Department of Respiratory Medicine, Juntendo University, Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.
Research Institute for Diseases of Old Ages, Juntendo University, Graduate School of Medicine, Tokyo, Japan.
Lung. 2018 Oct;196(5):531-541. doi: 10.1007/s00408-018-0134-6. Epub 2018 Jun 20.
Transforming growth factor β (TGFβ)-mediated epithelial-mesenchymal transition (EMT) of alveolar epithelial cells contributes to pulmonary fibrosis. Dasatinib (DAS), a potent and broad-spectrum tyrosine kinase inhibitor, has been widely studied as an anti-cancer agent. However, the therapeutic application of DAS for pulmonary fibrosis has not been clarified. Our purpose here is to investigate the effect of DAS on TGFβ1-induced EMT in human alveolar and bronchial epithelial cells in vitro and to evaluate the efficacy of DAS on lung fibrosis in vivo.
TGFβ1-stimulated human alveolar epithelial (A549) and bronchial epithelial (BEAS-2B) cells were treated with or without DAS in vitro. Murine pulmonary fibrosis model was generated by injection of bleomycin (BLM).
A549 and BEAS-2B cells exposed to TGFβ1 underwent EMT, as indicated by downregulation of epithelial protein E-cadherin and induction of the mesenchymal proteins, fibronectin and type I and type IV collagen. These effects were dramatically suppressed by DAS treatment, which also prevented Smad2 and Smad3 phosphorylation. DAS inhibited TGFβ1-induced cell motility and migration. Furthermore, DAS administration significantly attenuated lung fibrosis in mice by histological analysis. Treatment with DAS also significantly reduced the levels of collagen and fibronectin and phosphorylation of Smad2 in the lung tissues of the murine model.
These findings suggest that DAS inhibited TGFβ-mediated EMT of alveolar and bronchial epithelial cells and attenuated BLM-induced lung fibrosis in mice by suppressing the TGFβ/Smad pathway. DAS may be a promising and novel anti-fibrotic agent for preventing lung fibrosis.
转化生长因子β(TGFβ)介导的肺泡上皮细胞上皮-间充质转化(EMT)导致肺纤维化。达沙替尼(DAS)是一种有效的广谱酪氨酸激酶抑制剂,已被广泛研究作为一种抗癌药物。然而,DAS 治疗肺纤维化的应用尚未阐明。我们的目的是研究 DAS 对体外 TGFβ1 诱导的人肺泡和支气管上皮细胞 EMT 的影响,并评估 DAS 对体内肺纤维化的疗效。
体外用或不用 DAS 处理 TGFβ1 刺激的人肺泡上皮(A549)和支气管上皮(BEAS-2B)细胞。通过注射博来霉素(BLM)建立小鼠肺纤维化模型。
暴露于 TGFβ1 的 A549 和 BEAS-2B 细胞发生 EMT,上皮蛋白 E-钙黏蛋白下调,间充质蛋白纤维连接蛋白和 I 型和 IV 型胶原诱导。DAS 处理显著抑制这些效应,同时阻止 Smad2 和 Smad3 磷酸化。DAS 抑制 TGFβ1 诱导的细胞迁移和迁移。此外,DAS 给药通过组织学分析显著减轻了小鼠的肺纤维化。DAS 治疗还显著降低了小鼠模型肺组织中胶原和纤维连接蛋白的水平以及 Smad2 的磷酸化。
这些发现表明,DAS 通过抑制 TGFβ/Smad 途径抑制肺泡和支气管上皮细胞 TGFβ 介导的 EMT,并减轻 BLM 诱导的小鼠肺纤维化。DAS 可能是一种有前途的新型抗纤维化药物,可预防肺纤维化。