Dept. of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229.
Am J Physiol Lung Cell Mol Physiol. 2014 Apr 15;306(8):L726-35. doi: 10.1152/ajplung.00357.2013. Epub 2014 Feb 7.
A number of growth factors and signaling pathways regulate matrix deposition and fibroblast proliferation in the lung. The epidermal growth factor receptor (EGFR) family of receptors and the transforming growth factor-β (TGF-β) family are active in diverse biological processes and are central mediators in the initiation and maintenance of fibrosis in many diseases. Transforming growth factor-α (TGF-α) is a ligand for the EGFR, and doxycycline (Dox)-inducible transgenic mice conditionally expressing TGF-α specifically in the lung epithelium develop progressive fibrosis accompanied with cachexia, changes in lung mechanics, and marked pleural thickening. Although recent studies demonstrate that EGFR activation modulates the fibroproliferative effects involved in the pathogenesis of TGF-β induced pulmonary fibrosis, in converse, the direct role of EGFR induction of the TGF-β pathway in the lung is unknown. The αvβ6 integrin is an important in vivo activator of TGF-β activation in the lung. Immunohistochemical analysis of αvβ6 protein expression and bronchoalveolar analysis of TGF-β pathway signaling indicates activation of the αvβ6/TGF-β pathway only at later time points after lung fibrosis was already established in the TGF-α model. To determine the contribution of the αvβ6/TGF-β pathway on the progression of established fibrotic disease, TGF-α transgenic mice were administered Dox for 4 wk, which leads to extensive fibrosis; these mice were then treated with a function-blocking anti-αvβ6 antibody with continued administration of Dox for an additional 4 wk. Compared with TGF-α transgenic mice treated with control antibody, αvβ6 inhibition significantly attenuated pleural thickening and altered the decline in lung mechanics. To test the effects of genetic loss of the β6 integrin, TGF-α transgenic mice were mated with β6-null mice and the degree of fibrosis was compared in adult mice following 8 wk of Dox administration. Genetic ablation of the β6 integrin attenuated histological and physiological changes in the lungs of TGF-α transgenic mice although a significant degree of fibrosis still developed. In summary, inhibition of the β6 integrin led to a modest, albeit significant, effect on pleural thickening and lung function decline observed with TGF-α-induced pulmonary fibrosis. These data support activation of the αvβ6/TGF-β pathway as a secondary effect contributing to TGF-α-induced pleural fibrosis and suggest a complex contribution of multiple mediators to the maintenance of progressive fibrosis in the lung.
许多生长因子和信号通路调节肺中的基质沉积和成纤维细胞增殖。表皮生长因子受体(EGFR)家族受体和转化生长因子-β(TGF-β)家族在多种生物过程中活跃,是许多疾病纤维化起始和维持的中心介质。转化生长因子-α(TGF-α)是 EGFR 的配体,条件性表达 TGF-α的强力霉素(Dox)诱导转基因小鼠在肺上皮细胞中特异性表达,会发展出进行性纤维化,伴有恶病质、肺力学改变和明显的胸膜增厚。尽管最近的研究表明 EGFR 激活调节了 TGF-β 诱导的肺纤维化发病机制中涉及的纤维增生效应,但反之,EGFR 诱导的 TGF-β途径在肺中的直接作用尚不清楚。αvβ6 整合素是肺中 TGF-β 激活的重要体内激活物。αvβ6 蛋白表达的免疫组织化学分析和 TGF-β 途径信号的支气管肺泡分析表明,只有在 TGF-α模型中已经建立肺纤维化后,αvβ6/TGF-β 途径才会在后期被激活。为了确定 αvβ6/TGF-β 途径对已建立的纤维化疾病进展的贡献,TGF-α 转基因小鼠接受强力霉素治疗 4 周,导致广泛纤维化;然后用功能阻断抗 αvβ6 抗体治疗这些小鼠,并继续强力霉素治疗 4 周。与用对照抗体治疗的 TGF-α 转基因小鼠相比,αvβ6 抑制显著减轻胸膜增厚并改变肺力学下降。为了测试 β6 整合素基因缺失的影响,TGF-α 转基因小鼠与 β6 缺失小鼠交配,并在强力霉素治疗 8 周后比较成年小鼠的纤维化程度。β6 整合素的基因缺失减轻了 TGF-α 转基因小鼠肺部的组织学和生理学变化,尽管仍有显著程度的纤维化发展。总之,抑制 β6 整合素导致 TGF-α 诱导的肺纤维化中观察到的胸膜增厚和肺功能下降有适度但显著的影响。这些数据支持 αvβ6/TGF-β 途径的激活是 TGF-α 诱导的胸膜纤维化的继发效应,并表明多种介质对肺进行性纤维化的维持有复杂的贡献。