Abstract
Rationale: Alveolar transforming growth factor (TGF)-b1 signaling and expression of TGF-b1 target genes are increased in patients with idiopathic pulmonary fibrosis (IPF) and in animal models of pulmonary fibrosis. Internalization and degradation of TGF-b receptor TbRI inhibits TGF-b signaling and could attenuate development of experimental lung fibrosis. Objectives: To demonstrate that after experimental lung injury, humansyndecan- 2 confers antifibrotic effects by inhibiting TGF-b1 signaling in alveolar epithelial cells. Methods: Microarray assays were performed to identify genes differentially expressed in alveolar macrophages of patients with IPF versus control subjects. Transgenic mice that constitutively overexpress human syndecan-2 in macrophages were developed to test the antifibrotic properties of syndecan-2. In vitro assays were performed to determine syndecan-2dependent changes in epithelial cell TGF-b1 signaling, TGF-b1, and TbRI internalization and apoptosis. Wildtype mice were treated with recombinant human syndecan-2 during the fibrotic phase of bleomycin-induced lung injury. Measurements and Main Results: We observed significant increases in alveolar macrophage syndecan-2 levels in patients with IPF. Macrophage-specific overexpression of human syndecan-2 in transgenic mice conferred antifibrotic effects after lung injury by inhibiting TGF-b1 signaling and downstream expression of TGF-b1 target genes, reducing extracellularmatrix production and alveolar epithelial cell apoptosis. In vitro, syndecan-2 promoted caveolin-1dependent internalization of TGF-b1 and TbRI in alveolar epithelial cells, which inhibited TGF-b1 signaling and epithelial cell apoptosis. Therapeutic administration of human syndecan-2 abrogated lung fibrosis in mice. Conclusions: Alveolar macrophage syndecan-2 exerts antifibrotic effects by promoting caveolin-1dependent TGF-b1 and TbRI internalization and inhibiting TGF-b1 signaling in alveolar epithelial cells. Hence, molecules that facilitate TbRI degradation via endocytosis represent potential therapies for pulmonary fibrosis.
Original language | English |
---|---|
Pages (from-to) | 831-841 |
Number of pages | 11 |
Journal | American journal of respiratory and critical care medicine |
Volume | 188 |
Issue number | 7 |
DOIs | |
State | Published - Oct 1 2013 |
Keywords
- Alveolar macrophage
- Idiopathic pulmonary fibrosis
- Syndecan-2
- TGF-b1 signaling