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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
2015 ; 17
(1
): 247
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Macitentan inhibits the transforming growth factor-? profibrotic action, blocking
the signaling mediated by the ETR/T?RI complex in systemic sclerosis dermal
fibroblasts
#MMPMID26357964
Cipriani P
; Di Benedetto P
; Ruscitti P
; Verzella D
; Fischietti M
; Zazzeroni F
; Liakouli V
; Carubbi F
; Berardicurti O
; Alesse E
; Giacomelli R
Arthritis Res Ther
2015[Sep]; 17
(1
): 247
PMID26357964
show ga
INTRODUCTION: Systemic sclerosis (SSc) is a complex and not fully understood
autoimmune disease associated with fibrosis of multiple organs. The main effector
cells, the myofibroblasts, are collagen-producing cells derived from the
activation of resting fibroblasts. This process is regulated by a complex
repertoire of profibrotic cytokines, and among them transforming growth factor
beta (TGF-?) and endothelin-1 (ET-1) play a major role. In this paper we show
that TGF-? and ET-1 receptors co-operate in myofibroblast activation, and
macitentan, an ET-1 receptor antagonist binding ET-1 receptors, might interfere
with both TGF-? and ET-1 pathways, preventing myofibroblast differentiation.
METHODS: Fibroblasts isolated from healthy controls and SSc patients were treated
with TGF-? and ET-1 and successively analyzed for alpha smooth muscle actin
(?-SMA) and collagen (Col1A1) expression and for the Sma and Mad Related (SMAD)
phosphorylation. We further tested the ability of macitentan to interfere with
these process. Furthermore, we silenced ET-1 and endothelin-1 receptor A
expression and evaluated the formation of an ET-1/TGF-? receptor complex by
immunoprecitation assay. RESULTS: We showed myofibroblast activation in SSc
fibroblasts assessing the expression of ?-SMA and Col1A1, after stimulation with
TGF-? and ET-1. Macitentan interfered with both ET-1- and TGF-?-induced
fibroblast activation. To explain this unexpected inhibitory effect of macitentan
on TGF-? activity, we silenced ET-1 expression on SSc fibroblasts and
co-immunoprecipitated these two receptors, showing the formation of an ET-1/TGF-?
receptor complex. CONCLUSIONS: During SSc, ET-1 produced by activated endothelia
contributes to myofibroblast activation using TGF-? machinery via an ET-1/TGF-?
receptor complex. Macitentan interferes with the profibrotic action of TGF-?,
blocking the ET-1 receptor portion of the ET-1/TGF-? receptor complex.
|Actins/metabolism
[MESH]
|Adult
[MESH]
|Blotting, Western
[MESH]
|Collagen Type I, alpha 1 Chain
[MESH]
|Collagen Type I/metabolism
[MESH]
|Dermis/pathology
[MESH]
|Endothelin A Receptor Antagonists/pharmacology
[MESH]