Oruqaj Gani, Karnati Srikanth, Vijayan Vijith, Kotarkonda Lakshmi Kanth, Boateng Eistine, Zhang Wenming, Ruppert Clemens, Günther Andreas, Shi Wei, Baumgart-Vogt Eveline
Institute for Anatomy and Cell Biology, Medical Cell Biology, Justus Liebig University, Giessen 35392, Germany;
Saban Research Institute, Children's Hospital Los Angeles, Los Angeles, CA 90027; and.
Proc Natl Acad Sci U S A. 2015 Apr 21;112(16):E2048-57. doi: 10.1073/pnas.1415111112. Epub 2015 Apr 6.
Idiopathic pulmonary fibrosis (IPF) is a devastating disease, and its pathogenic mechanisms remain incompletely understood. Peroxisomes are known to be important in ROS and proinflammatory lipid degradation, and their deficiency induces liver fibrosis. However, altered peroxisome functions in IPF pathogenesis have never been investigated. By comparing peroxisome-related protein and gene expression in lung tissue and isolated lung fibroblasts between human control and IPF patients, we found that IPF lungs exhibited a significant down-regulation of peroxisomal biogenesis and metabolism (e.g., PEX13p and acyl-CoA oxidase 1). Moreover, in vivo the bleomycin-induced down-regulation of peroxisomes was abrogated in transforming growth factor beta (TGF-β) receptor II knockout mice indicating a role for TGF-β signaling in the regulation of peroxisomes. Furthermore, in vitro treatment of IPF fibroblasts with the profibrotic factors TGF-β1 or tumor necrosis factor alpha (TNF-α) was found to down-regulate peroxisomes via the AP-1 signaling pathway. Therefore, the molecular mechanisms by which reduced peroxisomal functions contribute to enhanced fibrosis were further studied. Direct down-regulation of PEX13 by RNAi induced the activation of Smad-dependent TGF-β signaling accompanied by increased ROS production and resulted in the release of cytokines (e.g., IL-6, TGF-β) and excessive production of collagen I and III. In contrast, treatment of fibroblasts with ciprofibrate or WY14643, PPAR-α activators, led to peroxisome proliferation and reduced the TGF-β-induced myofibroblast differentiation and collagen protein in IPF cells. Taken together, our findings suggest that compromised peroxisome activity might play an important role in the molecular pathogenesis of IPF and fibrosis progression, possibly by exacerbating pulmonary inflammation and intensifying the fibrotic response in the patients.
特发性肺纤维化(IPF)是一种毁灭性疾病,其致病机制仍未完全明确。已知过氧化物酶体在活性氧(ROS)和促炎脂质降解中起重要作用,其功能缺陷可诱导肝纤维化。然而,过氧化物酶体功能改变在IPF发病机制中的作用从未被研究过。通过比较人类对照和IPF患者肺组织及分离的肺成纤维细胞中过氧化物酶体相关蛋白和基因的表达,我们发现IPF肺组织中过氧化物酶体生物发生和代谢(如PEX13p和酰基辅酶A氧化酶1)显著下调。此外,在体内,博来霉素诱导的过氧化物酶体下调在转化生长因子β(TGF-β)受体II基因敲除小鼠中被消除,表明TGF-β信号在过氧化物酶体调节中起作用。此外,体外实验发现,用促纤维化因子TGF-β1或肿瘤坏死因子α(TNF-α)处理IPF成纤维细胞可通过AP-1信号通路下调过氧化物酶体。因此,我们进一步研究了过氧化物酶体功能降低导致纤维化增强的分子机制。通过RNA干扰直接下调PEX13可诱导Smad依赖的TGF-β信号激活,同时活性氧生成增加,并导致细胞因子(如IL-6、TGF-β)释放以及I型和III型胶原蛋白过度产生。相反,用环丙贝特或WY14643(PPAR-α激活剂)处理成纤维细胞可导致过氧化物酶体增殖,并减少TGF-β诱导的IPF细胞中肌成纤维细胞分化和胶原蛋白生成。综上所述,我们的研究结果表明,过氧化物酶体活性受损可能在IPF的分子发病机制和纤维化进展中起重要作用,可能是通过加剧肺部炎症和增强患者的纤维化反应来实现的。