CCN5 过表达通过 PI3K/Akt 信号通路抑制特发性肺纤维化患者来源的肺成纤维细胞及肺纤维化体内模型中的致纤维表型。
CCN5 overexpression inhibits profibrotic phenotypes via the PI3K/Akt signaling pathway in lung fibroblasts isolated from patients with idiopathic pulmonary fibrosis and in an in vivo model of lung fibrosis.
机构信息
Department of Geriatrics, The Second Affiliated Hospital, Medical School of Xi'an Jiaotong University,Xi'an, Shaanxi 710004, P.R. China.
出版信息
Int J Mol Med. 2014 Feb;33(2):478-86. doi: 10.3892/ijmm.2013.1565. Epub 2013 Nov 25.
Idiopathic pulmonary fibrosis (IPF) is a chronic and progressive interstitial lung disease with unknown etiology and undefined treatment modality. Fibroblasts are regarded as the major cell type that mediates the onset and progression of lung fibrosis by secreting large amounts of extracellular matrix (ECM) proteins, such as connective tissue growth factor (CTGF/CCN2). Current knowledge confers a crucial role of CCN2 in lung fibrosis. CCN5, another member of the CCN family, has been suggested to play an inhibitory role in some fibrotic diseases, such as cardiac fibrosis. However, the role of CCN5 in the process of IPF remains unknown. In the present study, using western blot analysis, we demonstrate that CCN2 is highly expressed in fibroblasts derived from IPF tissue, but is only slightly expressed in normal human lung fibroblasts. However, CCN5 was weakly expressed in all the above cells. qRT-PCR revealed that transforming growth factor (TGF)-β1 stimulation increased CCN2 expression in the IPF-derived cultures of primary human lung fibroblasts (PIFs) in a time- and concentration-dependent manner, but only slightly affected the expression of CCN5. The overexpression of CCN5 induced by the transfection of PIFs with recombinant plasmid did not affect cell viability, proliferation and apoptosis; however, it significantly suppressed the expression of CCN2, α-smooth muscle actin (α-SMA) and collagen type I. The TGF-β1-induced upregulation of the phosphorylation of Akt was reversed by CCN5 overexpression. Our results also demonstrated that adenovirus-mediated CCN5 overexpression in a mouse model of bleomycin-induced IPF significantly decreased the hydroxyproline content in the lungs, as well as TGF-β1 expression in bronchoalveolar lavage fluid. Taken together, our data demonstrate that CCN5 exerts an inhibitory effect on the fibrotic phenotypes of pulmonary fibroblasts in vitro and in vivo, and as such may be a promising target for the treatment of IPF.
特发性肺纤维化(IPF)是一种病因不明且治疗方法尚未确定的慢性进行性间质性肺疾病。成纤维细胞被认为是通过分泌大量细胞外基质(ECM)蛋白,如结缔组织生长因子(CTGF/CCN2),介导肺纤维化发生和进展的主要细胞类型。目前的知识赋予了 CCN2 在肺纤维化中的关键作用。CCN 家族的另一个成员 CCN5 已被证明在某些纤维化疾病中发挥抑制作用,如心脏纤维化。然而,CCN5 在 IPF 过程中的作用尚不清楚。在本研究中,我们通过 Western blot 分析表明,CCN2 在源自 IPF 组织的成纤维细胞中高度表达,但在正常人肺成纤维细胞中仅轻度表达。然而,CCN5 在所有上述细胞中表达较弱。qRT-PCR 显示 TGF-β1 刺激以时间和浓度依赖的方式增加源自人肺成纤维细胞(PIF)的 IPF 培养物中 CCN2 的表达,但仅轻微影响 CCN5 的表达。用重组质粒转染 PIF 诱导的 CCN5 过表达不会影响细胞活力、增殖和凋亡,但显著抑制 CCN2、α-平滑肌肌动蛋白(α-SMA)和 I 型胶原的表达。CCN5 过表达逆转了 TGF-β1 诱导的 Akt 磷酸化的上调。我们的结果还表明,腺病毒介导的 CCN5 过表达在博来霉素诱导的 IPF 小鼠模型中显著降低了肺中的羟脯氨酸含量以及支气管肺泡灌洗液中 TGF-β1 的表达。综上所述,我们的数据表明 CCN5 在体外和体内抑制肺成纤维细胞的纤维化表型,因此可能是治疗 IPF 的有前途的靶点。