Department of Respiratory Medicine and Rheumatology, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.
Department of Pathology and Laboratory Medicine, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.
PLoS One. 2018 Dec 31;13(12):e0209786. doi: 10.1371/journal.pone.0209786. eCollection 2018.
Platelet-derived growth factor (PDGF) has been implicated in the pathogenesis of pulmonary fibrosis. Nintedanib, a multi-kinase inhibitor that targets several tyrosine kinases, including PDGF receptor (PDGFR), was recently approved as an anti-fibrotic agent to reduce the deterioration of FVC in patients with idiopathic pulmonary fibrosis (IPF). However, the effects of PDGFR-α or -β on pulmonary fibrosis remain unclear. In an attempt to clarify their effects, we herein used blocking antibodies specific for PDGFR-α (APA5) and -β (APB5) in a bleomycin (BLM)-induced pulmonary fibrosis mouse model. The effects of these treatments on the growth of lung fibroblasts were examined using the 3H-thymidine incorporation assay in vitro. The anti-fibrotic effects of these antibodies were investigated with the Ashcroft score and collagen content of lungs treated with BLM. Their effects on inflammatory cells in the lungs were also analyzed using bronchoalveolar lavage fluid. We investigated damage to epithelial cells and the proliferation of fibroblasts in the lungs. APA5 and APB5 inhibited the phosphorylation of PDGFR-α and -β as well as the proliferation of lung fibroblasts induced by PDGF-AA and BB. The administration of APB5, but not APA5 effectively inhibited BLM-induced pulmonary fibrosis in mice. Apoptosis and the proliferation of epithelial cells and fibroblasts were significantly decreased by the treatment with APB5, but not by APA5. The late treatment with APB5 also ameliorated fibrosis in lungs treated with BLM. These results suggest that PDGFR-α and -β exert different effects on BLM-induced pulmonary fibrosis in mice. A specific approach using the blocking antibody for PDGFR-β may be useful for the treatment of pulmonary fibrosis.
血小板衍生生长因子(PDGF)已被认为与肺纤维化的发病机制有关。尼达尼布是一种多激酶抑制剂,可靶向几种酪氨酸激酶,包括 PDGF 受体(PDGFR),最近被批准为抗纤维化药物,以减少特发性肺纤维化(IPF)患者 FVC 的恶化。然而,PDGFR-α 或 -β 对肺纤维化的影响仍不清楚。为了阐明它们的作用,我们在此使用针对 PDGFR-α(APA5)和 -β(APB5)的阻断抗体,在博来霉素(BLM)诱导的肺纤维化小鼠模型中进行研究。我们使用体外 3H-胸腺嘧啶掺入试验研究了这些治疗方法对肺成纤维细胞生长的影响。用 Ashcroft 评分和 BLM 处理的肺胶原含量研究了这些抗体的抗纤维化作用。还使用支气管肺泡灌洗液分析了它们对肺中炎症细胞的影响。我们研究了肺上皮细胞的损伤和成纤维细胞的增殖。APA5 和 APB5 抑制了 PDGFR-α 和 -β 的磷酸化以及 PDGF-AA 和 BB 诱导的肺成纤维细胞的增殖。APB5 的给药而非 APA5 的给药有效地抑制了 BLM 诱导的小鼠肺纤维化。APB5 处理显著降低了上皮细胞和成纤维细胞的凋亡和增殖,但 APA5 则不然。APB5 的晚期治疗也改善了 BLM 处理的肺中的纤维化。这些结果表明,PDGFR-α 和 -β 对 BLM 诱导的小鼠肺纤维化有不同的影响。使用 PDGFR-β 阻断抗体的特定方法可能对肺纤维化的治疗有用。