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Updated: Jun 23, 2025

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Published on: October 27, 2020
ATF4 and mTOR regulate metabolic reprogramming in TGF-β-treated lung fibroblasts
Kun Woo D Shin1, M Volkan Atalay2, Rengul Cetin-Atalay1
1Department of Medicine, Section of Pulmonary and Critical Care Medicine, The University of Chicago, Chicago, IL 60637.
Idiopathic pulmonary fibrosis involves fibroblast metabolic reprogramming. This study reveals Activating Transcription Factor 4 (ATF4) and Mechanistic Target of Rapamycin Complex 1 (mTOR) regulate key metabolic pathways, offering potential therapeutic targets for fibrosis.
Area of Science:
- Cellular metabolism
- Fibrotic diseases
- Molecular biology
Background:
- Idiopathic pulmonary fibrosis (IPF) is a fatal lung disease driven by fibroblast activation and collagen deposition.
- Fibroblast activation in IPF is linked to metabolic reprogramming, including enhanced glycine synthesis.
- The precise regulation of fibroblast metabolism by TGF-β, mTOR, and ATF4 remains incompletely understood.
Purpose of the Study:
- To investigate the roles of mTOR and ATF4 in regulating gene expression and metabolic pathways in human lung fibroblasts stimulated by TGF-β.
- To identify novel ATF4- and mTOR-dependent pathways involved in fibroblast metabolic reprogramming relevant to IPF.
Main Methods:
- RNA sequencing of human lung fibroblasts treated with TGF-β to assess gene expression changes regulated by ATF4 and mTOR.
- Analysis of cellular metabolite levels to confirm the impact of ATF4 and mTOR on metabolic pathways.
- Bioinformatic analysis of publicly available single-cell RNA sequencing datasets from IPF patient lungs.
Main Results:
- ATF4 primarily regulates genes involved in amino acid homeostasis and aminoacyl-tRNA synthetases.
- mTOR inhibition reduced ATF4 target gene expression and also downregulated glycolytic enzymes and mitochondrial electron transport chain subunits.
- Both ATF4 and mTOR influence distinct metabolic pathways, including amino acid, glycolysis, and TCA cycles, with their targets upregulated in IPF fibroblasts.
Conclusions:
- ATF4 and mTOR are key regulators of metabolic reprogramming in lung fibroblasts during TGF-β activation.
- These findings elucidate novel ATF4- and mTOR-dependent metabolic pathways contributing to fibroblast activation in IPF.
- Targeting these identified ATF4 and mTOR pathways presents a potential therapeutic strategy for inhibiting fibrotic processes in IPF.
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