活化的肺泡上皮细胞通过自分泌和旁分泌连接组织生长因子启动纤维化。

Activated alveolar epithelial cells initiate fibrosis through autocrine and paracrine secretion of connective tissue growth factor.

机构信息

109 Zina Pitcher Place, BSRB 4061, Ann Arbor, MI 48109.

出版信息

Am J Physiol Lung Cell Mol Physiol. 2014 Apr 15;306(8):L786-96. doi: 10.1152/ajplung.00243.2013. Epub 2014 Feb 7.

Abstract

Fibrogenesis involves a pathological accumulation of activated fibroblasts and extensive matrix remodeling. Profibrotic cytokines, such as TGF-β, stimulate fibroblasts to overexpress fibrotic matrix proteins and induce further expression of profibrotic cytokines, resulting in progressive fibrosis. Connective tissue growth factor (CTGF) is a profibrotic cytokine that is indicative of fibroblast activation. Epithelial cells are abundant in the normal lung, but their contribution to fibrogenesis remains poorly defined. Profibrotic cytokines may activate epithelial cells with protein expression and functions that overlap with the functions of active fibroblasts. We found that alveolar epithelial cells undergoing TGF-β-mediated mesenchymal transition in vitro were also capable of activating lung fibroblasts through production of CTGF. Alveolar epithelial cell expression of CTGF was dramatically reduced by inhibition of Rho signaling. CTGF reporter mice demonstrated increased CTGF promoter activity by lung epithelial cells acutely after bleomycin in vivo. Furthermore, mice with lung epithelial cell-specific deletion of CTGF had an attenuated fibrotic response to bleomycin. These studies provide direct evidence that epithelial cell activation initiates a cycle of fibrogenic effector cell activation during progressive fibrosis. Therapy targeted at epithelial cell production of CTGF offers a novel pathway for abrogating this progressive cycle and limiting tissue fibrosis.

摘要

纤维化涉及激活的成纤维细胞的病理性积累和广泛的基质重塑。促纤维化细胞因子,如 TGF-β,刺激成纤维细胞过度表达纤维化基质蛋白,并诱导进一步表达促纤维化细胞因子,导致进行性纤维化。结缔组织生长因子 (CTGF) 是一种促纤维化细胞因子,表明成纤维细胞激活。上皮细胞在正常肺中丰富,但它们对纤维化的贡献仍未得到明确界定。促纤维化细胞因子可能通过具有与活性成纤维细胞功能重叠的蛋白表达和功能激活上皮细胞。我们发现体外 TGF-β 介导的间充质转化的肺泡上皮细胞也能够通过产生 CTGF 激活肺成纤维细胞。Rho 信号通路的抑制显著降低了肺泡上皮细胞 CTGF 的表达。CTGF 报告基因小鼠显示在体内博来霉素后急性肺上皮细胞 CTGF 启动子活性增加。此外,肺上皮细胞特异性 CTGF 缺失的小鼠对博来霉素的纤维化反应减弱。这些研究提供了直接证据,表明上皮细胞的激活在进行性纤维化过程中引发了一个纤维化效应细胞激活的循环。针对上皮细胞 CTGF 产生的治疗为阻断这一进行性循环和限制组织纤维化提供了一条新途径。

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