Efferocytosis of apoptotic alveolar epithelial cells is sufficient to initiate lung fibrosis

Autor: Patrick B. Bradley, Megan R. Dotson, Manisha Agarwal, Jibing Yang, Natalia Subbotina, Kevin K. Kim, Thomas H. Sisson, John J. Osterholzer
Rok vydání: 2017
Předmět:
0301 basic medicine
CD36 Antigens
Cancer Research
Pulmonary Fibrosis
Apoptosis
Mice
0302 clinical medicine
Fibrosis
Pulmonary fibrosis
Macrophage
Diphtheria Toxin
Caspase 7
lcsh:Cytology
Caspase 3
respiratory system
Pulmonary Surfactant-Associated Protein C
3. Good health
medicine.anatomical_structure
Intercellular Signaling Peptides and Proteins
Bronchoalveolar Lavage Fluid
Heparin-binding EGF-like Growth Factor
Signal Transduction
Phagocytosis
Recombinant Fusion Proteins
Immunology
education
Primary Cell Culture
Mice
Transgenic

Article
Cell Line
03 medical and health sciences
Cellular and Molecular Neuroscience
Macrophages
Alveolar

medicine
Animals
Humans
lcsh:QH573-671
Efferocytosis
Diphtheria toxin
Lung
business.industry
Cell Biology
Macrophage Activation
medicine.disease
Mice
Inbred C57BL

Pulmonary Alveoli
030104 developmental biology
030228 respiratory system
Gene Expression Regulation
Alveolar Epithelial Cells
Cancer research
business
Zdroj: Cell Death & Disease
Cell Death and Disease, Vol 9, Iss 11, Pp 1-12 (2018)
ISSN: 2041-4889
Popis: Type II alveolar epithelial cell (AEC) apoptosis is a prominent feature of fibrotic lung diseases and animal models of pulmonary fibrosis. While there is growing recognition of the importance of AEC injury and apoptosis as a causal factor in fibrosis, the underlying mechanisms that link these processes remain unknown. We have previously shown that targeting the type II alveolar epithelium for injury by repetitively administering diphtheria toxin to transgenic mice expressing the diphtheria toxin receptor off of the surfactant protein C promoter (SPC-DTR) develop lung fibrosis, confirming that AEC injury is sufficient to cause fibrosis. In the present study, we find that SPC-DTR mice develop increased activation of caspase 3/7 after initiation of diphtheria toxin treatment consistent with apoptosis within AECs. We also find evidence of efferocytosis, the uptake of apoptotic cells, by alveolar macrophages in this model. To determine the importance of efferocytosis in lung fibrosis, we treated cultured alveolar macrophages with apoptotic type II AECs and found that the uptake induced pro-fibrotic gene expression. We also found that the repetitive intrapulmonary administration of apoptotic type II AEC or MLE-12 cells induces lung fibrosis. Finally, mice lacking a key efferocytosis receptor, CD36, developed attenuated fibrosis in response to apoptotic MLE-12 cells. Collectively, these studies support a novel mechanism linking AEC apoptosis with macrophage pro-fibrotic activation via efferocytosis and reveal previously unrecognized therapeutic targets.
Databáze: OpenAIRE