Yang Zhizhou, Wang Mengmeng, Cao Liping, Liu Rui, Ren Yi, Li Liang, Zhang Yuhao, Liu Chao, Zhang Wei, Nie Shinan, Sun Zhaorui
Department of Emergency Medicine, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Department of Emergency Medicine, The First School of Clinical Medicine, Southern Medical University, Nanjing, China.
Ann Transl Med. 2022 May;10(10):566. doi: 10.21037/atm-22-1397.
The aberrant activation and phenotype shift of resident fibroblasts in lung tissues via fibroblast-to-myofibroblast transition (FMT) is considered a pivotal step in pulmonary fibrogenesis, resulting in excessive extracellular matrix (ECM) production and deposition. However, the molecular mechanisms regulating FMT and lung fibrosis are still unclear. Connective tissue growth factor (CTGF) has been reported to be both an ECM protein and a versatile signaling molecule that is involved in multiple pathophysiological contexts, especially fibrosis. The relationship between CTGF, FMT, and lung fibrosis has not yet been well defined.
In this study, a pulmonary fibrosis (PF) rat model and FMT cell model induced by paraquat (PQ) were established to explore the relevant regulatory mechanisms and .
The results showed that the CTGF was highly activated and was a mediator of canonical Wnt signaling during FMT and PF. The inhibition of the CTGF by small-interfering ribonucleic acid decreased the expression of FMT markers, including α-smooth muscle actin, vimentin, and collagen I, inhibited the activated Wnt signaling pathway, and ameliorated lung fibrosis.
Our findings showed that CTGF was the key effector of the FMT and fibrotic changes, and emphasized the therapeutic potential of the inhibitor or monoclonal antibody against CTGF for PF.
肺组织中驻留成纤维细胞通过成纤维细胞向肌成纤维细胞转变(FMT)发生的异常激活和表型转变被认为是肺纤维化形成的关键步骤,导致细胞外基质(ECM)过度产生和沉积。然而,调节FMT和肺纤维化的分子机制仍不清楚。据报道,结缔组织生长因子(CTGF)既是一种ECM蛋白,也是一种参与多种病理生理过程,尤其是纤维化的多功能信号分子。CTGF、FMT和肺纤维化之间的关系尚未明确界定。
在本研究中,建立了百草枯(PQ)诱导的肺纤维化(PF)大鼠模型和FMT细胞模型,以探索相关调控机制。
结果表明,CTGF在FMT和PF过程中高度激活,是经典Wnt信号的介质。小干扰核糖核酸抑制CTGF可降低FMT标志物α平滑肌肌动蛋白、波形蛋白和I型胶原的表达,抑制激活的Wnt信号通路,并改善肺纤维化。
我们的研究结果表明,CTGF是FMT和纤维化改变的关键效应因子,并强调了CTGF抑制剂或单克隆抗体对PF的治疗潜力。