He Qianpei, Mazzola Jordan, Ladiges Warren
Department of Comparative Medicine, School of Medicine, University of Washington, Seattle, WA 98195, USA.
Aging Pathobiol Ther. 2024 Dec;6(4):186-190. doi: 10.31491/apt.2024.12.158. Epub 2024 Dec 28.
Fibrotic disorders, such as idiopathic pulmonary fibrosis, are characterized by the accumulation of myofibroblasts, cells responsible for excessive extracellular matrix deposition and tissue remodeling. The inability to terminate this reparative process leads to persistent fibrosis with increasing age. GHK (glycyl-L-histidyl-L-lysine], a naturally occurring peptide, has demonstrated the potential in modulating fibrotic pathways by reversing cellular senescence and inducing apoptosis in myofibroblasts. GHK promotes tissue regeneration and enhances wound healing by activating stemness markers like p63 and PCNA. In aging, GHK's effect on pulmonary fibroblasts may restore youthful phenotypes, improving fibroblast migration and collagen contraction. This commentary discusses the role of GHK in resolving persistent fibrosis and the molecular mechanisms underpinning these effects, including integrin-β1 signaling. The potential of GHK as a therapeutic agent for fibrosis, including combination strategies with antioxidants or anti-inflammatory agents, is also explored.
纤维化疾病,如特发性肺纤维化,其特征是肌成纤维细胞的积累,这些细胞负责过多的细胞外基质沉积和组织重塑。随着年龄增长,无法终止这种修复过程会导致持续性纤维化。甘氨酰-L-组氨酰-L-赖氨酸(GHK)是一种天然存在的肽,已显示出通过逆转细胞衰老和诱导肌成纤维细胞凋亡来调节纤维化途径的潜力。GHK通过激活p63和增殖细胞核抗原(PCNA)等干性标志物促进组织再生并增强伤口愈合。在衰老过程中,GHK对肺成纤维细胞的作用可能恢复年轻表型,改善成纤维细胞迁移和胶原收缩。本评论讨论了GHK在解决持续性纤维化中的作用以及这些作用背后的分子机制,包括整合素-β1信号传导。还探讨了GHK作为纤维化治疗药物的潜力,包括与抗氧化剂或抗炎剂的联合策略。