The non-neuronal cyclin-dependent kinase 5 is a fibrotic mediator potentially implicated in systemic sclerosis and a

Jun Wei1, Roberta G Marangoni1, Feng Fang1

  • 1Northwestern Scleroderma Program, Department of Medicine, Feinberg School of Medicine, Chicago, IL, USA.

Oncotarget
|March 15, 2018
PubMed

Insights

Elevated p35 and Cyclin-dependent kinase 5 (CDK5) drive fibrosis in systemic sclerosis (SSc). Targeting CDK5 may offer a novel therapeutic strategy for SSc and other fibrotic diseases.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Immunology

Background:

  • Fibrosis in systemic sclerosis (SSc) involves persistent fibroblast activation, but underlying mechanisms are unclear.
  • Therapies to slow or reverse SSc-related fibrosis are limited.
  • Cyclin-dependent kinase 5 (CDK5), dependent on its p35 subunit, is implicated.

Purpose of the Study:

  • To investigate the role of p35 and CDK5 in fibroblast activation and myofibroblast differentiation in SSc.
  • To explore the potential of targeting p35/CDK5 as a therapeutic strategy for SSc fibrosis.

Main Methods:

  • Assessed p35 and CDK5 expression and activity in SSc patient samples and mouse models.
  • Utilized RNA interference (RNAi) to knockdown CDK5.
  • Employed pharmacological CDK5 inhibitors in cell cultures and ex vivo human skin organ cultures.
  • Evaluated effects on adipogenic and myofibroblast markers, and collagen production.
  • Tested inhibitors in mouse models of SSc skin fibrosis.

Main Results:

  • p35 and CDK5 expression/activity were induced by TGF-ß in fibroblasts and adipocytes.
  • Elevated p35 levels were found in SSc skin biopsies and fibroblasts, and in mouse fibrotic skin.
  • Ectopic p35/CDK5 suppressed adipogenesis while promoting collagen production and myofibroblast markers.
  • CDK5 knockdown abrogated TGF-ß fibrotic responses independently of Smad signaling.
  • CDK5 inhibitors prevented and reversed TGF-ß responses, reduced collagen in SSc fibroblasts, and ameliorated skin fibrosis in mouse models.

Conclusions:

  • p35/CDK5 acts as a key mediator of fibrotic responses in mesenchymal cells.
  • Elevated p35 and CDK5 activity likely play a pathogenic role in SSc.
  • Selective pharmacological targeting of p35/CDK5 presents a potential novel therapeutic approach for fibrosis.

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