Affordable Access

deepdyve-link
Publisher Website

Urokinase Plasminogen Activator Overexpression Reverses Established Lung Fibrosis.

Authors
  • Horowitz, Jeffrey C1
  • Tschumperlin, Daniel J2
  • Kim, Kevin K1
  • Osterholzer, John J1, 3
  • Subbotina, Natalya1
  • Ajayi, Iyabode O1
  • Teitz-Tennenbaum, Seagal1, 3
  • Virk, Ammara1
  • Dotson, Megan1
  • Liu, Fei4
  • Sicard, Delphine2
  • Jia, Shijing1
  • Sisson, Thomas H1
  • 1 Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States. , (United States)
  • 2 Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, Minnesota, United States. , (United States)
  • 3 Veterans Affairs Medical Center, Ann Arbor, Michigan, United States. , (United States)
  • 4 Department of Environmental Health, Harvard School of Public Health, Harvard University, Boston, Massachusetts, United States. , (United States)
Type
Published Article
Journal
Thrombosis and Haemostasis
Publisher
Georg Thieme Verlag KG
Publication Date
Dec 01, 2019
Volume
119
Issue
12
Pages
1968–1980
Identifiers
DOI: 10.1055/s-0039-1697953
PMID: 31705517
Source
Medline
Language
English
License
Unknown

Abstract

Impaired plasminogen activation (PA) is causally related to the development of lung fibrosis. Prior studies demonstrate that enhanced PA in the lung limits the severity of scarring following injury and in vitro studies indicate that PA promotes matrix degradation and fibroblast apoptosis. These findings led us to hypothesize that increased PA in an in vivo model would enhance the resolution of established lung fibrosis in conjunction with increased myofibroblast apoptosis. Transgenic C57BL/6 mice with doxycycline inducible lung-specific urokinase plasminogen activator (uPA) expression or littermate controls were treated (day 0) with bleomycin or saline. Doxycycline was initiated on days 1, 9, 14, or 21. Lung fibrosis, stiffness, apoptosis, epithelial barrier integrity, and inflammation were assessed. Protection from fibrosis with uPA upregulation from day 1 through day 28 was associated with reduced parenchymal stiffness as determined by atomic force microscopy. Initiation of uPA expression beginning in the late inflammatory or the early fibrotic phase reduced stiffness and fibrosis at day 28. Induction of uPA activity in mice with established fibrosis decreased lung collagen and lung stiffness while increasing myofibroblast apoptosis. Upregulation of uPA did not alter lung inflammation but was associated with improved epithelial cell homeostasis. Restoring intrapulmonary PA activity diminishes lung fibrogenesis and enhances the resolution of established lung fibrosis. This PA-mediated resolution is associated with increased myofibroblast apoptosis and improved epithelial cell homeostasis. These studies support the potential capacity of the lung to resolve existing scar in murine models. Georg Thieme Verlag KG Stuttgart · New York.

Report this publication

Statistics

Seen <100 times