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.

JCI Insight
|December 22, 2021
PubMed

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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