使用林西替尼靶向胰岛素样生长因子1信号通路以调节成纤维细胞可塑性并减轻肺纤维化。

Targeting insulin-like growth factor 1 signaling with Linsitinib to modulate fibroblast plasticity and attenuate pulmonary fibrosis.

作者信息

Zhu Ting, Pan Maojie, Ding Qiannan, Ding Jianyi, Wang Bin, Li Zhupeng, Yang Luping, Zhang Chu, Chen Zhile, Jin Binqian, Yu Guangmao, Chen Chun, Xu Yangjun

机构信息

Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China; Department of Thoracic Surgery, Shaoxing People's Hospital, Shaoxing, Zhejiang, China.

Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China; Department of Thoracic Surgery, Linyi People's Hospital, Linyi, Shandong, China.

出版信息

Int Immunopharmacol. 2025 Aug 28;161:115084. doi: 10.1016/j.intimp.2025.115084. Epub 2025 Jun 14.

Abstract

Idiopathic pulmonary fibrosis (IPF) is a fatal, irreversible lung disorder with limited treatment options. Pathogenic drivers include fibroblast-to-myofibroblast transition, excessive collagen deposition, and inflammatory infiltration. Elevated circulating insulin-like growth factor-1 (IGF-1) levels and dysregulated activation of the IGF-1 receptor (IGF-1R) are implicated in multiple pathological conditions such as cancer, chronic inflammation, and fibrotic diseases. Linsitinib, a small-molecule tyrosine kinase inhibitor, selectively targets IGF-1R activation. However, its therapeutic potential and pharmacological mechanisms in IPF remain unexplored. In this study, we aimed to evaluate the efficacy and molecular basis of Linsitinib for IPF treatment. High-throughput sequencing revealed IGF-1 upregulation in the lung tissues of a murine IPF model. In vivo, oral Linsitinib attenuated fibrosis and inflammation in bleomycin-induced pulmonary fibrosis, inhibiting IGF-1R phosphorylation. In vitro, Linsitinib suppressed transforming growth factor β1-induced fibroblast-to-myofibroblast transition (marked by reduced alpha smooth muscle actin and fibronectin) and collagen biosynthesis (COL1A1, COL3A1) in primary lung fibroblasts. Transcriptomic profiling and lentiviral-based functional assays demonstrated that Linsitinib upregulated peroxisome proliferator-activated receptor gamma (PPARγ) expression by blocking IGF-1R phosphorylation, thereby promoting adipogenic transdifferentiation. Ex vivo, human IPF lung explants confirmed Linsitinib mitigated fibrosis and collagen accumulation via the IGF-1/IGF-1R/PPARγ axis. These findings suggest that Linsitinib exerts its effects against fibrosis by targeting IGF-1R-driven signaling pathways, making it a potential therapeutic agent for IPF.

摘要

特发性肺纤维化(IPF)是一种致命的、不可逆的肺部疾病,治疗选择有限。致病驱动因素包括成纤维细胞向肌成纤维细胞的转变、过量的胶原蛋白沉积和炎症浸润。循环胰岛素样生长因子-1(IGF-1)水平升高以及IGF-1受体(IGF-1R)的失调激活与多种病理状况有关,如癌症、慢性炎症和纤维化疾病。林西替尼是一种小分子酪氨酸激酶抑制剂,可选择性靶向IGF-1R的激活。然而,其在IPF中的治疗潜力和药理机制仍未得到探索。在本研究中,我们旨在评估林西替尼治疗IPF的疗效和分子基础。高通量测序显示在小鼠IPF模型的肺组织中IGF-1上调。在体内,口服林西替尼可减轻博来霉素诱导的肺纤维化中的纤维化和炎症,抑制IGF-1R磷酸化。在体外,林西替尼抑制原代肺成纤维细胞中转化生长因子β1诱导的成纤维细胞向肌成纤维细胞的转变(以α平滑肌肌动蛋白和纤连蛋白减少为标志)和胶原蛋白生物合成(COL1A1、COL3A1)。转录组分析和基于慢病毒的功能测定表明,林西替尼通过阻断IGF-1R磷酸化上调过氧化物酶体增殖物激活受体γ(PPARγ)的表达,从而促进脂肪生成转分化。在体外,人IPF肺组织外植体证实林西替尼通过IGF-1/IGF-1R/PPARγ轴减轻纤维化和胶原蛋白积累。这些发现表明,林西替尼通过靶向IGF-1R驱动的信号通路发挥抗纤维化作用,使其成为IPF的潜在治疗药物。

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