Mefunidone Ameliorates Bleomycin-Induced Pulmonary Fibrosis in Mice

Yuanyuan Han1,2,3, Mao Jiang1,2, Rongling He1,2

  • 1Department of Pulmonary and Critical Care Medicine, The Third Xiangya Hospital of Central South University, Changsha, China.

Frontiers in Pharmacology
|October 11, 2021
PubMed

Insights

Mefunidone (MFD) effectively reduces lung fibrosis and inflammation in mice by inhibiting key fibrotic pathways. This new drug candidate shows promise in treating idiopathic pulmonary fibrosis (IPF) and related conditions.

Area of Science:

  • Pulmonology
  • Pharmacology
  • Cell Biology

Background:

  • Idiopathic pulmonary fibrosis (IPF) is a severe interstitial lung disease with limited treatment options.
  • Developing novel therapeutic agents for IPF is a critical unmet medical need.

Purpose of the Study:

  • To investigate the anti-fibrotic effects of mefunidone (MFD), a novel drug synthesized by the research team.
  • To elucidate the underlying molecular mechanisms of MFD in ameliorating lung fibrosis.

Main Methods:

  • Bleomycin (BLM)-induced lung fibrosis mouse model and TGF-β-treated human lung fibroblasts were used.
  • Histological scoring (Ashcroft, alveolitis), bronchoalveolar lavage fluid analysis, and Western blotting were performed.
  • Mitochondrial function, apoptosis markers, and epithelial-mesenchymal transition (EMT) markers were assessed.

Main Results:

  • MFD significantly attenuated BLM-induced lung fibrosis and inflammation.
  • MFD reduced protein and cell counts in bronchoalveolar lavage fluid.
  • MFD inhibited TGF-β/Smad2 and MAPK signaling pathways, reduced mitochondrial damage and apoptosis, and reversed EMT.
  • MFD decreased fibronectin and α-smooth muscle actin expression in fibroblasts.

Conclusions:

  • Mefunidone demonstrates significant potential in ameliorating lung fibrosis, cell apoptosis, and EMT.
  • MFD exerts its therapeutic effects possibly through the suppression of TGF-β/Smad2 and MAPK pathways.
  • MFD represents a promising therapeutic candidate for idiopathic pulmonary fibrosis.

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