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Isolation, Culture, and Characterization of Primary Dermal Fibroblasts from Human Keloid Tissue
Published on: July 28, 2023
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.
Abstract:
Fibrosis represents a common pathway leading to organ failure and death in many diseases and has no effective therapy. Dysregulated repair and excessive tissue scarring provides a unifying mechanism for pathological fibrosis. The protein phosphatase and tensin homolog (PTEN) acts to dephosphorylate proteins, which promotes tissue repair and thus could be a key fibrogenic mediator. To test this hypothesis, we first showed that PTEN expression was reduced in skin fibroblasts from patients with the fibrotic autoimmune disease diffuse systemic sclerosis (dSSc). To evaluate whether this deficiency could be sufficient for fibrogenesis in vivo, we deleted PTEN in adult mouse fibroblasts. Compared with littermate control mice, loss of PTEN resulted in a 3-fold increase in dermal thickness due to excess deposition of collagen. PTEN-deleted fibroblasts showed elevated Akt phosphorylation and increased expression of connective tissue growth factor (CTGF/CCN2). Selective inhibition of the phosphatidylinositol 3-kinase/Akt pathway reduced the overexpression of collagen and CCN2 by PTEN-deficient fibroblasts. Overexpression of PTEN reduced the overexpression of type I collagen and CCN2 by dSSc fibroblasts. Thus, PTEN appears to be a potential in vivo master regulator of fibrogenesis; PTEN agonists may represent anti-fibrotic treatments.
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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