Publication Date

8-1-2021

Journal

American Journal of Respiratory and Critical Care Medicine

DOI

10.1164/rccm.202008-3100OC

PMID

33784491

PMCID

PMC8513593

PubMedCentral® Posted Date

3-30-2021

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

Animals, Antibiotics, Antineoplastic, Autophagy, Bleomycin, Disease Models, Animal, Fibroblasts, Humans, Idiopathic Pulmonary Fibrosis, In Vitro Techniques, Lung, Mice, Mice, Knockout, NF-kappa B, Peptide Fragments, Phenotype, Phosphatidylinositol 3-Kinases, Primary Cell Culture, Proto-Oncogene Proteins c-akt, Receptor-Like Protein Tyrosine Phosphatases, Class 3, Signal Transduction, Syndecan-2, TOR Serine-Threonine Kinases, CD148, fibroblast, idiopathic pulmonary fibrosis, nuclear factor-kappa-B, syndecan-2

Abstract

Rationale: CD148/PTRJ (receptor-like protein tyrosine phosphatase η) exerts antifibrotic effects in experimental pulmonary fibrosis via interactions with its ligand syndecan-2; however, the role of CD148 in human pulmonary fibrosis remains incompletely characterized.

Objectives: We investigated the role of CD148 in the profibrotic phenotype of fibroblasts in idiopathic pulmonary fibrosis (IPF).

Methods: Conditional CD148 fibroblast-specific knockout mice were generated and exposed to bleomycin and then assessed for pulmonary fibrosis. Lung fibroblasts (mouse lung and human IPF lung), and precision-cut lung slices from human patients with IPF were isolated and subjected to experimental treatments. A CD148-activating 18-aa mimetic peptide (SDC2-pep) derived from syndecan-2 was evaluated for its therapeutic potential.

Measurements and Main Results: CD148 expression was downregulated in IPF lungs and fibroblasts. In human IPF lung fibroblasts, silencing of CD148 increased extracellular matrix production and resistance to apoptosis, whereas overexpression of CD148 reversed the profibrotic phenotype. CD148 fibroblast-specific knockout mice displayed increased pulmonary fibrosis after bleomycin challenge compared with control mice. CD148-deficient fibroblasts exhibited hyperactivated PI3K/Akt/mTOR signaling, reduced autophagy, and increased p62 accumulation, which induced NF-κB activation and profibrotic gene expression. SDC2-pep reduced pulmonary fibrosis in vivo and inhibited IPF-derived fibroblast activation. In precision-cut lung slices from patients with IPF and control patients, SDC2-pep attenuated profibrotic gene expression in IPF and normal lungs stimulated with profibrotic stimuli.

Conclusions: Lung fibroblast CD148 activation reduces p62 accumulation, which exerts antifibrotic effects by inhibiting NF-κB–mediated profibrotic gene expression. Targeting the CD148 phosphatase with activating ligands such as SDC2-pep may represent a potential therapeutic strategy in IPF.

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