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Endothelial GDF15 deficiency enhances barrier function and mitigates pulmonary fibrosis
Kristen Raffensperger1,2, Marta Bueno2, Brian J Philips3
1Pulmonary and Critical Care Medicine, UPMC, Pittsburgh, Pennsylvania, USA.
JCI Insight
|April 23, 2026
Summary
Growth differentiation factor 15 (GDF15) in endothelial cells contributes to lung injury and fibrosis. Reducing GDF15 protected mice from lung fibrosis by improving vascular permeability and calcium signaling.
Area of Science:
- Pulmonary Medicine
- Vascular Biology
- Cellular Biology
Background:
- Pulmonary fibrosis often involves pulmonary hypertension, suggesting vascular remodeling independent of fibrosis.
- Plasma growth differentiation factor 15 (GDF15) is elevated in fibrotic lung diseases and linked to right heart pressures, hinting at endothelial dysfunction.
Purpose of the Study:
- To investigate the role of endothelial GDF15 in the pathogenesis of lung fibrosis.
- To determine if GDF15 influences vascular permeability and cellular signaling in the lungs.
Main Methods:
- Generated endothelial cell-specific Gdf15 knockout mice.
- Administered bleomycin to induce lung injury and fibrosis.
- Performed RNA sequencing on human pulmonary microvascular endothelial cells.
- Conducted functional studies on GDF15 knockdown cells.
Main Results:
- Endothelial cell-specific Gdf15 knockout mice were protected from bleomycin-induced lung injury and fibrosis, maintaining lung function.
- GDF15 deficiency altered expression of barrier-regulatory genes in endothelial cells.
- GDF15 knockdown reduced thrombin-induced endothelial barrier disruption by modulating cytosolic Ca2+ responses.
Conclusions:
- Endothelial GDF15 is implicated as a key factor in modifying vascular permeability and Ca2+ signaling.
- Endothelial GDF15 contributes to the development of lung injury and fibrosis.
- Targeting endothelial GDF15 may offer a therapeutic strategy for fibrotic lung diseases.
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