Fibrotic extracellular vesicles contribute to mechanical ventilation-induced pulmonary fibrosis development by activating lung fibroblasts via JNK signalling pathway: an experimental study

Autor: Yuan Gao, Yang Zhou, Jinhua Feng, Ri Tang, Shuya Mei, Qiaoyi Xu, Shunpeng Xing, Shaojie Qin, Zhengyu He
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMJ Open Respiratory Research, Vol 10, Iss 1 (2023)
Druh dokumentu: article
ISSN: 2052-4439
DOI: 10.1136/bmjresp-2023-001753
Popis: AbstractRecent research has revealed that mechanical ventilation (MV) could initiate ventilator-induced lung injury along with the initiation of the process of pulmonary fibrosis (PF), leading to MV-induced PF (MVPF). However, the underlying mechanism remains unclear. This study aimed to explore the role of MV-induced extracellular vesicles (MV-EVs) and the c-Jun N-terminal kinase (JNK) signalling pathway in the pathogenesis of MVPF in vivo and in vitro. The process of MV is accompanied by the secretion of MV-EVs, which could induce lung fibroblast activation. Furthermore, single-cell RNA-sequencing analysis revealed that the JNK pathway in lung fibroblasts was activated after MV initiation. Inhibiting the JNK pathway could both restrain MV-EV-induced lung fibroblast activation in vitro or reduce the severity of MVPF in vivo. In conclusion, this study demonstrated that MV-EVs contribute to MVPF progression by activating lung fibroblasts via the JNK signalling pathway and that inhibiting the secretion of EV and the activation of the JNK signalling pathway is a promising strategy for treating MVPF.
Databáze: Directory of Open Access Journals