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Published on: May 9, 2025
Inhibition of platelet-derived growth factor signaling attenuates pulmonary fibrosis
Amir Abdollahi1, Minglun Li, Gong Ping
1Department of Radiation Oncology, German Cancer Research Center, Heidelberg 69120, Germany.
Abstract:
Pulmonary fibrosis is the consequence of a variety of diseases with no satisfying treatment option. Therapy-induced fibrosis also limits the efficacy of chemotherapy and radiotherapy in numerous cancers. Here, we studied the potential of platelet-derived growth factor (PDGF) receptor tyrosine kinase inhibitors (RTKIs) to attenuate radiation-induced pulmonary fibrosis. Thoraces of C57BL/6 mice were irradiated (20 Gy), and mice were treated with three distinct PDGF RTKIs (SU9518, SU11657, or Imatinib). Irradiation was found to induce severe lung fibrosis resulting in dramatically reduced mouse survival. Treatment with PDGF RTKIs markedly attenuated the development of pulmonary fibrosis in excellent correlation with clinical, histological, and computed tomography results. Importantly, RTKIs also prolonged the life span of irradiated mice. We found that radiation up-regulated expression of PDGF (A-D) isoforms leading to phosphorylation of PDGF receptor, which was strongly inhibited by RTKIs. Our findings suggest a pivotal role of PDGF signaling in the pathogenesis of pulmonary fibrosis and indicate that inhibition of fibrogenesis, rather than inflammation, is critical to antifibrotic treatment. This study points the way to a potential new approach for treating idiopathic or therapy-related forms of lung fibrosis.
Insights
Platelet-derived growth factor receptor tyrosine kinase inhibitors (RTKIs) show promise in treating radiation-induced pulmonary fibrosis. These inhibitors attenuated lung fibrosis and improved survival in mice, suggesting a new therapeutic avenue.
Area of Science:
- Oncology
- Pulmonology
- Pharmacology
Background:
- Pulmonary fibrosis is a severe condition with limited treatment options.
- Therapy-induced fibrosis can reduce the effectiveness of cancer treatments like chemotherapy and radiotherapy.
- Platelet-derived growth factor (PDGF) signaling is implicated in fibrotic diseases.
Purpose of the Study:
- To investigate the potential of PDGF receptor tyrosine kinase inhibitors (RTKIs) in mitigating radiation-induced pulmonary fibrosis.
- To explore the role of PDGF signaling in the development of lung fibrosis following radiation exposure.
Main Methods:
- C57BL/6 mice underwent thoracic irradiation (20 Gy).
- Mice were treated with one of three PDGF RTKIs: SU9518, SU11657, or Imatinib.
- Fibrosis development was assessed using clinical, histological, and computed tomography (CT) imaging; survival rates were monitored.
Main Results:
- Irradiation induced significant pulmonary fibrosis and reduced mouse survival.
- PDGF RTKI treatment markedly attenuated fibrosis development, correlating with clinical, histological, and CT findings.
- RTKI treatment significantly prolonged the lifespan of irradiated mice.
- Radiation increased PDGF (A-D) isoform expression and PDGF receptor phosphorylation, which was effectively inhibited by RTKIs.
Conclusions:
- PDGF signaling plays a critical role in the pathogenesis of radiation-induced pulmonary fibrosis.
- Inhibiting fibrogenesis, not just inflammation, is crucial for effective antifibrotic therapy.
- PDGF RTKIs represent a potential therapeutic strategy for idiopathic and therapy-related lung fibrosis.
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