Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Am J Pathol. 2012 Feb;180(2):484-93. doi: 10.1016/j.ajpath.2011.10.005. Epub 2011 Dec 20.
Excessive extracellular matrix production by fibroblasts in response to tissue injury contributes to fibrotic diseases, such as idiopathic pulmonary fibrosis (IPF). Epithelial-mesenchymal transition, involving transition of alveolar epithelial cells (AECs) to pulmonary fibroblasts, appears to be an important contributory process to lung fibrosis. Although aberrant expression of microRNAs (miRs) is involved in a variety of pathophysiologic processes, the role of miRs in fibrotic lung diseases is less well understood. In the present study, we found that miR-200a, miR-200b, and miR-200c are significantly down-regulated in the lungs of mice with experimental lung fibrosis. Levels of miR-200a and miR-200c were reduced in the lungs of patients with IPF. miR-200 had greater expression in AECs than in lung fibroblasts, and AECs from mice with experimental pulmonary fibrosis had diminished expression of miR-200. We found that the miR-200 family members inhibit transforming growth factor-β1-induced epithelial-mesenchymal transition of AECs. miR-200 family members can reverse the fibrogenic activity of pulmonary fibroblasts from mice with experimental pulmonary fibrosis and from patients with IPF. Indeed, the introduction of miR-200c diminishes experimental pulmonary fibrosis in mice. Thus, the miR-200 family members participate importantly in fibrotic lung diseases and suggest that restoring miR-200 expression in the lungs may represent a novel therapeutic approach in treating pulmonary fibrotic diseases.
成纤维细胞对组织损伤的过度细胞外基质产生导致纤维性疾病,如特发性肺纤维化(IPF)。上皮-间充质转化,涉及肺泡上皮细胞(AECs)向肺成纤维细胞的转化,似乎是肺纤维化的一个重要促成过程。尽管 microRNAs(miRs)的异常表达涉及多种病理生理过程,但 miRs 在纤维性肺疾病中的作用知之甚少。在本研究中,我们发现 miR-200a、miR-200b 和 miR-200c 在实验性肺纤维化小鼠的肺部明显下调。IPF 患者的肺部 miR-200a 和 miR-200c 水平降低。miR-200 在 AECs 中的表达高于肺成纤维细胞,实验性肺纤维化小鼠的 AECs 中 miR-200 的表达减少。我们发现 miR-200 家族成员抑制 AEC 中转化生长因子-β1 诱导的上皮-间充质转化。miR-200 家族成员可以逆转实验性肺纤维化小鼠和 IPF 患者肺成纤维细胞的纤维生成活性。事实上,miR-200c 的引入可减少小鼠的实验性肺纤维化。因此,miR-200 家族成员在纤维性肺疾病中起重要作用,并表明恢复肺部 miR-200 的表达可能代表治疗肺纤维性疾病的一种新的治疗方法。