Research Center, University of Texas Health Science Center, Houston, Texas, USA.
FASEB J. 2012 Feb;26(2):503-12. doi: 10.1096/fj.11-186098. Epub 2011 Oct 11.
Pulmonary fibrosis, characterized by excess deposition of extracellular matrix by myofibroblasts, is a serious component of chronic lung diseases. Cadherin-11 (CDH11) is increased in wound healing and fibrotic skin. We hypothesized that CDH11 is increased in pulmonary fibrosis and contributes its development. CDH11 expression was assessed in lung tissue from idiopathic pulmonary fibrosis patients. The role of CDH11 in lung fibrosis was determined using the bleomycin model of pulmonary fibrosis, and in vitro analyses were performed on A549 cells during the process of epithelial to mesenchymal transition (EMT). Immunohistochemical studies demonstrated CDH11 expression on fibroblasts, epithelial cells, and alveolar macrophages of patients with pulmonary fibrosis and mice given bleomycin. Interestingly, CDH11-deficient mice had decreased fibrotic endpoints in the bleomycin model of pulmonary fibrosis compared to wild-type mice. Furthermore, anti-CDH11-neutralizing monoclonal antibodies successfully treated established pulmonary fibrosis induced by bleomycin. TGF-β levels were reduced in bronchoalveolar lavage (BAL) fluid, BAL cells, and primary alveolar macrophages from CDH11-deficient mice. Mechanistic studies demonstrated that TGF-β up-regulated CDH11 expression on A549 cells, and inhibition of CDH11 expression using siRNA reduced TGF-β-induced EMT. Together, these results identify CDH11 as a novel therapeutic target for pulmonary fibrosis.
肺纤维化的特征是肌成纤维细胞过度沉积细胞外基质,是慢性肺部疾病的严重组成部分。钙黏蛋白 11(CDH11)在伤口愈合和纤维化皮肤中增加。我们假设 CDH11 在肺纤维化中增加,并促进其发展。评估了特发性肺纤维化患者肺组织中的 CDH11 表达。使用博来霉素诱导的肺纤维化模型确定了 CDH11 在肺纤维化中的作用,并在体外分析了上皮细胞向间充质转化(EMT)过程中的 A549 细胞。免疫组织化学研究表明,纤维化肺组织中的成纤维细胞、上皮细胞和肺泡巨噬细胞以及接受博来霉素的小鼠均表达 CDH11。有趣的是,与野生型小鼠相比,CDH11 缺陷型小鼠在博来霉素诱导的肺纤维化模型中的纤维化终点减少。此外,抗 CDH11 中和单克隆抗体成功治疗了博来霉素诱导的已建立的肺纤维化。博来霉素处理的 CDH11 缺陷型小鼠的支气管肺泡灌洗液(BAL)、BAL 细胞和原代肺泡巨噬细胞中的 TGF-β 水平降低。机制研究表明,TGF-β 上调了 A549 细胞中的 CDH11 表达,而使用 siRNA 抑制 CDH11 表达可减少 TGF-β 诱导的 EMT。总之,这些结果表明 CDH11 是肺纤维化的一个新的治疗靶点。