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.

Abstract

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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