Widjaja Anissa A, Viswanathan Sivakumar, Jinrui Dong, Singh Brijesh K, Tan Jessie, Wei Ting Joyce Goh, Lamb David, Shekeran Shamini G, George Benjamin L, Schafer Sebastian, Carling David, Adami Eleonora, Cook Stuart A
Cardiovascular and Metabolic Disorders Program, Duke-National University of Singapore Medical School, Singapore, Singapore.
National Heart Research Institute Singapore, National Heart Centre Singapore, Singapore, Singapore.
Front Mol Biosci. 2021 Sep 28;8:740650. doi: 10.3389/fmolb.2021.740650. eCollection 2021.
In fibroblasts, TGFβ1 stimulates IL11 upregulation that leads to an autocrine loop of IL11-dependent pro-fibrotic protein translation. The signaling pathways downstream of IL11, which acts via IL6ST, are contentious with both STAT3 and ERK implicated. Here we dissect IL11 signaling in fibroblasts and study IL11-dependent protein synthesis pathways in the context of approved anti-fibrotic drug mechanisms of action. We show that IL11-induced ERK activation drives fibrogenesis and while STAT3 phosphorylation (pSTAT3) is also seen, this appears unrelated to fibroblast activation. Ironically, recombinant human IL11, which has been used extensively in mouse experiments to infer STAT3 activity downstream of IL11, increases pSTAT3 in null mouse fibroblasts. Unexpectedly, inhibition of STAT3 was found to induce severe proteotoxic ER stress, generalized fibroblast dysfunction and cell death. In contrast, inhibition of ERK prevented fibroblast activation in the absence of ER stress. IL11 stimulated an axis of ERK/mTOR/P70RSK protein translation and its selectivity for Collagen 1 synthesis was ascribed to an EPRS-regulated, ribosome stalling mechanism. Surprisingly, the anti-fibrotic drug nintedanib caused dose-dependent ER stress and lesser pSTAT3 expression. Pirfenidone had no effect on ER stress whereas anti-IL11 specifically inhibited the ERK/mTOR axis while reducing ER stress. These studies define the translation-specific signaling pathways downstream of IL11, intersect immune and metabolic signaling and reveal unappreciated effects of nintedanib.
在成纤维细胞中,转化生长因子β1(TGFβ1)刺激白细胞介素11(IL11)上调,导致依赖IL11的促纤维化蛋白翻译的自分泌环。通过白细胞介素6信号转导子(IL6ST)起作用的IL11下游信号通路存在争议,信号转导和转录激活因子3(STAT3)和细胞外信号调节激酶(ERK)都与之相关。在这里,我们剖析成纤维细胞中的IL11信号通路,并在已批准的抗纤维化药物作用机制的背景下研究依赖IL11的蛋白质合成途径。我们发现,IL11诱导的ERK激活驱动纤维化,虽然也观察到STAT3磷酸化(pSTAT3),但这似乎与成纤维细胞激活无关。具有讽刺意味的是,在小鼠实验中广泛用于推断IL11下游STAT3活性的重组人IL11,会增加基因敲除小鼠成纤维细胞中的pSTAT3。出乎意料的是,发现抑制STAT3会诱导严重的蛋白毒性内质网应激、全身性成纤维细胞功能障碍和细胞死亡。相比之下,抑制ERK可在无内质网应激的情况下防止成纤维细胞激活。IL11刺激ERK/雷帕霉素靶蛋白(mTOR)/核糖体蛋白S6激酶(P70RSK)蛋白翻译轴,其对胶原蛋白1合成的选择性归因于一种由谷氨酰胺-脯氨酰-tRNA合成酶(EPRS)调节的核糖体停滞机制。令人惊讶的是,抗纤维化药物尼达尼布会引起剂量依赖性内质网应激和较低的pSTAT3表达。吡非尼酮对内质网应激无影响,而抗IL11特异性抑制ERK/mTOR轴,同时减轻内质网应激。这些研究确定了IL11下游的翻译特异性信号通路,交叉了免疫和代谢信号,并揭示了尼达尼布未被认识到的作用。
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