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2015 ; 112
(16
): E2048-57
Nephropedia Template TP
gab.com Text
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English Wikipedia
Compromised peroxisomes in idiopathic pulmonary fibrosis, a vicious cycle
inducing a higher fibrotic response via TGF-? signaling
#MMPMID25848047
Oruqaj G
; Karnati S
; Vijayan V
; Kotarkonda LK
; Boateng E
; Zhang W
; Ruppert C
; Günther A
; Shi W
; Baumgart-Vogt E
Proc Natl Acad Sci U S A
2015[Apr]; 112
(16
): E2048-57
PMID25848047
show ga
Idiopathic pulmonary fibrosis (IPF) is a devastating disease, and its pathogenic
mechanisms remain incompletely understood. Peroxisomes are known to be important
in ROS and proinflammatory lipid degradation, and their deficiency induces liver
fibrosis. However, altered peroxisome functions in IPF pathogenesis have never
been investigated. By comparing peroxisome-related protein and gene expression in
lung tissue and isolated lung fibroblasts between human control and IPF patients,
we found that IPF lungs exhibited a significant down-regulation of peroxisomal
biogenesis and metabolism (e.g., PEX13p and acyl-CoA oxidase 1). Moreover, in
vivo the bleomycin-induced down-regulation of peroxisomes was abrogated in
transforming growth factor beta (TGF-?) receptor II knockout mice indicating a
role for TGF-? signaling in the regulation of peroxisomes. Furthermore, in vitro
treatment of IPF fibroblasts with the profibrotic factors TGF-?1 or tumor
necrosis factor alpha (TNF-?) was found to down-regulate peroxisomes via the AP-1
signaling pathway. Therefore, the molecular mechanisms by which reduced
peroxisomal functions contribute to enhanced fibrosis were further studied.
Direct down-regulation of PEX13 by RNAi induced the activation of Smad-dependent
TGF-? signaling accompanied by increased ROS production and resulted in the
release of cytokines (e.g., IL-6, TGF-?) and excessive production of collagen I
and III. In contrast, treatment of fibroblasts with ciprofibrate or WY14643,
PPAR-? activators, led to peroxisome proliferation and reduced the TGF-?-induced
myofibroblast differentiation and collagen protein in IPF cells. Taken together,
our findings suggest that compromised peroxisome activity might play an important
role in the molecular pathogenesis of IPF and fibrosis progression, possibly by
exacerbating pulmonary inflammation and intensifying the fibrotic response in the
patients.