A FGFR3 decoy receptor attenuates lung fibroblast-to-myofibroblast transition and pulmonary fibrosis

Célia Scribe1,2, Diogo Gonçalves1, Marine Gautier-Isola2

  • 1Rare Disease, Worldwide Research and Development, Pfizer, Nice, France.

Insights

A novel soluble FGFR3 decoy receptor (sFGFR3-Fc) effectively reduced fibroblast proliferation and fibrotic markers in idiopathic pulmonary fibrosis (IPF) models. This targeted approach shows promise for treating fibrotic lung diseases by modulating fibroblast growth factor (FGF) signaling.

Area of Science:

  • Pulmonary Medicine
  • Fibrosis Research
  • Molecular Biology

Background:

  • Fibroblast growth factor (FGF) signaling is implicated in idiopathic pulmonary fibrosis (IPF) pathogenesis.
  • FGF ligands can have dual pro- and anti-fibrotic effects, influenced by FGF receptors (FGFRs) and other signaling pathways like Transforming Growth Factor-beta (TGF-β).

Purpose of the Study:

  • To evaluate the anti-fibrotic potential of a soluble FGFR3 decoy receptor (sFGFR3-Fc) that sequesters pro-fibrotic FGFR3 ligands (FGF1, FGF2, FGF9).
  • To investigate the interplay between TGF-β and FGF signaling in IPF and assess sFGFR3-Fc efficacy in preclinical models.

Main Methods:

  • Assessed FGF2-induced fibroblast proliferation and fibrotic marker expression in human pulmonary fibroblasts (healthy and IPF).
  • Evaluated sFGFR3-Fc's ability to attenuate FGF2 and TGF-β-induced pro-fibrotic responses.
  • Utilized single-cell transcriptomic analysis to explore fibroblast heterogeneity and TGF-β pathway gene expression.
  • Tested sFGFR3-Fc in bleomycin (BLM)-induced pulmonary fibrosis mouse models (single and repeated instillation).

Main Results:

  • FGF2 stimulated proliferation and fibrotic markers in human pulmonary fibroblasts.
  • sFGFR3-Fc reduced FGF2-mediated responses and partially attenuated TGF-β-induced pro-fibrotic phenotypes.
  • Single-cell analysis revealed FGF2 response heterogeneity and confirmed sFGFR3-Fc's efficacy in downregulating a subset of TGF-β1 pathway genes.
  • sFGFR3-Fc improved pulmonary fibrosis progression, reduced extracellular matrix (ECM) deposits, and restored lung function in mouse models.

Conclusions:

  • Targeting pro-fibrotic FGFR3 ligands with sFGFR3-Fc is a potential therapeutic strategy for IPF.
  • The study highlights the significant interaction between TGF-β and FGF signaling pathways in fibrotic lung disease.
  • sFGFR3-Fc demonstrates therapeutic potential for IPF by modulating key fibrotic signaling pathways.