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窖蛋白-1 衍生肽可抑制肺纤维化的发展。

Caveolin-1-derived peptide limits development of pulmonary fibrosis.

机构信息

Department of Medicine, Texas Lung Injury Institute, University of Texas Health Science Center at Tyler, 11937 US Highway 271, Tyler, TX 75708, USA.

Lung Therapeutics Inc., 2801 Via Fortuna Suite 425 Austin, TX 78746, USA.

出版信息

Sci Transl Med. 2019 Dec 11;11(522). doi: 10.1126/scitranslmed.aat2848.

Abstract

Idiopathic pulmonary fibrosis (IPF) is a fatal fibrotic lung disease with a median 5-year survival of ~20%. Current U.S. Food and Drug Administration-approved pharmacotherapies slow progression of IPF, providing hope that even more effective treatments can be developed. Alveolar epithelial progenitor type II cell (AEC) apoptosis and proliferation, and accumulation of activated myofibroblasts or fibrotic lung fibroblasts (fLfs) contribute to the progression of IPF. Full-length caveolin-1 scaffolding domain peptide (CSP; amino acids 82 to 101 of Cav1: DGIWKASFTTFTVTKYWFYR) inhibits AEC apoptosis and fLf activation and expansion and attenuates PF in bleomycin (BLM)-induced lung injury in mice. Like full-length CSP, a seven-amino acid deletion fragment of CSP, CSP7 (FTTFTVT), demonstrated antifibrotic effects in murine models of lung fibrosis. When CSP7 was administered during the fibrotic phase in three preclinical models [single-dose BLM, repeated-dose BLM, and adenovirus expressing constitutively active transforming growth factor-β1 (Ad-TGF-β1)-induced established PF], CSP7 reduced extracellular matrix (ECM) markers characteristic of PF, increased AEC survival, and improved lung function. CSP7 is amenable to both systemic (intraperitoneal) or direct lung delivery in a nebulized or dry powder form. Furthermore, CSP7 treatment of end-stage human IPF lung tissue explants attenuated ECM production and promoted AEC survival. Ames testing for mutagenicity and in vitro human peripheral blood lymphocyte and in vivo mouse micronucleus transformation assays indicated that CSP7 is not carcinogenic. Together, these findings support the further development of CSP7 as an antifibrotic treatment for patients with IPF or other interstitial lung diseases.

摘要

特发性肺纤维化(IPF)是一种致命的肺纤维化疾病,中位 5 年生存率约为 20%。目前美国食品和药物管理局批准的药物治疗可减缓 IPF 的进展,这表明可能会开发出更有效的治疗方法。肺泡上皮祖细胞 II 型细胞(AEC)凋亡和增殖,以及激活的肌成纤维细胞或纤维性肺成纤维细胞(fLfs)的积累,导致 IPF 的进展。全长窖蛋白-1 支架结构域肽(CSP;Cav1 的氨基酸 82 至 101:DGIWKASFTTFTVTKYWFYR)抑制 AEC 凋亡和 fLf 激活和扩增,并减轻博莱霉素(BLM)诱导的小鼠肺损伤中的 PF。与全长 CSP 一样,CSP 的七个氨基酸缺失片段 CSP7(FTTFTVT)在肺纤维化的小鼠模型中显示出抗纤维化作用。当 CSP7 在三种临床前模型[单次 BLM 剂量、重复 BLM 剂量和表达组成性激活转化生长因子-β1(Ad-TGF-β1)的腺病毒诱导的已建立 PF]的纤维化阶段给药时,CSP7 减少了 PF 的特征性细胞外基质(ECM)标志物,增加了 AEC 的存活率,并改善了肺功能。CSP7 适用于全身(腹腔内)或通过雾化或干粉形式直接肺部给药。此外,CSP7 治疗终末期人类 IPF 肺组织外植体可减轻 ECM 产生并促进 AEC 存活。Ames 试验致突变性和体外人外周血淋巴细胞和体内小鼠微核转化试验表明,CSP7 无致癌性。总之,这些发现支持进一步开发 CSP7 作为治疗 IPF 或其他间质性肺疾病患者的抗纤维化药物。

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