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肺纤维化进展中的机械传感通路

Mechanosensing Pathways in the Progression of Pulmonary Fibrosis.

作者信息

Nieves Elisa B, García Andrés J

机构信息

Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, Georgia, USA.

Petit Institute for Bioengineering and Biosciences, Georgia Institute of Technology, Atlanta, Georgia, USA.

出版信息

Curr Opin Biomed Eng. 2025 Sep;35. doi: 10.1016/j.cobme.2025.100598. Epub 2025 May 17.

DOI:10.1016/j.cobme.2025.100598
PMID:40895343
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12396840/
Abstract

Fibrotic diseases are characterized by the excess production of extracellular matrix components that leads to changes in tissue mechanics and function. Mechanosensing altered during the onset of pulmonary fibrosis is hypothesized to form a positive-feedback loop that contributes to the progression of the disease. However, the exact mechanism(s) leading to fibrotic tissue remodeling as opposed to homeostatic tissue remodeling remains unknown. The development of innovative laboratory models of pulmonary fibrosis has facilitated mechanistic studies of pathogenic mechanosensing and identified new anti-fibrotic candidates. This brief review will cover recent (< 5 years) publications that explore mechanotransduction pathways contributing to the development of pulmonary fibrosis and innovative laboratory models that can advance the field.

摘要

纤维化疾病的特征是细胞外基质成分过度产生,导致组织力学和功能发生变化。据推测,肺纤维化发病过程中机械传感的改变会形成一个正反馈回路,促进疾病进展。然而,导致纤维化组织重塑而非稳态组织重塑的确切机制仍然未知。肺纤维化创新实验室模型的发展促进了对致病性机械传感的机制研究,并确定了新的抗纤维化候选物。这篇简短的综述将涵盖最近(<5年)探索促成肺纤维化发展的机械转导途径的出版物以及能够推动该领域发展的创新实验室模型。

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本文引用的文献

1
Spatial transcriptomics identifies molecular niche dysregulation associated with distal lung remodeling in pulmonary fibrosis.空间转录组学鉴定出与肺纤维化中远端肺重塑相关的分子微环境失调。
Nat Genet. 2025 Mar;57(3):647-658. doi: 10.1038/s41588-025-02080-x. Epub 2025 Feb 3.
2
Piezo channels modulate human lung fibroblast function.压电通道调节人肺成纤维细胞功能。
Am J Physiol Lung Cell Mol Physiol. 2024 Oct 1;327(4):L547-L556. doi: 10.1152/ajplung.00356.2023. Epub 2024 Aug 27.
3
YAP Alleviates Pulmonary Fibrosis Through Promoting Alveolar Regeneration via Modulating the Stemness of Alveolar Type 2 Cells.YAP 通过调节肺泡 II 型细胞的干性来促进肺泡再生,从而减轻肺纤维化。
Stem Cells Dev. 2024 Nov;33(21-22):586-594. doi: 10.1089/scd.2024.0101. Epub 2024 Aug 23.
4
Suppression of OGN in lung myofibroblasts attenuates pulmonary fibrosis by inhibiting integrin αv-mediated TGF-β/Smad pathway activation.肺肌成纤维细胞中 OGN 的抑制通过抑制整合素 αv 介导的 TGF-β/Smad 通路激活来减轻肺纤维化。
Matrix Biol. 2024 Sep;132:87-97. doi: 10.1016/j.matbio.2024.07.001. Epub 2024 Jul 15.
5
Targeting CEBPA to restore cellular identity and tissue homeostasis in pulmonary fibrosis.靶向 CEBPA 以恢复肺纤维化中的细胞身份和组织平衡。
JCI Insight. 2024 Jul 16;9(16):e175290. doi: 10.1172/jci.insight.175290.
6
Regulation of the RhoA exchange factor GEF-H1 by profibrotic stimuli through a positive feedback loop involving RhoA, MRTF, and Sp1.通过涉及 RhoA、MRTF 和 Sp1 的正反馈环,致纤维化刺激调节 RhoA 交换因子 GEF-H1。
Am J Physiol Cell Physiol. 2024 Aug 1;327(2):C387-C402. doi: 10.1152/ajpcell.00088.2024. Epub 2024 Jun 24.
7
Translational Studies Reveal the Divergent Effects of Simtuzumab Targeting LOXL2 in Idiopathic Pulmonary Fibrosis.转化研究揭示了西马珠单抗靶向赖氨酰氧化酶样蛋白2(LOXL2)在特发性肺纤维化中的不同作用。
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8
Bexotegrast in Patients with Idiopathic Pulmonary Fibrosis: The INTEGRIS-IPF Clinical Trial.贝索特格拉斯特治疗特发性肺纤维化患者:INTEGRIS-IPF 临床试验。
Am J Respir Crit Care Med. 2024 Aug 15;210(4):424-434. doi: 10.1164/rccm.202403-0636OC.
9
Noncanonical WNT5A controls the activation of latent TGF-β to drive fibroblast activation and tissue fibrosis.非经典 WNT5A 控制潜伏 TGF-β 的激活以驱动成纤维细胞激活和组织纤维化。
J Clin Invest. 2024 Mar 26;134(10):e159884. doi: 10.1172/JCI159884.
10
Modeling mechanical activation of macrophages during pulmonary fibrogenesis for targeted anti-fibrosis therapy.模拟肺纤维化过程中巨噬细胞的机械激活以实现靶向抗纤维化治疗。
Sci Adv. 2024 Mar 29;10(13):eadj9559. doi: 10.1126/sciadv.adj9559.