Nishioka Yasuhiko, Azuma Momoyo, Kishi Masami, Aono Yoshinori
Department of Respiratory Medicine and Rheumatology, Institute of Health Biosciences, the University of Tokushima Graduate School.
J Med Invest. 2013;60(3-4):175-83. doi: 10.2152/jmi.60.175.
Idiopathic pulmonary fibrosis (IPF) is a progressive and lethal lung disease characterized by the proliferation of fibroblasts and deposition of extracellular matrix. Since the prognosis of IPF is still poor, novel therapeutic modalities are strongly required. For this reason, to find molecular target for therapy of IPF is of much importance. The recent understanding of pathogenesis in IPF indicates the critical role of alveolar epithelial type II cells (AECII) and fibroblasts. Although the detailed mechanisms involved in IPF is still unclear, various profibrotic mediators which are produced by the injured AECII are thought to play a role in the progression of pulmonary fibrosis via stimulating fibroblasts. Among them, platelet-derived growth factor (PDGF) is one of critical growth factors by stimulating the proliferation and migration of fibroblasts. In this review, we discuss the role of PDGF in pulmonary fibrosis and the possibility as a therapeutic target for IPF.
特发性肺纤维化(IPF)是一种进行性致死性肺部疾病,其特征为成纤维细胞增殖和细胞外基质沉积。由于IPF的预后仍然很差,因此迫切需要新的治疗方法。因此,寻找IPF治疗的分子靶点非常重要。最近对IPF发病机制的认识表明肺泡II型上皮细胞(AECII)和成纤维细胞起着关键作用。尽管IPF所涉及的详细机制仍不清楚,但受损的AECII产生的各种促纤维化介质被认为通过刺激成纤维细胞在肺纤维化进展中发挥作用。其中,血小板衍生生长因子(PDGF)是通过刺激成纤维细胞增殖和迁移的关键生长因子之一。在这篇综述中,我们讨论了PDGF在肺纤维化中的作用以及作为IPF治疗靶点的可能性。