Division of Rheumatology and Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, USA.
Authors contributed equally to this work.
Eur Respir J. 2019 Aug 22;54(2). doi: 10.1183/13993003.02441-2018. Print 2019 Aug.
A comprehensive understanding of the changes in gene expression in cell types involved in idiopathic pulmonary fibrosis (IPF) will shed light on the mechanisms underlying the loss of alveolar epithelial cells and development of honeycomb cysts and fibroblastic foci. We sought to understand changes in IPF lung cell transcriptomes and gain insight into innate immune aspects of pathogenesis.We investigated IPF pathogenesis using single-cell RNA-sequencing of fresh lung explants, comparing human IPF fibrotic lower lobes reflecting late disease, upper lobes reflecting early disease and normal lungs.IPF lower lobes showed increased fibroblasts, and basal, ciliated, goblet and club cells, but decreased alveolar epithelial cells, and marked alterations in inflammatory cells. We found three discrete macrophage subpopulations in normal and fibrotic lungs, one expressing monocyte markers, one highly expressing and (FABP4), and one highly expressing and (SPP1). SPP1 macrophages in fibrotic lower lobes showed highly upregulated and expression. Low-level local proliferation of SPP1 macrophages in normal lungs was strikingly increased in IPF lungs.Co-localisation and causal modelling supported the role for these highly proliferative SPP1 macrophages in activation of IPF myofibroblasts in lung fibrosis. These data suggest that SPP1 macrophages contribute importantly to lung fibrosis in IPF, and that therapeutic strategies targeting MERTK and macrophage proliferation may show promise for treatment of this disease.
全面了解特发性肺纤维化 (IPF) 相关细胞类型中基因表达的变化,将有助于揭示肺泡上皮细胞丧失和蜂窝状囊泡及成纤维细胞灶形成的机制。我们试图了解 IPF 肺细胞转录组的变化,并深入了解发病机制中的固有免疫方面。我们使用新鲜肺组织的单细胞 RNA 测序来研究 IPF 的发病机制,比较反映晚期疾病的人 IPF 纤维化下叶、反映早期疾病的上叶和正常肺。IPF 下叶显示成纤维细胞增加,基底细胞、纤毛细胞、杯状细胞和 club 细胞减少,炎症细胞明显改变。我们在正常和纤维化肺中发现了三种离散的巨噬细胞亚群,一种表达单核细胞标志物,一种高度表达 和 (FABP4),一种高度表达 和 (SPP1)。在纤维化下叶中,SPP1 巨噬细胞表现出高度上调的 和 表达。在正常肺中,SPP1 巨噬细胞的低水平局部增殖在 IPF 肺中显著增加。共定位和因果模型支持这些高增殖 SPP1 巨噬细胞在 IPF 肌成纤维细胞激活中的作用。这些数据表明,SPP1 巨噬细胞在 IPF 肺纤维化中具有重要作用,靶向 MERTK 和巨噬细胞增殖的治疗策略可能有望治疗这种疾病。
Eur Respir J. 2019-8-22
Sci Adv. 2024-8-9
Eur Respir Rev. 2025-7-23
Am J Respir Crit Care Med. 2019-6-15
Am J Respir Crit Care Med. 2018-6-1
Oncotarget. 2015-4-20
J Invest Dermatol. 2017-12-6
Am J Respir Cell Mol Biol. 2018-1
Neuro Oncol. 2018-1-10