State Key Laboratory of Cell Differentiation and Regulation, College of Life Science, Henan Normal University, Xinxiang 453007, China.
Henan International Joint Laboratory of Pulmonary Fibrosis, Henan Center for Outstanding Overseas Scientists of Pulmonary Fibrosis, Henan Normal University, Xinxiang 453007, China.
Biomolecules. 2023 Mar 18;13(3):558. doi: 10.3390/biom13030558.
Pulmonary fibrosis (PF) is an interstitial lung disease characterized by the destruction of the pulmonary parenchyma caused by excessive extracellular matrix deposition. Despite the well-known etiological factors such as senescence, aberrant epithelial cell and fibroblast activation, and chronic inflammation, PF has recently been recognized as a metabolic disease and abnormal lipid signature was observed both in serum and bronchoalveolar lavage fluid (BALF) of PF patients and mice PF model. Clinically, observational studies suggest a significant link between high-fat diet (HFD) and PF as manifested by high intake of saturated fatty acids (SFAs) and meat increases the risk of PF and mice lung fibrosis. However, the possible mechanisms between HFD and PF remain unclear. In the current review we emphasize the diversity effects of the epigenetic dysregulation induced by HFD on the fibrotic factors such as epithelial cell injury, abnormal fibroblast activation and chronic inflammation. Finally, we discuss the potential ways for patients to improve their conditions and emphasize the prospect of targeted therapy based on epigenetic regulation for scientific researchers or drug developers.
肺纤维化(PF)是一种间质性肺疾病,其特征是由于细胞外基质过度沉积而导致的肺实质破坏。尽管衰老、上皮细胞和成纤维细胞异常激活以及慢性炎症等众所周知的病因因素,但 PF 最近被认为是一种代谢疾病,在 PF 患者的血清和支气管肺泡灌洗液(BALF)以及 PF 小鼠模型中均观察到异常的脂质特征。临床上,观察性研究表明高脂肪饮食(HFD)与 PF 之间存在显著关联,表现为摄入大量饱和脂肪酸(SFAs)和肉类会增加 PF 的风险,并且高脂肪饮食喂养的小鼠会发生肺纤维化。然而,HFD 与 PF 之间的可能机制仍不清楚。在本综述中,我们强调了 HFD 诱导的表观遗传失调对上皮细胞损伤、异常成纤维细胞激活和慢性炎症等纤维化因子的多样性影响。最后,我们讨论了患者改善病情的潜在方法,并强调了基于表观遗传调控的靶向治疗为科学研究人员或药物开发者带来的前景。