Sun Kai-Hui, Chang Yongen, Reed Nilgun I, Sheppard Dean
Lung Biology Center, Department of Medicine, University of California, San Francisco; and.
Lung Biology Center, Department of Medicine, University of California, San Francisco; and Division of Nephrology, Department of Medicine, University of California, Irvine, Orange, California.
Am J Physiol Lung Cell Mol Physiol. 2016 May 1;310(9):L824-36. doi: 10.1152/ajplung.00350.2015. Epub 2016 Mar 4.
Fibrosis is a common pathological sequela of tissue injury or inflammation, and is a major cause of organ failure. Subsets of fibroblasts contribute to tissue fibrosis in multiple ways, including generating contractile force to activate integrin-bound, latent TGFβ and secreting excess amounts of collagens and other extracellular matrix proteins (ECM) that make up pathologic scar. However, the precise fibroblast subsets that drive fibrosis have been poorly understood. In the absence of well-characterized markers, α-smooth muscle actin (αSMA) is often used to identify pathologic fibroblasts, and some authors have equated αSMA(+) cells with contractile myofibroblasts and proposed that these cells are the major source of ECM. Here, we investigated how well αSMA expression describes fibroblast subsets responsible for TGFβ activation and collagen production in three commonly used models of organ fibrosis that we previously reported could be inhibited by loss of αv integrins on all fibroblasts (using PDGFRβ-Cre). Interestingly, αSMA-directed deletion of αv integrins protected mice from CCl4-induced hepatic fibrosis, but not bleomycin-induced pulmonary or unilateral ureteral obstruction-induced renal fibrosis. Using Col-EGFP/αSMA-RFP dual reporter mice, we found that only a minority of collagen-producing cells coexpress αSMA in the fibrotic lung and kidney. Notably, Col-EGFP(+)αSMA-RFP(-) cells isolated from the fibrotic lung and kidney were equally capable of activating TGFβ as were Col-EGFP(+)αSMA-RFP(+) cells from the same organ, and this TGFβ activation was blocked by a TGFβ-blocking antibody and an inhibitor of nonmuscle myosin, respectively. Taken together, our results suggest that αSMA is an inconsistent marker of contractile and collagen-producing fibroblasts in murine experimental models of organ fibrosis.
纤维化是组织损伤或炎症常见的病理后遗症,也是器官衰竭的主要原因。成纤维细胞亚群通过多种方式促成组织纤维化,包括产生收缩力以激活整合素结合的潜伏性转化生长因子β(TGFβ),以及分泌过量的胶原蛋白和其他构成病理性瘢痕的细胞外基质蛋白(ECM)。然而,驱动纤维化的确切成纤维细胞亚群一直未被充分了解。在缺乏特征明确的标志物的情况下,α平滑肌肌动蛋白(αSMA)常被用于识别病理性成纤维细胞,一些作者将αSMA(+)细胞等同于收缩性肌成纤维细胞,并提出这些细胞是ECM的主要来源。在此,我们研究了αSMA表达在描述负责TGFβ激活和胶原蛋白产生的成纤维细胞亚群方面的效果如何,这三个常用的器官纤维化模型是我们之前报道的,所有成纤维细胞上αv整合素缺失(使用PDGFRβ-Cre)可抑制这些模型。有趣的是,αSMA定向缺失αv整合素可保护小鼠免受四氯化碳诱导的肝纤维化,但不能保护其免受博来霉素诱导的肺纤维化或单侧输尿管梗阻诱导的肾纤维化。使用Col-EGFP/αSMA-RFP双报告基因小鼠,我们发现在纤维化的肺和肾中,只有少数产生胶原蛋白的细胞共表达αSMA。值得注意的是,从纤维化的肺和肾中分离出的Col-EGFP(+)αSMA-RFP(-)细胞与来自同一器官的Col-EGFP(+)αSMA-RFP(+)细胞一样,同样能够激活TGFβ,并且这种TGFβ激活分别被TGFβ阻断抗体和非肌肉肌球蛋白抑制剂所阻断。综上所述,我们的结果表明,在小鼠器官纤维化实验模型中,αSMA是收缩性和成胶原蛋白的成纤维细胞的不一致标志物。