Language

English

Publication Date

8-2-2025

Journal

Nature Communications

DOI

10.1038/s41467-025-61795-x

PMID

40753090

PMCID

PMC12318044

PubMedCentral® Posted Date

8-2-2025

PubMedCentral® Full Text Version

Post-print

Abstract

Idiopathic pulmonary fibrosis (IPF) is a progressive and lethal disease characterized by excessive extracellular matrix deposition. Current IPF therapies slow disease progression but do not stop or reverse it. The (myo)fibroblasts are thought to be the main cellular contributors to excessive extracellular matrix production in IPF. Here we show that fibrotic alveolar type II cells regulate production and crosslinking of extracellular matrix via the co-transcriptional activator YAP. YAP leads to increased expression of Lysl oxidase (LOX) and subsequent LOX-mediated crosslinking by fibrotic alveolar type II cells. Pharmacological YAP inhibition via verteporfin reverses fibrotic alveolar type II cell reprogramming and LOX expression in experimental lung fibrosis in vivo and in human fibrotic tissue ex vivo. We thus identify YAP-TEAD/LOX inhibition in alveolar type II cells as a promising potential therapy for IPF patients.

Keywords

Humans, Animals, Idiopathic Pulmonary Fibrosis, YAP-Signaling Proteins, Protein-Lysine 6-Oxidase, Signal Transduction, Verteporfin, Transcription Factors, Adaptor Proteins, Signal Transducing, Mice, Alveolar Epithelial Cells, Disease Models, Animal, Extracellular Matrix, Male, Lung, Mice, Inbred C57BL, DNA-Binding Proteins, Female, Cell Cycle Proteins, Translational research, Molecular medicine, Target identification, Next-generation sequencing

Published Open-Access

yes

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