CD148 Deficiency in Fibroblasts Promotes the Development of Pulmonary Fibrosis

Rationale: CD148/PTRJ (receptor-like protein tyrosine phosphatase h) exerts antifibrotic effects in experimental pulmonary fibrosis via interactions with its ligand syndecan-2; however, the role of CD148 in human pulmonary fibrosis remains incompletely characterized. Objectives: We investigated the role of CD148 in the profibrotic phenotype of fibroblasts in idiopathic pulmonary fibrosis (IPF). Methods: Conditional CD148 fibroblast-specific knockout mice were generated and exposed to bleomycin and then assessed for pulmonary fibrosis. Lung fibroblasts (mouse lung and human IPF lung), and precision-cut lung slices from human patients with IPF were isolated and subjected to experimental treatments. A CD148-activating 18-aa mimetic peptide (SDC2-pep) derived from syndecan-2 was evaluated for its therapeutic potential. Measurements and Main Results: CD148 expression was downregulated in IPF lungs and fibroblasts. In human IPF lung fibroblasts, silencing of CD148 increased extracellular matrix production and resistance to apoptosis, whereas overexpression of CD148 reversed the profibrotic phenotype. CD148 fibroblastspecific knockout mice displayed increased pulmonary fibrosis after bleomycin challenge compared with control mice. CD148-deficient fibroblasts exhibited hyperactivated PI3K/Akt/mTOR signaling, reduced autophagy, and increased p62 accumulation, which induced NF-kappa B activation and profibrotic gene expression. SDC2-pep reduced pulmonary fibrosis in vivo and inhibited IPFderived fibroblast activation. In precision-cut lung slices from patients with IPF and control patients, SDC2-pep attenuated profibrotic gene expression in IPF and normal lungs stimulated with profibrotic stimuli. Conclusions: Lung fibroblast CD148 activation reduces p62 accumulation, which exerts antifibrotic effects by inhibiting NF-kappa B-mediated profibrotic gene expression. Targeting the CD148 phosphatase with activating ligands such as SDC2-pep may represent a potential therapeutic strategy in IPF.

Automated summary

CD148 phosphatase is downregulated in lung fibroblasts of patients with idiopathic pulmonary fibrosis (IPF), and its overexpression can reverse the profibrotic phenotype. Lack of CD148 leads to exacerbated fibrosis, while activation of CD148 reduces p62 accumulation and inhibits NF-kappa B-mediated profibrotic gene expression, exerting anti-fibrotic effects. Targeting the CD148 phosphatase with activating ligands like SDC2-pep may represent a potential therapeutic strategy for IPF.