Univ Rennes, CHU Rennes, INSERM, EHESP, IRSET (Institut de recherche en santé, environnement et travail) -UMR_S 1085, 35000 Rennes, France.
Univ Rennes, CHU Rennes, INSERM, EHESP, IRSET (Institut de recherche en santé, environnement et travail) -UMR_S 1085, 35000 Rennes, France; Department of Internal Medicine, Rennes University Hospital, 35000 Rennes, France.
Int Immunopharmacol. 2023 Mar;116:109723. doi: 10.1016/j.intimp.2023.109723. Epub 2023 Jan 23.
Systemic sclerosis (SSc) is an autoimmune fibrotic disorder notably characterized by the production of antinuclear autoantibodies, which have been linked to an excess of apoptotic cells, normally eliminated by a macrophagic efferocytosis. As interferon (IFN) signature and phosphorylation of JAK-STAT proteins are hallmarks of SSc tissues, we tested the hypothesis that a JAK inhibitor, ruxolitinib, targeting the IFN signaling, could improve efferocytosis of IFN-exposed human macrophages in vitro as well as skin and lung fibrosis. In vivo, BLM- and HOCl-induced skin thickness and fibrosis is associated with an increase of caspase-3 positive dermal cells and a significant increase of IFN-stimulated genes expression. In BLM-SSc model, ruxolitinib prevented dermal thickness, fibrosis and significantly decreased the number of cleaved caspase-3 cells in the dermis. Ruxolitinib also improved lung architecture and fibrosis although IFN signature was not entirely decreased by ruxolitinib. In vitro, ruxolitinib improves efferocytosis capacity of human monocyte-differentiated macrophages exposed to IFN-γ or IFN-β. In human fibroblasts derived from lung (HLF) biopsies isolated from patients with idiopathic pulmonary fibrosis, the reduced mRNA expression of typical TGF-β-activated markers by ruxolitinib was associated with a decrease of the phosphorylation of SMAD2 /3 and STAT3. Our finding supports the anti-fibrotic properties of ruxolitinib in a systemic SSc mouse model and in vitro in human lung fibroblasts.
系统性硬化症(SSc)是一种自身免疫性纤维性疾病,其特征主要为产生抗核自身抗体,这些抗体与过多的凋亡细胞有关,凋亡细胞通常被巨噬细胞吞噬作用清除。由于干扰素(IFN)特征和 JAK-STAT 蛋白的磷酸化是 SSc 组织的标志,我们检验了一个假设,即一种针对 IFN 信号的 JAK 抑制剂,芦可替尼,可能会改善体外 IFN 暴露的人巨噬细胞的吞噬作用,以及皮肤和肺纤维化。在体内,博莱霉素(BLM)和次氯酸(HOCl)诱导的皮肤厚度和纤维化与 caspase-3 阳性真皮细胞的增加以及 IFN 刺激基因表达的显著增加有关。在 BLM-SSc 模型中,芦可替尼可预防皮肤厚度、纤维化,并显著减少真皮中 cleaved caspase-3 细胞的数量。芦可替尼还改善了肺结构和纤维化,尽管芦可替尼并没有完全降低 IFN 特征。在体外,芦可替尼可改善 IFN-γ或 IFN-β暴露的人单核细胞分化的巨噬细胞的吞噬作用能力。在特发性肺纤维化患者的肺活检中分离的人肺成纤维细胞(HLF)中,芦可替尼降低了典型 TGF-β激活标记物的 mRNA 表达,与 SMAD2/3 和 STAT3 磷酸化的减少有关。我们的发现支持芦可替尼在系统性 SSc 小鼠模型和体外人肺成纤维细胞中的抗纤维化特性。
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