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Updated: Jan 22, 2026

Mechanistic Insight into the Development of TNBS-Mediated Intestinal Fibrosis and Evaluating the Inhibitory Effects of Rapamycin
Published on: September 12, 2019
Rapamycin attenuates the paraquat-induced pulmonary fibrosis through activating Nrf2 pathway
Wenlin Tai1, Shuhao Deng2, Wenjuan Wu2
1Department of Clinical Laboratory, Yunnan Molecular Diagnostic Center, The 2nd Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Abstract:
Oxidative stress is a key regulator of idiopathic pulmonary fibrosis. Paraquat (PQ)-induced pulmonary fibrosis seriously endangers people's health. Rapamycin has been reported to alleviate PQ-induced pulmonary fibrosis, but its underlying mechanism is unclear. The nuclear factor E2-related factor 2 (Nrf2) plays an important regulatory role in the antioxidant therapy of PQ-induced pulmonary fibrosis. In this study, we tried to confirm that rapamycin attenuates PQ-induced pulmonary fibrosis by regulating Nrf2 pathway. In vivo, we proved that rapamycin could inhibit the degree of PQ-induced oxidant stress as well as enhanced the expression of Nrf2. In vitro, rapamycin decreased the upregulated effects of cell death and apoptosis, fibrosis-related factors expression and fibroblast-to-myofibroblast transformation by PQ treatment. In vivo, rapamycin treatment reduced fibrosis degree and the expression of fibrosis-related factors in lung tissues of rat treated PQ. Furthermore, we also found that Nrf2 knockdown reduced the inhibitory effect of rapamycin on PQ-induced pulmonary fibrosis, as well as decreased Nrf2 transfer from the cytoplasm into the nucleus. Our findings demonstrated that the protective effect of rapamycin is associated with the activation of the Nrf2 pathway in pulmonary fibrosis induced by PQ poisoning.
Insights
Rapamycin alleviates paraquat-induced pulmonary fibrosis by activating the Nrf2 pathway. This mechanism involves reducing oxidative stress and inhibiting fibrosis-related factors, offering a potential therapeutic strategy.
Area of Science:
- Pulmonary Medicine
- Toxicology
- Molecular Biology
Background:
- Idiopathic pulmonary fibrosis is regulated by oxidative stress.
- Paraquat (PQ) exposure causes severe pulmonary fibrosis, posing a health risk.
- Rapamycin shows potential in mitigating PQ-induced fibrosis, but its mechanism remains elusive.
Purpose of the Study:
- To investigate whether rapamycin attenuates PQ-induced pulmonary fibrosis by regulating the Nrf2 pathway.
- To elucidate the molecular mechanisms underlying rapamycin's protective effects against PQ-induced lung injury.
Main Methods:
- In vivo studies using a rat model of PQ-induced pulmonary fibrosis.
- In vitro experiments assessing cell death, apoptosis, and fibrosis-related factor expression.
- Analysis of Nrf2 pathway activation, including its translocation to the nucleus.
- Nrf2 knockdown experiments to confirm its role in rapamycin's efficacy.
Main Results:
- Rapamycin significantly inhibited PQ-induced oxidative stress and enhanced Nrf2 expression in vivo.
- In vitro, rapamycin counteracted PQ-induced cell death, apoptosis, and fibroblast activation.
- Rapamycin treatment reduced lung tissue fibrosis and fibrosis-related factor expression in PQ-exposed rats.
- Nrf2 knockdown diminished rapamycin's protective effects, indicating Nrf2 pathway involvement.
Conclusions:
- Rapamycin effectively attenuates paraquat-induced pulmonary fibrosis.
- The protective effect of rapamycin is mediated through the activation of the nuclear factor E2-related factor 2 (Nrf2) pathway.
- Targeting the Nrf2 pathway represents a promising therapeutic strategy for pulmonary fibrosis.
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