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YAP/TAZ 信号通路在肺纤维化发病机制中的作用。

YAP/TAZ Signaling in the Pathobiology of Pulmonary Fibrosis.

机构信息

First University Department of Respiratory Medicine, Medical School, 'Sotiria' Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.

Department of Biological Chemistry, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.

出版信息

Cells. 2024 Sep 10;13(18):1519. doi: 10.3390/cells13181519.

Abstract

Pulmonary fibrosis (PF) is a severe, irreversible lung disease characterized by progressive scarring, with idiopathic pulmonary fibrosis (IPF) being the most prevalent form. IPF's pathogenesis involves repetitive lung epithelial injury leading to fibroblast activation and excessive extracellular matrix (ECM) deposition. The prognosis for IPF is poor, with limited therapeutic options like nintedanib and pirfenidone offering only modest benefits. Emerging research highlights the dysregulation of the yes-associated protein (YAP)/transcriptional coactivator with PDZ-binding motif (TAZ) signaling pathway as a critical factor in PF. YAP and TAZ, components of the Hippo pathway, play significant roles in cell proliferation, differentiation, and fibrosis by modulating gene expression through interactions with TEA domain (TEAD) transcription factors. The aberrant activation of YAP/TAZ in lung tissue promotes fibroblast activation and ECM accumulation. Targeting the YAP/TAZ pathway offers a promising therapeutic avenue. Preclinical studies have identified potential treatments, such as trigonelline, dopamine receptor D1 (DRD1) agonists, and statins, which inhibit YAP/TAZ activity and demonstrate antifibrotic effects. These findings underscore the importance of YAP/TAZ in PF pathogenesis and the potential of novel therapies aimed at this pathway, suggesting a new direction for improving IPF treatment outcomes. Further research is needed to validate these approaches and translate them into clinical practice.

摘要

肺纤维化 (PF) 是一种严重的、不可逆转的肺部疾病,其特征是进行性瘢痕形成,特发性肺纤维化 (IPF) 是最常见的形式。IPF 的发病机制涉及反复的肺上皮细胞损伤,导致成纤维细胞激活和细胞外基质 (ECM) 过度沉积。IPF 的预后较差,尼达尼布和吡非尼酮等有限的治疗选择仅提供适度的益处。新的研究强调,yes 相关蛋白 (YAP)/富含 PDZ 结合基序的转录共激活因子 (TAZ) 信号通路的失调是 PF 的一个关键因素。YAP 和 TAZ 是 Hippo 通路的组成部分,通过与 TEA 结构域 (TEAD) 转录因子相互作用调节基因表达,在细胞增殖、分化和纤维化中发挥重要作用。肺组织中 YAP/TAZ 的异常激活促进成纤维细胞激活和 ECM 积累。靶向 YAP/TAZ 通路提供了一种有前途的治疗途径。临床前研究已经确定了一些潜在的治疗方法,如三叶草碱、多巴胺受体 D1 (DRD1) 激动剂和他汀类药物,它们抑制 YAP/TAZ 活性并表现出抗纤维化作用。这些发现强调了 YAP/TAZ 在 PF 发病机制中的重要性,以及针对该途径的新型治疗方法的潜力,为改善 IPF 治疗结果提供了新的方向。需要进一步的研究来验证这些方法,并将其转化为临床实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9043/11430237/8e32d516c154/cells-13-01519-g001.jpg

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