Role of Inositol-Requiring Enzyme 1 and Autophagy in the Pro-Fibrotic Mechanism Underlying Graves' Orbitopathy
Chae Eun Lee1,2, Ji-Young Kim1, Jin Sook Yoon1
1Department of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.
Purpose:
Orbital fibroblasts play key roles in the pathogenesis of Graves' orbitopathy (GO), and previous findings have shown that endoplasmic reticulum (ER) stress and autophagy also contribute to GO. In this study, we investigated the presently unclear roles of inositol-requiring enzyme 1 (IRE1) and related autophagy processes in the pro-fibrotic mechanism of GO.
Materials And Methods:
Orbital adipose/connective tissues were obtained from eight GO patients and six normal individuals during surgery. GO fibroblasts were transfected with IRE1 small-interfering RNA and treated with bafilomycin A1 (Baf-A1) to evaluate the inhibitory effects of ER stress and autophagy, and protein-expression levels were analyzed through western blotting after stimulation with transforming growth factor (TGF)-β.
Results:
TGF-β stimulation upregulated IRE1 in GO orbital fibroblasts, whereas silencing IRE1 suppressed fibrosis and autophagy responses. Similarly, Baf-A1, an inhibitor of late-phase autophagy, decreased the expression of pro-fibrotic proteins.
Conclusion:
IRE1 mediates autophagy and the pro-fibrotic mechanism of GO, which provides a more comprehensive interpretation of GO pathogenesis and suggests potential therapeutic targets.
Insights
In Graves' orbitopathy (GO), inositol-requiring enzyme 1 (IRE1) drives fibrosis by mediating endoplasmic reticulum (ER) stress and autophagy. Silencing IRE1 or inhibiting autophagy reduced fibrotic markers, suggesting therapeutic potential.
Area of Science:
- Ophthalmology
- Cell Biology
- Molecular Medicine
Background:
- Orbital fibroblasts are central to Graves' orbitopathy (GO) pathogenesis.
- Endoplasmic reticulum (ER) stress and autophagy are implicated in GO development.
Purpose of the Study:
- To investigate the role of inositol-requiring enzyme 1 (IRE1) and associated autophagy in the pro-fibrotic mechanisms of GO.
- To elucidate the specific contribution of IRE1-mediated pathways to GO.
Main Methods:
- Orbital adipose/connective tissues from GO patients and controls were analyzed.
- GO fibroblasts were treated with IRE1 small-interfering RNA and bafilomycin A1 (Baf-A1).
- Protein expression was assessed via western blotting following transforming growth factor (TGF)-β stimulation.
Main Results:
- Transforming growth factor-β (TGF-β) upregulated IRE1 in GO fibroblasts.
- Silencing IRE1 inhibited both fibrosis and autophagy.
- Bafilomycin A1 (Baf-A1), an autophagy inhibitor, reduced pro-fibrotic protein expression.
Conclusions:
- Inositol-requiring enzyme 1 (IRE1) is a key mediator of autophagy and fibrosis in Graves' orbitopathy.
- These findings offer a deeper understanding of GO pathogenesis.
- IRE1 and autophagy pathways represent potential therapeutic targets for GO.
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