Department of Pharmacology, Chonnam National University Medical School, Hwasun 58128, Korea.
Division of Clinical Pharmacology, Chonnam National University Hospital, Gwangju 61469, Korea.
Int J Mol Sci. 2019 Mar 16;20(6):1329. doi: 10.3390/ijms20061329.
Fibrosis is characterized by excessive deposition of the extracellular matrix and develops because of fibroblast differentiation during the process of inflammation. Various cytokines stimulate resident fibroblasts, which differentiate into myofibroblasts. Myofibroblasts actively synthesize an excessive amount of extracellular matrix, which indicates pathologic fibrosis. Although initial fibrosis is a physiologic response, the accumulated fibrous material causes failure of normal organ function. Cardiac fibrosis interferes with proper diastole, whereas pulmonary fibrosis results in chronic hypoxia; liver cirrhosis induces portal hypertension, and overgrowth of fibroblasts in the conjunctiva is a major cause of glaucoma surgical failure. Recently, several reports have clearly demonstrated the functional relevance of certain types of histone deacetylases (HDACs) in various kinds of fibrosis and the successful alleviation of the condition in animal models using HDAC inhibitors. In this review, we discuss the therapeutic potential of HDAC inhibitors in fibrosis-associated human diseases using results obtained from animal models.
纤维化的特征是细胞外基质的过度沉积,并由于炎症过程中成纤维细胞的分化而发展。各种细胞因子刺激常驻成纤维细胞,使其分化为肌成纤维细胞。肌成纤维细胞积极合成过量的细胞外基质,这表明存在病理性纤维化。尽管最初的纤维化是一种生理反应,但积累的纤维物质会导致正常器官功能衰竭。心脏纤维化会干扰正常的舒张,而肺部纤维化会导致慢性缺氧;肝硬化会导致门脉高压,结膜中成纤维细胞的过度生长是青光眼手术失败的主要原因。最近,有几项报告清楚地表明,某些类型的组蛋白去乙酰化酶(HDACs)在各种类型的纤维化中的功能相关性,以及使用 HDAC 抑制剂在动物模型中成功缓解这种情况。在这篇综述中,我们使用从动物模型中获得的结果,讨论了 HDAC 抑制剂在与纤维化相关的人类疾病中的治疗潜力。