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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 Ann+Am+Thorac+Soc
2015 ; 12 Suppl 1
(Suppl 1
): S21-3
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Epithelial-mesenchymal interactions in fibrosis and repair Transforming growth
factor-? activation by epithelial cells and fibroblasts
#MMPMID25830829
Sheppard D
Ann Am Thorac Soc
2015[Mar]; 12 Suppl 1
(Suppl 1
): S21-3
PMID25830829
show ga
Transforming growth factor-? (TGF-?) plays a central role in driving tissue
fibrosis. TGF-? is secreted in a latent form, held latent by noncovalent
association of the active cytokine with a peptide derived from cleavage of the
N-terminal domain of the same gene product, and needs to be activated
extracellularly to exert any of its diverse biological effects. We have shown
that two of the three mammalian isoforms of TGF-?, TGF-?1 and TGF-?3, depend on
interactions with cell surface integrins for activation. We found that the
integrin ?v?6 is highly induced on injured alveolar epithelial cells, potently
induces TGF-? activation, and is critical for the development of pulmonary
fibrosis and acute lung injury. However, although TGF-? drives fibrosis in
virtually every anatomic site, ?v?6-mediated TGF-? activation is much more
restricted. For example, ?v?6 is not induced on injured hepatocytes and plays
little or no role in cirrhosis induced by repetitive hepatocyte injury.
Fibroblasts are highly contractile cells that express multiple integrins closely
related to ?v?6, which share the promiscuous ?v subunit, so we reasoned that
perhaps one or more of these ?v integrins on fibroblasts might substitute for
?v?6 and activate the TGF-? required to drive liver fibrosis. Indeed, deletion of
the ?v subunit from activated fibroblasts protected mice from carbon
tetrachloride-induced liver fibrosis. Importantly, these same mice were protected
from bleomycin-induced pulmonary fibrosis and renal fibrosis caused by unilateral
ureteral obstruction, despite the presence of epithelial ?v?6 in these mice.
These results suggest that the generation and maintenance of sufficient
quantities of active TGF-? to cause tissue fibrosis in multiple organs probably
depends on at least two sources-TGF-? activation by injured epithelial cells that
drives fibroblast expansion and activation and an amplification step that
involves TGF-? activation by an ?v integrin on activated fibroblasts. These
results suggest that intervening at either of these steps could be useful for the
treatment of fibrotic diseases.