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1 in vitro
1 University of Florida
* To whom correspondence should be addressed. E-mail: nnasreen{at}medicine.ufl.edu.
Idiopathic pulmonary fibrosis (IPF) is a disease of unknown etiology characterized by the development of subpleural foci of myofibroblasts that contribute to the exuberant fibrosis noted in the pulmonary parenchyma. Pleural mesothelial cells (PMC) are metabolically dynamic cells that cover the lung and chest wall as a monolayer and are in intimate proximity to the underlying lung parenchyma. The precise role of PMC in the pathogenesis of pulmonary parenchymal fibrosis remains to be identified. TGF-
1, a cytokine known for its capacity to induce proliferative and transformative changes in lung cells is found in significantly higher quantities in the lungs of patients with IPF. High levels of TGF-
1 in the subpleural milieu may play a key role in the transition of normal PMC to myofibroblasts. Here we demonstrate that PMC activated by TGF-
1 undergo epithelial mesenchymal transition (EMT), respond with haptotactic migration to a gradient of TGF-
1 and that the transition of PMC to myofibroblasts is dependent on smad-2 signaling. The EMT of PMC was marked by upregulation of alpha-smooth muscle actin (
-SMA), fibroblast specific protein-1 (FSP-1) and collagen type-I expression. The cytokeratin-8 (Ck-8), and E-cadherin expression decreased whereas vimentin remained unchanged over time in transforming PMC. Knockdown of smad-2 gene by silencing siRNA significantly suppressed the transition of PMC to myofibroblasts and significantly inhibited the PMC haptotaxis. We conclude that PMC undergo EMT when exposed to TGF-
1, involving smad-2 signaling and PMC may be the possible source of myofibroblasts in IPF.
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