Latent cytomegalovirus infection exacerbates experimental pulmonary fibrosis by activating TGF-β1

Yonghuai Li1, Jian Gao2, Guoliang Wang3

  • 1Department of Respiratory Medicine, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, P.R. China.

Insights

Latent cytomegalovirus (CMV) infection did not cause pulmonary fibrosis but aggravated its progression in a mouse model. This suggests CMV may worsen idiopathic pulmonary fibrosis (IPF) through transforming growth factor-beta 1 activation.

Area of Science:

  • Virology
  • Pulmonology
  • Pathology

Background:

  • Idiopathic pulmonary fibrosis (IPF) is a progressive lung disease with unknown triggers.
  • Cytomegalovirus (CMV) is a common virus that may be implicated in IPF pathogenesis.

Purpose of the Study:

  • To investigate if cytomegalovirus (CMV) triggers idiopathic pulmonary fibrosis (IPF) or exacerbates it.
  • To explore the role of latent CMV infection in pulmonary fibrosis development.

Main Methods:

  • Established a mouse model using murine CMV (MCMV) and bleomycin to induce pulmonary fibrosis.
  • Assessed pulmonary fibrosis via histopathology, body weight changes, and Western blot analysis.
  • Measured transforming growth factor-beta 1 (TGF-β1) activity and protein levels of E-cadherin, Vimentin, and phospho-SMAD2.

Main Results:

  • Murine CMV (MCMV) infected lungs but did not independently cause pulmonary fibrosis.
  • Mice co-exposed to MCMV and bleomycin showed accelerated fibrosis progression compared to controls.
  • Upregulation of Vimentin and phospho-SMAD2, and downregulation of E-cadherin were observed in the MCMV+bleomycin group.

Conclusions:

  • Latent MCMV infection exacerbates pulmonary fibrosis in a susceptible host.
  • CMV may worsen IPF progression potentially via activation of the TGF-β1 signaling pathway.

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