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.

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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