Abstract
Pulmonary fibrosis is a relentlessly progressive and often fatal disease with a paucity of available therapies. Genetic evidence implicates disordered epithelial repair, which is normally achieved by the differentiation of small cuboidal alveolar type 2 (AT2) cells into large, flattened alveolar type 1 (AT1) cells as an initiating event in pulmonary fibrosis pathogenesis. Using models of pulmonary fibrosis in young adult and old mice and a model of adult alveologenesis after pneumonectomy,we show that administration of ISRIB, a small molecule that restores protein translation by EIF2B during activation of the integrated stress response (ISR), accelerated the differentiation of AT2 into AT1 cells. Accelerated epithelial repair reduced the recruitment of profibrotic monocyte-derived alveolar macrophages and ameliorated lung fibrosis. These findings suggest a dysfunctional role for the ISR in regeneration of the alveolar epithelium after injury with implications for therapy.
Original language | English (US) |
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Article number | e2101100118 |
Journal | Proceedings of the National Academy of Sciences of the United States of America |
Volume | 118 |
Issue number | 20 |
DOIs | |
State | Published - May 18 2021 |
Funding
ACKNOWLEDGMENTS. This work used services from Northwestern University RHLCCC Flow Cytometry Facility, Center for Advanced Microscopy, and Mouse Histology and Phenotyping Laboratory, which are supported by National Cancer Institute Cancer Center Support Grant P30 CA060553 awarded to the Robert H. Lurie Comprehensive Cancer Center. Multiphoton microscopy was performed on a Nikon A1R multiphoton microscope acquired through the support of NIH 1S10OD010398-01. This research was supported in part through the computational resources and staff contributions provided by the Genomics Computing Cluster (Genomic Nodes on Quest), which is jointly supported by the Feinberg School of Medicine, the Center for Genetic Medicine, and Fein-berg’s Department of Biochemistry and Molecular Genetics, the Office of the Provost, the Office for Research, and Northwestern Information Technology. S.W. is supported by MSD Life Science Foundation, Public Interest Incorporated Foundation, and the David W. Cugell and Christina Enroth-Cugell Fellowship Program at Northwestern University. P.A.R. is supported by Northwestern University’s Lung Sciences Training Program 5T32HL076139-13, 1F32HL136111-01A1, and NIH K08HL146943; Parker B. Francis Fellowship; and the American Thoracic Society Foundation/Boehringer Ingelheim Pharmaceuticals Inc. Research Fellowship in IPF. R.A.G. is supported by T32AG020506-18 and F31AG071225. M.J. is supported by The Veterans Administration grant BX000201. C.J.G. is supported by NIH grants HL134800 and GM129312 and a research grant from Boehringer Ingelheim Pharmaceuticals, Inc. G.R.S.B. is supported by NIH grants ES013995, HL071643, and AG049665 and The Veterans Administration grant BX000201. A.V.M. is supported by NIH grants HL135124, HL153312, AG049665, and AI135964. This work used services from Northwestern University RHLCCC Flow Cytometry Facility, Center for Advanced Microscopy, and Mouse Histology and Phenotyping Laboratory, which are supported by National Cancer Institute Cancer Center Support Grant P30 CA060553 awarded to the Robert H. Lurie Comprehensive Cancer Center. Multiphoton microscopy was performed on a Nikon A1R multiphoton microscope acquired through the support of NIH 1S10OD010398-01. This research was supported in part through the computational resources and staff contributions provided by the Genomics Computing Cluster (Genomic Nodes on Quest), which is jointly supported by the Feinberg School of Medicine, the Center for Genetic Medicine, and Feinberg's Department of Biochemistry and Molecular Genetics, the Office of the Provost, the Office for Research, and Northwestern Information Technology. S.W. is supported by MSD Life Science Foundation, Public Interest Incorporated Foundation, and the David W. Cugell and Christina Enroth-Cugell Fellowship Program at Northwestern University. P.A.R. is supported by Northwestern University's Lung Sciences Training Program 5T32HL076139-13, 1F32HL136111- 01A1, and NIH K08HL146943; Parker B. Francis Fellowship; and the American Thoracic Society Foundation/Boehringer Ingelheim Pharmaceuticals Inc. Research Fellowship in IPF. R.A.G. is supported by T32AG020506-18 and F31AG071225. M.J. is supported by The Veterans Administration grant BX000201. C.J.G. is supported by NIH grants HL134800 and GM129312 and a research grant from Boehringer Ingelheim Pharmaceuticals, Inc. G.R.S.B. is supported by NIH grants ES013995, HL071643, and AG049665 and The Veterans Administration grant BX000201. A.V.M. is supported by NIH grants HL135124, HL153312, AG049665, and AI135964.
Keywords
- Fibrosis
- ISRIB
- Proteostasis
ASJC Scopus subject areas
- General