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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Arthritis+Res+Ther
2014 ; 16
(2
): R86
Nephropedia Template TP
gab.com Text
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Bosentan reverses the pro-fibrotic phenotype of systemic sclerosis dermal
fibroblasts via increasing DNA binding ability of transcription factor Fli1
#MMPMID24708674
Akamata K
; Asano Y
; Aozasa N
; Noda S
; Taniguchi T
; Takahashi T
; Ichimura Y
; Toyama T
; Sato S
Arthritis Res Ther
2014[Apr]; 16
(2
): R86
PMID24708674
show ga
INTRODUCTION: Although the pathogenesis of systemic sclerosis (SSc) still remains
unknown, recent studies have demonstrated that endothelins are deeply involved in
the developmental process of fibrosis and vasculopathy associated with SSc, and a
dual endothelin receptor antagonist, bosentan, has a potential to serve as a
disease modifying drug for this disorder. Importantly, endothelin-1 (ET-1) exerts
a pro-fibrotic effect on normal dermal fibroblasts and bosentan reverses the
pro-fibrotic phenotype of SSc dermal fibroblasts. The purpose of this study was
to clarify the details of molecular mechanisms underlying the effects of ET-1 and
bosentan on dermal fibroblasts, which have not been well studied. METHODS: The
mRNA levels of target genes and the expression and phosphorylation levels of
target proteins were determined by reverse transcription real-time PCR and
immunoblotting, respectively. Promoter assays were performed using a sequential
deletion of human ?2 (I) collagen (COL1A2) promoter. DNA affinity precipitation
and chromatin immunoprecipitation were employed to evaluate the DNA binding
ability of Fli1. Fli1 protein levels in murine skin were evaluated by
immunostaining. RESULTS: In normal fibroblasts, ET-1 activated c-Abl and protein
kinase C (PKC)-? and induced Fli1 phosphorylation at threonine 312, leading to
the decreased DNA binding of Fli1, a potent repressor of the COL1A2 gene, and the
increase in type I collagen expression. On the other hand, bosentan reduced the
expression of c-Abl and PKC-?, the nuclear localization of PKC-?, and Fli1
phosphorylation, resulting in the increased DNA binding of Fli1 and the
suppression of type I collagen expression in SSc fibroblasts. In
bleomycin-treated mice, bosentan prevented dermal fibrosis and increased Fli1
expression in lesional dermal fibroblasts. CONCLUSIONS: ET-1 exerts a potent
pro-fibrotic effect on normal fibroblasts by activating "c-Abl - PKC-? - Fli1"
pathway. Bosentan reverses the pro-fibrotic phenotype of SSc fibroblasts and
prevents the development of dermal fibrosis in bleomycin-treated mice by blocking
this signaling pathway. Although the efficacy of bosentan for dermal and
pulmonary fibrosis is limited in SSc, the present observation definitely provides
us with a useful clue to further explore the potential of the upcoming new dual
endothelin receptor antagonists as disease modifying drugs for SSc.