JanWillem Duitman, Lin Cong, Moog Sophie, Jaillet Madeleine, Castier Yves, Cazes Aurélie, Borensztajn Keren S, Crestani Bruno, Spek C Arnold
1 INSERM UMR1152, Medical School Xavier Bichat, Paris, France.
2 Université Paris Diderot, Sorbonne Paris Cité, Département Hospitalo-universitaire FIRE (Fibrosis, Inflammation and Remodeling) and LabEx Inflamex, Paris, France.
J Clin Transl Res. 2018 Feb 21;3(Suppl 2):358-365. eCollection 2018 Jul 30.
Idiopathic pulmonary fibrosis is a devastating fibrotic diffuse parenchymal lung disorder that remains refractory to pharmacological therapies. Therefore, novel treatments are urgently required. CCAAT/enhancer binding protein delta (C/EBPδ) is a transcription factor that mediates critical cellular functions in pathophysiology and which was recently suggested to be a key regulatory component in IPF. The purpose of this study was to prove or refute the importance of C/EBPδ in pulmonary fibrosis.
Pulmonary fibrosis was induced by intranasal instillation of bleomycin into wild-type and C/EBPδ deficient mice. At different time intervals after bleomycin instillation, fibrosis was assessed by hydroxyproline analysis, histochemistry and q-PCR for fibrotic marker expression.
C/EBPδ deficient mice developed pulmonary fibrosis to a similar degree as wildtype mice as evident from similar Ashcroft scores, hydroxyproline levels and expression levels of collagen, fibronectin and α-smooth muscle actin at both 14 and 21 days after bleomycin instillation. The resolution of fibrosis, assessed at 48 days after bleomycin instillation, was also similar in wildtype and C/EBPδ deficient mice. In line with the lack of effect of C/EBPδ on fibrosis progression/resolution, macrophage recruitment and/or differentiation were also not different in wildtype or C/EBPδ deficient mice.
Overall, C/EBPδ does not seem to affect bleomycin-induced experimental pulmonary fibrosis and we challenge the importance of C/EBPδ in pulmonary fibrosis.
This study shows that the transcription factor C/EBPδ does not play a major role in the development of pulmonary fibrosis. Pharmacological targeting of C/EBPδ is therefore not likely to have a beneficial effect for patients suffering from pulmonary fibrosis.
特发性肺纤维化是一种具有破坏性的纤维化弥漫性实质性肺疾病,对药物治疗仍具有难治性。因此,迫切需要新的治疗方法。CCAAT/增强子结合蛋白δ(C/EBPδ)是一种转录因子,可介导病理生理学中的关键细胞功能,最近被认为是特发性肺纤维化的关键调节成分。本研究的目的是证实或反驳C/EBPδ在肺纤维化中的重要性。
通过向野生型和C/EBPδ缺陷小鼠鼻内滴注博来霉素诱导肺纤维化。在滴注博来霉素后的不同时间间隔,通过羟脯氨酸分析、组织化学和q-PCR检测纤维化标志物表达来评估纤维化情况。
从博来霉素滴注后14天和21天的阿什克罗夫特评分、羟脯氨酸水平以及胶原蛋白、纤连蛋白和α-平滑肌肌动蛋白的表达水平来看,C/EBPδ缺陷小鼠发生的肺纤维化程度与野生型小鼠相似。在博来霉素滴注后48天评估的纤维化消退情况,在野生型和C/EBPδ缺陷小鼠中也相似。与C/EBPδ对纤维化进展/消退缺乏影响一致,野生型或C/EBPδ缺陷小鼠中的巨噬细胞募集和/或分化也没有差异。
总体而言,C/EBPδ似乎不影响博来霉素诱导的实验性肺纤维化,我们对C/EBPδ在肺纤维化中的重要性提出质疑。
本研究表明转录因子C/EBPδ在肺纤维化发展中不发挥主要作用。因此,对C/EBPδ进行药物靶向治疗不太可能对肺纤维化患者产生有益效果。