SPP1-mediated crosstalk between macrophage and fibroblasts promotes benign airway stenosis

Fu Niu1, Bo Sun1, Ying Yu1

  • 1The First Department of Pulmonary and Critical Care Medicine, The Second Hospital of Hebei Medical University, Hebei Key Laboratory of Respiratory Critical Care Medicine, Hebei Institute of Respiratory Diseases, Shijiazhuang, 050000, Hebei Province, China.

PubMed
Abstract

Insights

M2 macrophages drive airway stenosis fibrosis by activating fibroblast signaling. Inhibiting this pathway with rapamycin shows therapeutic potential for benign airway stenosis.

Area of Science:

  • Immunology
  • Cell Biology
  • Pulmonology

Background:

  • Benign airway stenosis involves complex cellular interactions.
  • Understanding the role of immune cells like macrophages is crucial for developing effective treatments.

Purpose of the Study:

  • To investigate the role of M2 macrophages in benign airway stenosis pathogenesis.
  • To explore the molecular mechanisms of macrophage-fibroblast crosstalk in airway remodeling.
  • To evaluate rapamycin as a potential therapeutic agent.

Main Methods:

  • Utilized a Sprague Dawley rat model of airway stenosis.
  • Employed single-cell RNA sequencing for bioinformatics analysis of ligand-receptor interactions.
  • Conducted in vitro co-culture systems of M2 macrophages and fibroblasts.
  • Assessed M2 macrophage infiltration and airway remodeling markers.

Main Results:

  • Increased M2 macrophage infiltration correlated with airway stenosis progression.
  • M2 macrophages induced fibroblast activation and fibrogenesis via secreted phosphoprotein-1 (SPP1) signaling.
  • Activation of the phosphatidylinositol 3-kinase/protein kinase B/mammalian target of rapamycin (PI3K/AKT/mTOR) pathway was observed.
  • Rapamycin treatment reduced granulation tissue and improved airway patency in rats.

Conclusions:

  • M2 macrophages promote fibrotic airway remodeling in benign airway stenosis via SPP1-mediated PI3K/AKT/mTOR activation in fibroblasts.
  • Targeting the SPP1-PI3K/AKT/mTOR axis with rapamycin offers a potential therapeutic strategy.

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