期刊
RESPIRATORY RESEARCH
卷 22, 期 1, 页码 -出版社
BMC
DOI: 10.1186/s12931-021-01785-x
关键词
ARDS; Sepsis; Fibrosis; EZH2; Macrophage polarization; EMT
资金
- National Natural Science Foundation of China [81970072, 81670690]
- key programme of Natural Science Foundation of Jiangxi Province [20181ACB 20016]
- leading medical talent project of Shanghai Pudong heath bureau [PWRI2019-05]
- top-level clinical discipline project of Shanghai Pudong [PWYgf2018-05]
- Nature Science grant of Shanghai [20ZR1445800]
- Key Discipline Construction Project of Pudong Health Bureau of Shanghai [PWZxk2017-05]
The study elucidated the role of EZH2 in ARDS-associated pulmonary fibrosis, showing that targeting EZH2 is a potential therapeutic strategy to prevent and treat pulmonary fibrosis post ARDS by regulating TGF-beta1/Smad signaling pathway, macrophage polarization shift, and epithelial to mesenchymal transition.
Background We recently reported histone methyltransferase enhancer of zeste homolog 2 (EZH2) as a key epigenetic regulator that contributes to the dysfunction of innate immune responses to sepsis and subsequent lung injury by mediating the imbalance of macrophage polarization. However, the role of EZH2 in acute respiratory distress syndrome (ARDS)-associated fibrosis remains poorly understood. Methods In this study, we investigated the role and mechanisms of EZH2 in pulmonary fibrosis in a murine model of LPS-induced ARDS and in ex-vivo cultured alveolar macrophages (MH-S) and mouse lung epithelial cell line (MLE-12) by using 3-deazaneplanocin A (3-DZNeP) and EZH2 the small interfering (si) RNA. Results We found that treatment with 3-DZNeP significantly ameliorated the LPS-induced direct lung injury and fibroproliferation by blocking EMT through TGF-beta 1/Smad signaling pathway and regulating shift of macrophage phenotypes. In the ex-vivo polarized alveolar macrophages cells, treatment with EZH2 siRNA or 3-DZNeP suppressed the M1 while promoted the M2 macrophage differentiation through modulating the STAT/SOCS signaling pathway and activating PPAR-gamma. Moreover, we identified that blockade of EZH2 with 3-DZNeP suppressed the epithelial to mesenchymal transition (EMT) in co-cultured bronchoalveolar lavage fluid (BALF) and mouse lung epithelial cell line through down-regulation of TGF-beta 1, TGF-beta R1, Smad2 while up-regulation of Smad7 expression. Conclusions These results indicate that EZH2 is involved in the pathological process of ARDS-associated pulmonary fibrosis. Targeting EZH2 may be a potential therapeutic strategy to prevent and treat pulmonary fibrosis post ARDS.
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