The circadian clock protein REVERBα inhibits pulmonary fibrosis development

Peter S Cunningham1, Peter Meijer1, Alicja Nazgiewicz1

  • 1Faculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.

Insights

Circadian clock disruption in lung mesenchymal cells drives pulmonary fibrosis. Targeting the REVERBα protein offers a potential therapeutic strategy for idiopathic pulmonary fibrosis (IPF).

Area of Science:

  • Pulmonary medicine
  • Cell biology
  • Chronobiology

Background:

  • Circadian rhythms regulate pulmonary inflammation, but their role in fibrosis is unclear.
  • Mesenchymal cells are key in pulmonary fibrosis pathogenesis.
  • Core clock protein REVERBα's function in lung fibrosis is unknown.

Purpose of the Study:

  • Investigate the role of circadian mechanisms in pulmonary fibrosis.
  • Determine the impact of REVERBα in lung mesenchymal cells on fibrosis development.
  • Explore REVERBα as a therapeutic target for idiopathic pulmonary fibrosis (IPF).

Main Methods:

  • Utilized mouse models of bleomycin-induced pulmonary fibrosis.
  • Genetically manipulated core clock protein REVERBα in specific lung cell types.
  • Assessed fibrosis development, myofibroblast activation, and collagen secretion.
  • Analyzed human cohorts (UK Biobank and IPF patient samples) for circadian markers and REVERBα expression.

Main Results:

  • Disrupted REVERBα in lung mesenchymal cells exacerbated bleomycin-induced fibrosis.
  • REVERBα regulates transcription factor TBPL1, impacting integrinβ1 focal-adhesion and myofibroblast activation.
  • Circadian strain markers are risk factors for pulmonary fibrosis in humans.
  • Increased REVERBα expression observed in human IPF lung tissue.
  • Targeting REVERBα inhibited myofibroblast activation and collagen secretion in IPF models.

Conclusions:

  • Circadian clock dysregulation in lung mesenchymal cells contributes to pulmonary fibrosis.
  • REVERBα is a critical regulator of fibrosis development.
  • REVERBα represents a promising therapeutic target for treating IPF.

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