Li Yuan, Dai Yingbing, Jin Ting, Liu Xianyang, Xie Lihua
Department of Pulmonary and Critical Care Medicine, The Third Xiangya Hospital of Central South University, Changsha, China.
Department of Internal Medicine, Hunan Provincial Chest Hospital, Changsha, China.
FASEB J. 2025 Mar 31;39(6):e70463. doi: 10.1096/fj.202401522RR.
Airway remodeling is a critical pathological process that influences the progression of chronic obstructive pulmonary disease(COPD). To better study small airway remodeling in COPD, we employed advanced techniques such as decellularized scaffolds, immunofluorescence, scanning electron microscopy, and proteomics to analyze morphological and compositional changes in the extracellular matrix (ECM). Our study revealed significant ultrastructural abnormalities in the decellularized scaffolds from the COPD group, including thinning of alveolar septa, enlargement of alveolar spaces, and fusion of multiple alveoli. Additionally, the ECM composition in the COPD group exhibited notable changes characterized by an increase in collagen fibers, type I and IV collagens, fibronectin, and laminin (p < .05), along with a decrease in elastin and glycosaminoglycans (p < .05). Proteomic analysis identified 70 differentially expressed proteins between the COPD group and the control group. These included 34 upregulated proteins such as Smarca2, Skt, Acvrl1, Myl2 (all with ratios >10.64), and 36 downregulated proteins such as Col6a6, Col6a5, and AnK3 (all with ratios <0.27). Pathway analysis indicated that activation of apoptosis (Enrichment Score, ES = 0.23) and epithelial-mesenchymal transition (ES = 0.38) genes and inhibition of collagen synthesis (ES = -0.43) and degradation (ES = -0.63) genes were observed in the COPD group. These findings enhance our understanding of the mechanisms underlying airway remodeling and provide a scientific basis for developing novel therapeutic strategies for COPD.
气道重塑是影响慢性阻塞性肺疾病(COPD)进展的关键病理过程。为了更好地研究COPD中的小气道重塑,我们采用了脱细胞支架、免疫荧光、扫描电子显微镜和蛋白质组学等先进技术来分析细胞外基质(ECM)的形态和成分变化。我们的研究揭示了COPD组脱细胞支架中存在明显的超微结构异常,包括肺泡间隔变薄、肺泡腔扩大以及多个肺泡融合。此外,COPD组的ECM组成表现出显著变化,其特征是胶原纤维、I型和IV型胶原、纤连蛋白和层粘连蛋白增加(p < 0.05),同时弹性蛋白和糖胺聚糖减少(p < 0.05)。蛋白质组学分析确定了COPD组和对照组之间70种差异表达的蛋白质。其中包括34种上调蛋白,如Smarca2、Skt、Acvrl1、Myl2(所有比值>10.64),以及36种下调蛋白,如Col6a6、Col6a5和AnK3(所有比值<0.27)。通路分析表明,在COPD组中观察到凋亡(富集分数,ES = 0.23)和上皮-间质转化(ES = 0.38)基因的激活以及胶原合成(ES = -0.43)和降解(ES = -0.63)基因的抑制。这些发现加深了我们对气道重塑潜在机制的理解,并为开发COPD的新型治疗策略提供了科学依据。