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Published on: May 1, 2020
E4 engages uPAR and enolase-1 and activates urokinase to exert antifibrotic effects
Shailza Sharma1, Tomoya Watanabe1, Tetsuya Nishimoto1
1Division of Rheumatology & Immunology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Abstract:
Fibroproliferative disorders such as systemic sclerosis (SSc) have no effective therapies and result in significant morbidity and mortality. We recently demonstrated that the C-terminal domain of endostatin, known as E4, prevented and reversed both dermal and pulmonary fibrosis. Our goal was to identify the mechanism by which E4 abrogates fibrosis and its cell surface binding partner(s). Our findings show that E4 activated the urokinase pathway and increased the urokinase plasminogen activator (uPA) to type 1 plasminogen activator inhibitor (PAI-1) ratio. In addition, E4 substantially increased MMP-1 and MMP-3 expression and activity. In vivo, E4 reversed bleomycin induction of PAI-1 and increased uPA activity. In patients with SSc, the uPA/PAI-1 ratio was decreased in both lung tissues and pulmonary fibroblasts compared with normal donors. Proteins bound to biotinylated-E4 were identified as enolase-1 (ENO) and uPA receptor (uPAR). The antifibrotic effects of E4 required uPAR. Further, ENO mediated the fibrotic effects of TGF-β1 and exerted TGF-β1-independent fibrotic effects. Our findings suggest that the antifibrotic effect of E4 is mediated, in part, by regulation of the urokinase pathway and induction of MMP-1 and MMP-3 levels and activity in a uPAR-dependent manner, thus promoting extracellular matrix degradation. Further, our findings identify a moonlighting function for the glycolytic enzyme ENO in fibrosis.
Insights
The C-terminal domain of endostatin (E4) combats fibrosis by activating the urokinase pathway and increasing matrix metalloproteinases. This peptide targets fibrosis mechanisms, offering potential therapies for systemic sclerosis.
Area of Science:
- Biochemistry
- Cell Biology
- Fibrosis Research
Background:
- Fibroproliferative disorders, including systemic sclerosis (SSc), lack effective treatments and cause significant health issues.
- Previous research showed the endostatin C-terminal domain (E4) can prevent and reverse fibrosis in skin and lungs.
Purpose of the Study:
- To elucidate the mechanism of E4's antifibrotic action.
- To identify E4's cell surface binding partners.
Main Methods:
- Assessed E4's effect on the urokinase pathway (uPA/PAI-1 ratio) and matrix metalloproteinases (MMP-1, MMP-3).
- Evaluated E4's in vivo efficacy using a bleomycin-induced fibrosis model.
- Identified E4 binding proteins using biotinylated-E4 and mass spectrometry.
- Investigated the role of identified binding partners (uPAR, ENO) in E4's antifibrotic effects and TGF-β1 signaling.
Main Results:
- E4 activated the urokinase pathway, increasing the uPA/PAI-1 ratio and significantly boosting MMP-1 and MMP-3 expression and activity.
- In vivo, E4 reversed bleomycin-induced PAI-1 increase and enhanced uPA activity.
- Enolase-1 (ENO) and urokinase plasminogen activator receptor (uPAR) were identified as E4 binding proteins.
- E4's antifibrotic effects were dependent on uPAR, while ENO mediated TGF-β1-dependent and independent fibrotic effects.
Conclusions:
- E4's antifibrotic effect is partly mediated by regulating the urokinase pathway and inducing MMP-1/MMP-3 in a uPAR-dependent manner, promoting extracellular matrix degradation.
- ENO exhibits a novel fibrotic role independent of its glycolytic function.
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