PUBLICATION

Identification of a Cell-of-Origin for Fibroblasts Comprising the Fibrotic Reticulum in Idiopathic Pulmonary Fibrosis

Authors
Xia, H., Bodempudi, V., Benyumov, A., Hergert, P., Tank, D., Herrera, J., Braziunas, J., Larsson, O., Parker, M., Rossi, D., Smith, K., Peterson, M., Limper, A., Jessurun, J., Connett, J., Ingbar, D., Phan, S., Bitterman, P.B., Henke, C.A.
ID
ZDB-PUB-140513-349
Date
2014
Source
The American journal of pathology   184: 1369-83 (Journal)
Registered Authors
Benyumov, Alexey O.
Keywords
none
MeSH Terms
  • Animals
  • Cell Line
  • Cell Separation
  • Fibroblasts/metabolism
  • Fibroblasts/pathology*
  • Gene Expression Profiling
  • Gene Expression Regulation
  • Heterografts
  • Humans
  • Idiopathic Pulmonary Fibrosis/genetics
  • Idiopathic Pulmonary Fibrosis/pathology*
  • Mesenchymal Stem Cells/pathology
  • Mice
  • Phenotype
  • Signal Transduction/genetics
  • Zebrafish
PubMed
24631025 Full text @ Am. J. Pathol.
Abstract
Idiopathic pulmonary fibrosis (IPF) is a progressive disease of the middle aged and elderly with a prevalence of one million persons worldwide. The fibrosis spreads from affected alveoli into contiguous alveoli, creating a reticular network that leads to death by asphyxiation. Lung fibroblasts from patients with IPF have phenotypic hallmarks, distinguishing them from their normal counterparts: pathologically activated Akt signaling axis, increased collagen and α-smooth muscle actin expression, distinct gene expression profile, and ability to form fibrotic lesions in model organisms. Despite the centrality of these fibroblasts in disease pathogenesis, their origin remains uncertain. Here, we report the identification of cells in the lungs of patients with IPF with the properties of mesenchymal progenitors. In contrast to progenitors isolated from nonfibrotic lungs, IPF mesenchymal progenitor cells produce daughter cells manifesting the full spectrum of IPF hallmarks, including the ability to form fibrotic lesions in zebrafish embryos and mouse lungs, and a transcriptional profile reflecting these properties. Morphological analysis of IPF lung tissue revealed that mesenchymal progenitor cells and cells with the characteristics of their progeny comprised the fibrotic reticulum. These data establish that the lungs of patients with IPF contain pathological mesenchymal progenitor cells that are cells of origin for fibrosis-mediating fibroblasts. These fibrogenic mesenchymal progenitors and their progeny represent an unexplored target for novel therapies to interdict fibrosis.
Genes / Markers
Figures
Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping