Department of Family and Community Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan; School of Medicine, Chung Shan Medical University, Taichung, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
School of Dentistry, Chung Shan Medical University, Taichung, Taiwan; Department of Dentistry, Chung Shan Medical University Hospital, Taichung, Taiwan; Institute of Oral Sciences, Chung Shan Medical University, Taichung, Taiwan.
J Formos Med Assoc. 2020 Feb;119(2):595-600. doi: 10.1016/j.jfma.2019.09.015. Epub 2019 Oct 22.
BACKGROUND/PURPOSE: Oral submucous fibrosis (OSF) represents a precancerous lesion of oral mucosa that may progress into oral cancer and its major etiological factor is areca nut chewing. Carboxyl-terminus of Hsp70-interacting protein (CHIP) functions as an ubiquitin E3 ligase and is associated with fibrosis diseases. In the current study, we sought to investigate whether CHIP participated in the areca nut-mediated OSF development.
The mRNA expression of CHIP in arecoline-stimulated buccal mucosal fibroblasts (BMFs) and OSF tissues was determined by qRT-PCR. Collagen gel contraction, migration and invasion assays were carried out to evaluate the myofibroblast activation. The protein expression levels of α-SMA and transglutaminase 2 (TGM2) were assessed by Western blot.
The expression level of CHIP was reduced in BMFs following arecoline treatment in a dose-dependent manner, which was consistent with the observation of lower CHIP expression in OSF specimen compared to the normal counterparts. Ectopic expression of CHIP mitigated the myofibroblast activities, including elevated collagen gel contractility and cell motility. In addition, we showed that overexpression of CHIP downregulated the α-SMA and TGM-2 expression, which may lead to less fibrosis alteration.
CHIP may not only function as a key regulator of protein quality control but also a critical deciding factor to oral fibrogenesis. Our findings suggested that CHIP possesses the anti-fibrotic effect, which may be mediated by TGM2 regulation. Restoration of CHIP could be a therapeutic direction to help OSF patients.
背景/目的:口腔黏膜下纤维性变(OSF)代表一种口腔黏膜的癌前病变,可能发展为口腔癌,其主要病因是槟榔咀嚼。热休克蛋白 70 相互作用蛋白(CHIP)羧基末端作为泛素 E3 连接酶,与纤维化疾病有关。在本研究中,我们试图研究 CHIP 是否参与了槟榔介导的 OSF 发展。
通过 qRT-PCR 测定了 CHIP 在槟榔碱刺激的颊黏膜成纤维细胞(BMFs)和 OSF 组织中的mRNA 表达。通过胶原凝胶收缩、迁移和侵袭实验评估肌成纤维细胞的激活。通过 Western blot 评估α-SMA 和转谷氨酰胺酶 2(TGM2)的蛋白表达水平。
槟榔碱处理后,BMFs 中 CHIP 的表达水平呈剂量依赖性降低,这与 OSF 标本中 CHIP 表达低于正常对照的观察结果一致。CHIP 的异位表达减轻了肌成纤维细胞的活性,包括提高了胶原凝胶收缩性和细胞迁移性。此外,我们表明过表达 CHIP 下调了α-SMA 和 TGM-2 的表达,这可能导致纤维化改变减少。
CHIP 不仅可以作为蛋白质质量控制的关键调节剂,而且可以作为口腔纤维化的关键决定因素。我们的研究结果表明,CHIP 具有抗纤维化作用,可能通过 TGM2 调节介导。恢复 CHIP 可能是帮助 OSF 患者的治疗方向。