Departments of Respiratory Medicine, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, P.R. China.
Departments of Thoracic Surgery, Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi, P.R. China.
Eur J Clin Invest. 2021 Apr;51(4):e13425. doi: 10.1111/eci.13425. Epub 2020 Oct 24.
Myofibroblast differentiation and extracellular matrix (ECM) deposition are observed in chronic obstructive pulmonary disease (COPD). However, the mechanisms of regulation of myofibroblast differentiation remain unclear.
We detected let-7 levels in peripheral lung tissues, serum and primary bronchial epithelial cells of COPD patients and cigarette smoke (CS)-exposed mice. IL-6 mRNA was explored in lung tissues of COPD patients and CS-exposed mice. IL-6 protein was detected in cell supernatant from primary epithelial cells by ELISA. We confirmed the regulatory effect of let-7 on IL-6 by luciferase reporter assay. Western blotting assay was used to determine the expression of α-SMA, E-cadherin and collagen I. In vitro, cell study was performed to demonstrate the role of let-7 in myofibroblast differentiation and ECM deposition.
Low expression of let-7 was observed in COPD patients, CS-exposed mice and CS extract (CSE)-treated human bronchial epithelial (HBE) cells. Increased IL-6 was found in COPD patients, CS-exposed mice and CSE-treated HBE cells. Let-7 targets and silences IL-6 protein coding genes through binding to 3' untranslated region (UTR) of IL-6. Normal or CSE-treated HBE cells were co-cultured with human embryonic lung fibroblasts (MRC-5 cells). Reduction of let-7 in HBE cells caused myofibroblast differentiation and ECM deposition, while increase of let-7 mimics decreased myofibroblast differentiation phenotype and ECM deposition.
We demonstrate that CS reduced let-7 expression in COPD and, further, identify let-7 as a regulator of myofibroblast differentiation through the regulation of IL-6, which has potential value for diagnosis and treatment of COPD.
在慢性阻塞性肺疾病(COPD)中观察到成肌纤维细胞分化和细胞外基质(ECM)沉积。然而,成肌纤维细胞分化的调节机制尚不清楚。
我们检测了 COPD 患者和香烟烟雾(CS)暴露小鼠的外周肺组织、血清和原代支气管上皮细胞中的 let-7 水平。检测了 COPD 患者和 CS 暴露小鼠肺组织中的 IL-6 mRNA。通过 ELISA 检测细胞上清液中的 IL-6 蛋白。通过荧光素酶报告基因检测证实了 let-7 对 IL-6 的调节作用。Western blot 检测α-SMA、E-钙粘蛋白和胶原 I 的表达。在体外,通过细胞研究证明了 let-7 在成肌纤维细胞分化和 ECM 沉积中的作用。
COPD 患者、CS 暴露小鼠和 CS 提取物(CSE)处理的人支气管上皮(HBE)细胞中 let-7 的表达水平较低。COPD 患者、CS 暴露小鼠和 CSE 处理的 HBE 细胞中发现 IL-6 增加。let-7 通过与 IL-6 的 3'非翻译区(UTR)结合靶向并沉默 IL-6 蛋白编码基因。将正常或 CSE 处理的 HBE 细胞与人胚肺成纤维细胞(MRC-5 细胞)共培养。HBE 细胞中 let-7 的减少导致成肌纤维细胞分化和 ECM 沉积,而 let-7 模拟物的增加则降低了成肌纤维细胞分化表型和 ECM 沉积。
我们证明 CS 降低了 COPD 中的 let-7 表达,并进一步确定 let-7 通过调节 IL-6 作为成肌纤维细胞分化的调节剂,这对 COPD 的诊断和治疗具有潜在价值。