Loss of PTEN expression by dermal fibroblasts causes skin fibrosis

Sunil K Parapuram1, Xu Shi-wen, Christopher Elliott

  • 1Department of Dentistry, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.

Insights

Protein phosphatase and tensin homolog (PTEN) deficiency drives fibrosis by increasing collagen deposition. Restoring PTEN may offer a novel anti-fibrotic therapy for organ damage.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Dermatology

Background:

  • Fibrosis, characterized by excessive scarring, is a common pathway to organ failure with no effective treatments.
  • Dysregulated tissue repair mechanisms underlie pathological fibrosis across various diseases.
  • Protein phosphatase and tensin homolog (PTEN) dephosphorylates proteins, influencing tissue repair and potentially mediating fibrosis.

Purpose of the Study:

  • To investigate the role of PTEN in fibrogenesis.
  • To determine if reduced PTEN expression is sufficient to cause fibrosis in vivo.
  • To explore PTEN as a therapeutic target for fibrotic diseases.

Main Methods:

  • Assessed PTEN expression in skin fibroblasts from patients with diffuse systemic sclerosis (dSSc).
  • Generated a mouse model with PTEN deletion in adult fibroblasts to study in vivo effects.
  • Analyzed dermal thickness, collagen deposition, Akt phosphorylation, and connective tissue growth factor (CTGF/CCN2) expression.

Main Results:

  • PTEN expression was reduced in dSSc fibroblasts.
  • PTEN-deficient mice exhibited a 3-fold increase in dermal thickness due to excess collagen.
  • PTEN loss led to elevated Akt phosphorylation and increased CCN2 expression, which were reversed by inhibiting the PI3K/Akt pathway.
  • Overexpressing PTEN in dSSc fibroblasts reduced collagen and CCN2 overexpression.

Conclusions:

  • PTEN acts as a key in vivo regulator of fibrogenesis.
  • PTEN deficiency promotes excessive collagen deposition and tissue scarring.
  • PTEN agonists show potential as novel anti-fibrotic treatments for conditions like dSSc.

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