Mitomycin C Induces Autophagy in Human Tracheal Fibroblasts and Suppresses Their Growth
Jeong-Mi Kim1,2,3, Sungryeal Kim1, Eun-Jeong Jeon1,4
1Department of Otorhinolaryngology-Head and Neck Surgery Inha University College of Medicine Incheon Republic of Korea.
Objective:
Mitomycin C (MMC) is frequently used to prevent postoperative fibrosis in tracheal stenosis, yet its precise cellular mechanisms remain inadequately understood. This study aimed to elucidate the cytotoxic and autophagic effects of MMC on normal human tracheal fibroblasts (hTF) and human bronchial/tracheal epithelial cells (hTEC) to better understand its potential role in fibrosis regulation.
Methods:
hTF and hTEC were exposed to MMC at concentrations of 0.01, 0.1, and 1 μg/mL for 24, 48, and 72 h. Cell proliferation, autophagy induction, and the expression of autophagy-related proteins were assessed using viability assays and Western blot analysis. Additionally, the effects of MMC on cell migration and fibroblast-to-myofibroblast transition were investigated.
Results:
MMC partially reduced hTEC proliferation without inducing autophagy. In contrast, MMC significantly suppressed hTF growth in a dose- and time-dependent manner while promoting autophagy. Western blot analysis revealed increased expression of LC3, ATG5, and Rab7 in MMC-treated hTF, along with reduced cyclin D1 levels. Furthermore, MMC attenuated TGFβ-induced αSMA expression in fibroblasts, suggesting an inhibitory effect on fibrosis-related cellular transformation.
Conclusion:
These findings indicate that MMC suppresses human tracheal fibroblast proliferation through autophagy-mediated cell death while sparing epithelial cells. This dual effect underscores its potential as a targeted antifibrotic agent for tracheal stenosis management. Further research is needed to optimize MMC's application and elucidate its long-term impact on airway remodeling.
Level Of Evidence:
5.
Insights
Mitomycin C (MMC) reduces tracheal fibroblast growth via autophagy, sparing epithelial cells. This suggests MMC’s potential as a targeted antifibrotic therapy for tracheal stenosis.
Area of Science:
- Cell Biology
- Fibrosis Research
- Drug Mechanisms
Background:
- Mitomycin C (MMC) is used to prevent tracheal stenosis fibrosis.
- Its exact cellular mechanisms, especially regarding autophagy and cytotoxicity, are not fully understood.
Purpose of the Study:
- To investigate the cytotoxic and autophagic effects of MMC on human tracheal fibroblasts (hTF) and human bronchial/tracheal epithelial cells (hTEC).
- To elucidate MMC's role in regulating fibrosis.
Main Methods:
- hTF and hTEC were treated with varying MMC concentrations (0.01-1 μg/mL) over 24-72 hours.
- Assessed cell proliferation, autophagy markers (LC3, ATG5, Rab7), and fibrosis markers (αSMA, cyclin D1).
- Evaluated effects on cell migration and fibroblast-to-myofibroblast transition.
Main Results:
- MMC partially reduced hTEC proliferation without inducing autophagy.
- MMC significantly suppressed hTF proliferation and induced autophagy in a dose- and time-dependent manner.
- MMC increased autophagy markers in hTF, decreased proliferation markers, and attenuated TGFβ-induced αSMA, indicating antifibrotic effects.
Conclusions:
- MMC selectively suppresses human tracheal fibroblast proliferation through autophagy-mediated cell death, while sparing epithelial cells.
- This selective action highlights MMC's potential as a targeted antifibrotic agent for tracheal stenosis.
- Further research is warranted to optimize MMC application and understand its long-term effects on airway remodeling.
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