Department of Chemical, Biological, Pharmaceutical and Environmental Sciences, University of Messina, 98166 Messina, Italy.
Department of Biomedical, Dental and Morphological and Functional Imaging University of Messina, Via Consolare Valeria, 98125 Messina, Italy.
Int J Mol Sci. 2020 Oct 20;21(20):7761. doi: 10.3390/ijms21207761.
Pulmonary fibrosis is a progressive disease characterized by lung remodeling due to excessive deposition of extracellular matrix. In this study, the bleomycin experimental model of pulmonary fibrosis was employed to investigate the anti-fibrotic and immunomodulatory activity of the inhibition of MALT1 protease activity. Mice received a single intra-tracheal administration of bleomycin (1 mg/kg) in the presence or absence of MI-2, a selective MALT1 inhibitor, (a dose of 30 mg/kg administered intra-peritoneally 1 h after bleomycin and daily until the end of the experiment). Seven days after bleomycin instillation mice were sacrificed and bronchoalveolar lavage fluid analysis, measurement of collagen content in the lung, histology, molecular analysis and immunohistochemistry were performed. To evaluate mortality and body weight gain a subset of mice was administered daily with MI-2 for 21 days. Mice that received MI-2 showed decreased weight loss and mortality, inflammatory cells infiltration, cytokines overexpression and tissue injury. Moreover, biochemical and immunohistochemical analysis displayed that MI-2 was able to modulate the excessive production of reactive oxygen species and the inflammatory mediator upregulation induced by bleomycin instillation. Additionally, MI-2 demonstrated anti-fibrotic activity by reducing transforming growth factor-β (TGF-β), α-smooth muscle actin (α-SMA) and receptor associated factor 6 (TRAF6) expression. The underlying mechanisms for the protective effect of MI-2 bleomycin induced pulmonary fibrosis may be attributed to its inhibition on NF-κB pathway. This is the first report showing the therapeutic role of MALT1 inhibition in a bleomycin model of pulmonary fibrosis, thus supporting further preclinical and clinical studies.
肺纤维化是一种进行性疾病,其特征是由于细胞外基质的过度沉积导致肺重塑。在这项研究中,采用博来霉素诱导的肺纤维化实验模型来研究抑制 MALT1 蛋白酶活性的抗纤维化和免疫调节活性。在博来霉素(1mg/kg)存在或不存在的情况下,通过气管内单次给药,给予选择性 MALT1 抑制剂 MI-2(博来霉素给药后 1 小时腹膜内给予 30mg/kg 剂量,直至实验结束时每天给药)。在博来霉素滴注 7 天后处死小鼠,进行支气管肺泡灌洗分析、肺胶原含量测量、组织学、分子分析和免疫组织化学检查。为了评估死亡率和体重增加,一部分小鼠每天接受 MI-2 治疗 21 天。接受 MI-2 治疗的小鼠体重减轻和死亡率、炎症细胞浸润、细胞因子过度表达和组织损伤减少。此外,生化和免疫组织化学分析显示,MI-2 能够调节博来霉素诱导的活性氧过度产生和炎症介质上调。此外,MI-2 通过降低转化生长因子-β(TGF-β)、α-平滑肌肌动蛋白(α-SMA)和受体相关因子 6(TRAF6)的表达表现出抗纤维化活性。MI-2 对博来霉素诱导的肺纤维化的保护作用的潜在机制可能归因于其对 NF-κB 通路的抑制作用。这是第一项报道显示 MALT1 抑制在博来霉素诱导的肺纤维化模型中的治疗作用,因此支持进一步的临床前和临床研究。