二氯乙酸靶向缺氧诱导因子-1α/丙酮酸脱氢酶激酶1轴可抑制博来霉素诱导的肺纤维化。
Targeting Hypoxia-Inducible Factor-1α/Pyruvate Dehydrogenase Kinase 1 Axis by Dichloroacetate Suppresses Bleomycin-induced Pulmonary Fibrosis.
作者信息
Goodwin Justin, Choi Hyunsung, Hsieh Meng-Hsiung, Neugent Michael L, Ahn Jung-Mo, Hayenga Heather N, Singh Pankaj K, Shackelford David B, Lee In-Kyu, Shulaev Vladimir, Dhar Shanta, Takeda Norihiko, Kim Jung-Whan
机构信息
1 Department of Biological Sciences.
2 Department of Chemistry and Biochemistry, and.
出版信息
Am J Respir Cell Mol Biol. 2018 Feb;58(2):216-231. doi: 10.1165/rcmb.2016-0186OC.
Hypoxia has long been implicated in the pathogenesis of fibrotic diseases. Aberrantly activated myofibroblasts are the primary pathological driver of fibrotic progression, yet how various microenvironmental influences, such as hypoxia, contribute to their sustained activation and differentiation is poorly understood. As a defining feature of hypoxia is its impact on cellular metabolism, we sought to investigate how hypoxia-induced metabolic reprogramming affects myofibroblast differentiation and fibrotic progression, and to test the preclinical efficacy of targeting glycolytic metabolism for the treatment of pulmonary fibrosis. Bleomycin-induced pulmonary fibrotic progression was evaluated in two independent, fibroblast-specific, promoter-driven, hypoxia-inducible factor (Hif) 1A knockout mouse models and in glycolytic inhibitor, dichloroacetate-treated mice. Genetic and pharmacological approaches were used to explicate the role of metabolic reprogramming in myofibroblast differentiation. Hypoxia significantly enhanced transforming growth factor-β-induced myofibroblast differentiation through HIF-1α, whereas overexpression of the critical HIF-1α-mediated glycolytic switch, pyruvate dehydrogenase kinase 1 (PDK1) was sufficient to activate glycolysis and potentiate myofibroblast differentiation, even in the absence of HIF-1α. Inhibition of the HIF-1α/PDK1 axis by genomic deletion of Hif1A or pharmacological inhibition of PDK1 significantly attenuated bleomycin-induced pulmonary fibrosis. Our findings suggest that HIF-1α/PDK1-mediated glycolytic reprogramming is a critical metabolic alteration that acts to promote myofibroblast differentiation and fibrotic progression, and demonstrate that targeting glycolytic metabolism may prove to be a potential therapeutic strategy for the treatment of pulmonary fibrosis.
长期以来,缺氧一直被认为与纤维化疾病的发病机制有关。异常激活的肌成纤维细胞是纤维化进展的主要病理驱动因素,但诸如缺氧等各种微环境影响如何导致其持续激活和分化,目前仍知之甚少。由于缺氧的一个显著特征是其对细胞代谢的影响,我们试图研究缺氧诱导的代谢重编程如何影响肌成纤维细胞分化和纤维化进展,并测试靶向糖酵解代谢治疗肺纤维化的临床前疗效。在两个独立的、成纤维细胞特异性的、启动子驱动的缺氧诱导因子(Hif)1A基因敲除小鼠模型以及用糖酵解抑制剂二氯乙酸处理的小鼠中,评估博来霉素诱导的肺纤维化进展。采用基因和药理学方法来阐明代谢重编程在肌成纤维细胞分化中的作用。缺氧通过HIF-1α显著增强转化生长因子-β诱导的肌成纤维细胞分化,而关键的HIF-1α介导的糖酵解开关丙酮酸脱氢酶激酶1(PDK1)的过表达即使在没有HIF-1α的情况下也足以激活糖酵解并增强肌成纤维细胞分化。通过Hif1A的基因缺失或PDK1的药理学抑制对HIF-1α/PDK1轴的抑制显著减轻了博来霉素诱导的肺纤维化。我们的研究结果表明,HIF-1α/PDK1介导的糖酵解重编程是一种关键的代谢改变,它促进肌成纤维细胞分化和纤维化进展,并证明靶向糖酵解代谢可能是治疗肺纤维化的一种潜在治疗策略。