期刊
JOURNAL OF CLINICAL INVESTIGATION
卷 127, 期 4, 页码 1517-1530出版社
AMER SOC CLINICAL INVESTIGATION INC
DOI: 10.1172/JCI88896
关键词
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资金
- NIH [R01 HL118017, R01 HL094622]
- Scleroderma Research Foundation Award
- Brian and Mary Campbell and Elizabeth Campbell Carr Research Gift Fund
- Ruth L. Kirschstein National Research Service Award [5T32HL007749]
Tissue fibrosis is the primary cause of long-term graft failure after organ transplantation. In lung allografts, progressive terminal airway fibrosis leads to an irreversible decline in lung function termed bronchiolitis obliterans syndrome (BOS). Here, we have identified an autocrine pathway linking nuclear factor of activated T cells 2 (NFAT1), autotaxin (ATX), lysophosphatidic acid (LPA), and beta-catenin that contributes to progression of fibrosis in lung allografts. Mesenchymal cells (MCs) derived from fibrotic lung allografts (BOS MCs) demonstrated constitutive nuclear beta-catenin expression that was dependent on autocrine ATX secretion and LPA signaling. We found that NFAT1 upstream of ATX regulated expression of ATX as well as beta-catenin. Silencing NFAT1 in BOS MCs suppressed ATX expression, and sustained overexpression of NFAT1 increased ATX expression and activity in non-fibrotic MCs. LPA signaling induced NFAT1 nuclear translocation, suggesting that autocrine LPA synthesis promotes NFAT1 transcriptional activation and ATX secretion in a positive feedback loop. In an in vivo mouse orthotopic lung transplant model of BOS, antagonism of the LPA receptor (LPA1) or ATX inhibition decreased allograft fibrosis and was associated with lower active beta-catenin and dephosphorylated NFAT1 expression. Lung allografts from beta-catenin reporter mice demonstrated reduced beta-catenin transcriptional activation in the presence of LPA1 antagonist, confirming an in vivo role for LPA signaling in beta-catenin activation.
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