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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 Am+J+Respir+Cell+Mol+Biol
2017 ; 56
(4
): 506-520
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NF-?B Mediates Mesenchymal Transition, Remodeling, and Pulmonary Fibrosis in
Response to Chronic Inflammation by Viral RNA Patterns
#MMPMID27911568
Tian B
; Patrikeev I
; Ochoa L
; Vargas G
; Belanger KK
; Litvinov J
; Boldogh I
; Ameredes BT
; Motamedi M
; Brasier AR
Am J Respir Cell Mol Biol
2017[Apr]; 56
(4
): 506-520
PMID27911568
show ga
Airway remodeling is resultant of a complex multicellular response associated
with a progressive decline of pulmonary function in patients with chronic airway
disease. Here, repeated infections with respiratory viruses are linked with
airway remodeling through largely unknown mechanisms. Although acute activation
of the Toll-like receptor (TLR) 3 pathway by extracellular
polyinosinic:polycytidylic acid (poly[I:C]) induces innate signaling through the
NF-?B transcription factor in normal human small airway epithelial cells,
prolonged (repetitive or tonic) poly(I:C) stimulation produces chronic stress
fiber formation, mesenchymal transition, and activation of a fibrotic program.
Chronic poly(I:C) stimulation enhanced the expression of core mesenchymal
regulators Snail family zinc finger 1, zinc finger E-box binding homeobox,
mesenchymal intermediate filaments (vimentin), and extracellular matrix proteins
(fibronectin-1), and collagen 1A. This mesenchymal transition was prevented by
silencing expression of NF-?B/RelA or administration of a small-molecule
inhibitor of the I?B kinase, BMS345541. Acute poly(I:C) exposure in vivo induced
profound neutrophilic airway inflammation. When administered repetitively,
poly(I:C) resulted in enhanced fibrosis observed by lung micro-computed
tomography, second harmonic generation microscopy of optically cleared lung
tissue, and by immunohistochemistry. Epithelial flattening, expansion of the
epithelial mesenchymal trophic unit, and enhanced Snail family zinc finger 1 and
fibronectin 1 expression in airway epithelium were also observed. Repetitive
poly(I:C)-induced airway remodeling, fibrosis, and epithelial-mesenchymal
transition was inhibited by BMS345541 administration. Based on this novel model
of viral inflammation-induced remodeling, we conclude that NF-?B is a major
controller of epithelial-mesenchymal transition and pulmonary fibrosis, a finding
that has potentially important relevance to airway remodeling produced by
repetitive viral infections.