Bioscience COPD/IPF, Research and Early Development, Respiratory and Immunology (R&I), BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Bioscience COPD/IPF, Research and Early Development, R&I, Biopharmaceuticals R&D, AstraZeneca, Gaithersburg, Maryland, USA.
JCI Insight. 2022 Aug 22;7(16):e153058. doi: 10.1172/jci.insight.153058.
Idiopathic pulmonary fibrosis (IPF) is a chronic disease of unmet medical need. It is characterized by formation of scar tissue leading to a progressive and irreversible decline in lung function. IPF is associated with repeated injury, which may alter the composition of the extracellular matrix (ECM). Here, we demonstrate that IPF patient-derived pulmonary ECM drives profibrotic response in normal human lung fibroblasts (NHLF) in a 3D spheroid assay. Next, we reveal distinct alterations in composition of the diseased ECM, identifying potentially novel associations with IPF. Growth differentiation factor 15 (GDF15) was identified among the most significantly upregulated proteins in the IPF lung-derived ECM. In vivo, GDF15 neutralization in a bleomycin-induced lung fibrosis model led to significantly less fibrosis. In vitro, recombinant GDF15 (rGDF15) stimulated α smooth muscle actin (αSMA) expression in NHLF, and this was mediated by the activin receptor-like kinase 5 (ALK5) receptor. Furthermore, in the presence of rGDF15, the migration of NHLF in collagen gel was reduced. In addition, we observed a cell type-dependent effect of GDF15 on the expression of cell senescence markers. Our data suggest that GDF15 mediates lung fibrosis through fibroblast activation and differentiation, implicating a potential direct role of this matrix-associated cytokine in promoting aberrant cell responses in disease.
特发性肺纤维化(IPF)是一种未满足医疗需求的慢性疾病。它的特征是形成疤痕组织,导致肺功能进行性和不可逆转的下降。IPF 与反复损伤有关,这可能改变细胞外基质(ECM)的组成。在这里,我们证明了 IPF 患者来源的肺 ECM 在 3D 球体测定中驱动正常人类肺成纤维细胞(NHLF)的促纤维化反应。接下来,我们揭示了病变 ECM 组成的明显改变,确定了与 IPF 潜在的新关联。生长分化因子 15(GDF15)是在 IPF 肺衍生 ECM 中上调最显著的蛋白之一。在体内,博来霉素诱导的肺纤维化模型中 GDF15 的中和导致纤维化明显减少。在体外,重组 GDF15(rGDF15)刺激 NHLF 中α平滑肌肌动蛋白(αSMA)的表达,这是通过激活素受体样激酶 5(ALK5)受体介导的。此外,在存在 rGDF15 的情况下,NHLF 在胶原凝胶中的迁移减少。此外,我们观察到 GDF15 对细胞衰老标志物表达的细胞类型依赖性影响。我们的数据表明,GDF15 通过成纤维细胞的激活和分化介导肺纤维化,这暗示了这种基质相关细胞因子在促进疾病中异常细胞反应方面的潜在直接作用。