Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, , Erlangen, Germany.
Ann Rheum Dis. 2014 Mar;73(3):624-7. doi: 10.1136/annrheumdis-2013-203995. Epub 2013 Nov 20.
Canonical as well as non-canonical Wnt signalling pathways have emerged as core pathways of fibrosis. Their profibrotic effects are mediated via distinct intracellular cascades independently of each other. Thus, inhibition of both pathways may have additive antifibrotic effects. Here, we knocked down evenness interrupted (EVI) to simultaneously target for the first time canonical and non-canonical Wnt signalling in experimental fibrosis.
The antifibrotic effects of siRNA-mediated knockdown of EVI were evaluated in the mouse models of bleomycin-induced skin fibrosis and in fibrosis induced by adenoviral overexpression of a constitutively active TGF-β receptor I (AdTBRI).
Knockdown of EVI decreased the release of canonical and non-canonical Wnt ligands by fibroblasts and reduced the activation of canonical and non-canonical Wnt cascades in experimental fibrosis with decreased accumulation of β-catenin and phosphorylated JNK and cJun. Inactivation of EVI exerted potent antifibrotic effects and reduced dermal thickening, myofibroblast differentiation and accumulation of collagen in the mouse models of bleomycin-induced and AdTBR-induced fibrosis.
Inhibition of Wnt secretion by knockdown of EVI inhibits canonical and non-canonical Wnt signalling and effectively reduces experimental fibrosis in different preclinical models. Inhibition of Wnt secretion may thus be an interesting approach for the treatment of fibrosis.
经典和非经典 Wnt 信号通路已成为纤维化的核心通路。它们的促纤维化作用通过彼此独立的不同细胞内级联来介导。因此,抑制这两种途径可能具有相加的抗纤维化作用。在这里,我们敲低 evenness interrupted (EVI),以首次同时针对经典和非经典 Wnt 信号通路在实验性纤维化中进行靶向治疗。
在博来霉素诱导的皮肤纤维化模型和腺病毒过表达组成性激活 TGF-β 受体 I (AdTBRI)诱导的纤维化模型中,评估 siRNA 介导的 EVI 敲低的抗纤维化作用。
EVI 的敲低降低了成纤维细胞中经典和非经典 Wnt 配体的释放,并降低了实验性纤维化中经典和非经典 Wnt 级联的激活,β-catenin 和磷酸化 JNK 和 cJun 的积累减少。EVI 的失活发挥了强大的抗纤维化作用,并减少了博来霉素诱导和 AdTBR 诱导纤维化模型中的皮肤增厚、肌成纤维细胞分化和胶原积累。
通过敲低 EVI 抑制 Wnt 分泌可抑制经典和非经典 Wnt 信号通路,并有效减少不同临床前模型中的实验性纤维化。因此,抑制 Wnt 分泌可能是治疗纤维化的一种有趣方法。