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Modifiers of TGF-β1 effector function as novel therapeutic targets of pulmonary fibrosis
Chang-Min Lee1, Jin Wook Park1, Won-Kyung Cho1
1Section of Pulmonary and Critical Care Medicine, Yale University School of Medicine, New Haven, CT, USA.
Abstract:
Pulmonary fibrosis is a fatal progressive disease with no effective therapy. Transforming growth factor (TGF)-β1 has long been regarded as a central mediator of tissue fibrosis that involves multiple organs including skin, liver, kidney, and lung. Thus, TGF-β1 and its signaling pathways have been attractive therapeutic targets for the development of antifibrotic drugs. However, the essential biological functions of TGF-β1 in maintaining normal immune and cellular homeostasis significantly limit the effectiveness of TGF-β1-directed therapeutic approaches. Thus, targeting downstream mediators or signaling molecules of TGF-β1 could be an alternative approach that selectively inhibits TGF-β1-stimulated fibrotic tissue response while preserving major physiological function of TGF-β1. Recent studies from our laboratory revealed that TGF-β1 crosstalk with epidermal growth factor receptor (EGFR) signaling by induction of amphiregulin, a ligand of EGFR, plays a critical role in the development or progression of pulmonary fibrosis. In addition, chitotriosidase, a true chitinase in humans, has been identified to have modulating capacity of TGF-β1 signaling as a new biomarker and therapeutic target of scleroderma-associated pulmonary fibrosis. These newly identified modifiers of TGF-β1 effector function significantly enhance the effectiveness and flexibility in targeting pulmonary fibrosis in which TGF-β1 plays a significant role.
Insights
Transforming growth factor-beta 1 (TGF-β1) drives pulmonary fibrosis. Targeting its downstream mediators, like EGFR signaling and chitotriosidase, offers a promising therapeutic strategy for this fatal lung disease.
Area of Science:
- Pulmonary Medicine
- Fibrosis Research
- Molecular Biology
Background:
- Pulmonary fibrosis is a progressive, fatal lung disease lacking effective treatments.
- Transforming growth factor-beta 1 (TGF-β1) is a key mediator of fibrosis across multiple organs, including the lungs.
- Directly targeting TGF-β1 is limited by its essential physiological roles in immune and cellular homeostasis.
Purpose of the Study:
- To explore alternative therapeutic strategies for pulmonary fibrosis by targeting downstream mediators of TGF-β1.
- To investigate the role of TGF-β1 crosstalk with epidermal growth factor receptor (EGFR) signaling in pulmonary fibrosis.
- To identify novel biomarkers and therapeutic targets for scleroderma-associated pulmonary fibrosis by examining chitotriosidase.
Main Methods:
- Investigated the interaction between TGF-β1 and EGFR signaling pathways.
- Analyzed the induction of amphiregulin as a mediator in TGF-β1-induced pulmonary fibrosis.
- Assessed the role of chitotriosidase in modulating TGF-β1 signaling in scleroderma-associated pulmonary fibrosis.
Main Results:
- TGF-β1 signaling interacts with EGFR signaling through amphiregulin induction, playing a critical role in pulmonary fibrosis development.
- Chitotriosidase identified as a modulator of TGF-β1 signaling, serving as a potential biomarker and therapeutic target.
- These findings suggest enhanced effectiveness and flexibility in targeting TGF-β1-mediated pulmonary fibrosis.
Conclusions:
- Targeting downstream effectors of TGF-β1, such as the EGFR pathway and chitotriosidase, presents a viable strategy for treating pulmonary fibrosis.
- This approach may overcome the limitations of direct TGF-β1 inhibition, preserving essential physiological functions.
- Novel therapeutic targets and biomarkers for pulmonary fibrosis have been identified, offering new avenues for treatment development.
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