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WNT信号通路在肺衰老与疾病中的作用

WNT Signaling in Lung Aging and Disease.

作者信息

Lehmann Mareike, Baarsma Hoeke A, Königshoff Melanie

机构信息

Comprehensive Pneumology Center, Ludwig-Maximilians-University, University Hospital Grosshadern, and Helmholtz Zentrum München, Munich, Germany; members of the German Center for Lung Research (DZL).

出版信息

Ann Am Thorac Soc. 2016 Dec;13 Suppl 5:S411-S416. doi: 10.1513/AnnalsATS.201608-586AW.

Abstract

Chronic lung diseases, such as chronic obstructive pulmonary disease (COPD) and idiopathic pulmonary fibrosis (IPF), represent a significant and increasing health burden. Current therapies are largely symptomatic, and novel therapeutic approaches are needed. Aging has emerged as a contributing factor for the development of both IPF and COPD because their prevalence increases with age, and several pathological features of these diseases resemble classical hallmarks of aging. Aging is thought to be driven in part by aberrant activity of developmental signaling pathways that thus might drive pathological changes, a process termed antagonistic pleiotropy or developmental drift. The developmental WNT pathway is fundamental for lung development, and altered WNT activity has been reported to contribute to the pathogenesis of CLD, in particular to COPD and IPF. Although to date only limited data on WNT signaling during lung aging exist, WNT signal regulation during aging and its effects on age-related pathologies in other organs have recently been investigated. In this review, we discuss evidence of dysregulated WNT signaling in CLD in the context of WNT signal alteration in organ aging and its potential impact on age-related cellular mechanisms, such as senescence or stem cell exhaustion.

摘要

慢性肺部疾病,如慢性阻塞性肺疾病(COPD)和特发性肺纤维化(IPF),构成了日益严重的健康负担。目前的治疗方法大多只是缓解症状,因此需要新的治疗方法。衰老已成为IPF和COPD发病的一个促成因素,因为它们的患病率随年龄增长而增加,并且这些疾病的一些病理特征类似于衰老的经典标志。衰老被认为部分是由发育信号通路的异常活动驱动的,因此可能会引发病理变化,这一过程被称为拮抗多效性或发育漂移。发育性WNT信号通路对肺发育至关重要,据报道,WNT活性改变会导致CLD的发病机制,尤其是COPD和IPF。尽管迄今为止关于肺衰老过程中WNT信号传导的数据有限,但最近已经对衰老过程中的WNT信号调节及其对其他器官中与年龄相关的病理变化的影响进行了研究。在这篇综述中,我们将在器官衰老过程中WNT信号改变的背景下,讨论CLD中WNT信号失调的证据及其对与年龄相关的细胞机制(如衰老或干细胞耗竭)的潜在影响。

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