Department of Respiratory and Critical Care Medicine, West China Hospital/West China School of Medicine, Sichuan University, Chengdu, China.
Cell Death Dis. 2023 Jun 30;14(6):389. doi: 10.1038/s41419-023-05889-8.
Idiopathic pulmonary fibrosis (IPF) is a devastating fibrotic lung disease characterized by scarring and destruction of the lung architecture, with limited treatment options. Targeted gene therapy to restore cell division autoantigen-1 (CDA1) expression may be a potential treatment approach to delay the progression of pulmonary fibrosis (PF). Here, we focused on CDA1, which was significantly decreased in human IPF, in a mouse model of bleomycin (BLM)-induced PF, and in transforming growth factor (TGF-β)-challenged lung fibroblasts. In vitro, CDA1 overexpression by lentivirus infection in human embryonic lung fibroblasts (HFL1 cells) inhibited the production of pro-fibrotic and pro-inflammatory cytokines, lung fibroblast-to-myofibroblast transition, and extracellular matrix protein expression induced by exogenous TGF-β1 treatment, whereas CDA1 knockdown with small interfering RNA promoted this effect. CDA1 overexpression also inhibited cell proliferation and migration. In a mouse model of BLM-induced PF, we provided novel evidence that the intratracheal delivery of adeno-associated virus serotype 9 carrying the mouse Tspyl2 gene reduced lung tissue inflammation and fibrosis. Mechanistically, CDA1, as a transcription regulator, could repress the TGF-β signal transduction in vivo and in vitro. In conclusion, our results show that Tspyl2 gene therapy plays an antifibrotic role by inhibiting the lung fibroblast-to-myofibroblast transition and downstream TGF-β/Smad3 signaling transduction in BLM-induced PF in mice, suggesting that CDA1 is an appropriate and promising therapeutic target for PF.
特发性肺纤维化(IPF)是一种破坏性的肺纤维化疾病,其特征是肺结构的瘢痕形成和破坏,治疗选择有限。靶向基因治疗以恢复细胞分裂自身抗原-1(CDA1)的表达可能是一种潜在的治疗方法,可延迟肺纤维化(PF)的进展。在这里,我们专注于 CDA1,其在人 IPF、博来霉素(BLM)诱导的 PF 小鼠模型中和转化生长因子(TGF-β)刺激的肺成纤维细胞中显著降低。在体外,通过慢病毒感染人胚肺成纤维细胞(HFL1 细胞)过表达 CDA1 可抑制外源性 TGF-β1 处理诱导的促纤维化和促炎细胞因子产生、肺成纤维细胞向肌成纤维细胞转化以及细胞外基质蛋白表达,而用小干扰 RNA 敲低 CDA1 则促进了这种作用。CDA1 过表达还抑制了细胞增殖和迁移。在 BLM 诱导的 PF 小鼠模型中,我们提供了新的证据,表明携带小鼠 Tspyl2 基因的腺相关病毒血清型 9 的气管内给药可减少肺组织炎症和纤维化。从机制上讲,CDA1 作为转录调节剂,可在体内和体外抑制 TGF-β信号转导。总之,我们的结果表明,Tspyl2 基因治疗通过抑制 BLM 诱导的 PF 小鼠中的肺成纤维细胞向肌成纤维细胞转化和下游 TGF-β/Smad3 信号转导发挥抗纤维化作用,表明 CDA1 是 PF 的一种合适且有前途的治疗靶点。