Thorax,
Journal Year:
2020,
Volume and Issue:
76(1), P. 92 - 99
Published: Oct. 19, 2020
The
lungs
are
exposed
to
a
range
of
environmental
toxins
(including
cigarette
smoke,
air
pollution,
asbestos)
and
pathogens
(bacterial,
viral
fungal),
most
respiratory
diseases
associated
with
local
or
systemic
hypoxia.
All
these
adverse
factors
can
trigger
endoplasmic
reticulum
(ER)
stress.
ER
is
key
intracellular
site
for
synthesis
secretory
membrane
proteins,
regulating
their
folding,
assembly
into
complexes,
transport
degradation.
Accumulation
misfolded
proteins
within
the
lumen
results
in
stress,
which
activates
unfolded
protein
response
(UPR).
Effectors
UPR
temporarily
reduce
synthesis,
while
enhancing
degradation
increasing
folding
capacity
ER.
If
successful,
homeostasis
restored
resumes,
but
if
stress
persists,
cell
death
pathways
activated.
resulting
occur
pulmonary
insults
outcome
plays
an
important
role
many
diseases.
triggered
airway
patients
several
corresponding
experimental
models.
has
been
implicated
initiation
progression
fibrosis,
evidence
accumulating
suggesting
that
occurs
obstructive
lung
(particularly
asthma),
infections
(some
setting
cystic
fibrosis
airway)
cancer.
While
number
small
molecule
inhibitors
have
used
interrogate
disease
models,
tools
complex
off-target
effects,
hence
additional
(eg,
from
genetic
manipulation)
may
be
required
support
conclusions
based
on
impact
such
pharmacological
agents.
Aberrant
activation
linked
pathogenesis
progression,
at
present,
our
understanding
context-specific
disease-specific
mechanisms
linking
processes
incomplete.
Despite
this,
ability
defend
against
influence
becoming
increasingly
evident,
therefore
attracting
attention
as
prospective
target
therapeutic
intervention
strategies.
Annual Review of Pathology Mechanisms of Disease,
Journal Year:
2021,
Volume and Issue:
17(1), P. 515 - 546
Published: Nov. 23, 2021
The
pathogenesis
of
idiopathic
pulmonary
fibrosis
(IPF)
involves
a
complex
interplay
cell
types
and
signaling
pathways.
Recurrent
alveolar
epithelial
(AEC)
injury
may
occur
in
the
context
predisposing
factors
(e.g.,
genetic,
environmental,
epigenetic,
immunologic,
gerontologic),
leading
to
metabolic
dysfunction,
senescence,
aberrant
activation,
dysregulated
repair.
interacts
with
mesenchymal,
immune,
endothelial
cells
via
multiple
mechanisms
trigger
fibroblast
myofibroblast
activation.
Recent
single-cell
RNA
sequencing
studies
IPF
lungs
support
model.
These
have
uncovered
novel
type
AEC
characteristics
an
basal
cell,
which
disrupt
normal
repair
propagate
profibrotic
phenotype.
Here,
we
review
bioinformatics
tools
as
strategies
discover
pathways
disease,
cell-specific
mechanisms,
cell-cell
interactions
that
niche.
American Journal of Respiratory and Critical Care Medicine,
Journal Year:
2020,
Volume and Issue:
203(6), P. 707 - 717
Published: Sept. 29, 2020
Rationale:
Idiopathic
pulmonary
fibrosis
(IPF)
is
an
insidious
and
fatal
interstitial
lung
disease
associated
with
declining
function.
Accelerated
aging,
loss
of
epithelial
progenitor
cell
function
and/or
numbers,
cellular
senescence
are
implicated
in
the
pathogenies
IPF.
Objectives:
We
sought
to
investigate
role
alveolar
type
2
(AT2)
initiation
progression
therapeutic
potential
targeting
senescence-related
pathways
senescent
cells.
Methods:
Epithelial
cells
9
control
donor
proximal
distal
tissues
11
IPF
fibrotic
were
profiled
by
single-cell
RNA
sequencing
assesses
contribution
fraction
for
A
novel
mouse
model
conditional
AT2
was
generated
study
fibrosis.
Measurements
Main
Results:
show
that
isolated
from
tissue
exhibit
characteristic
transcriptomic
features
senescence.
used
Sin3a
adult
initiate
a
program
p53-dependent
senescence,
depletion,
spontaneous,
progressive
establish
rather
than
promotes
either
genetic
or
pharmacologic
interventions
p53
activation
block
fibrogenesis.
Conclusions:
Senescence
sufficient
drive
Early
attenuation
elimination
promising
approaches
prevent
International Journal of Molecular Sciences,
Journal Year:
2020,
Volume and Issue:
21(7), P. 2269 - 2269
Published: March 25, 2020
:
Alveolar
epithelial
type
II
cells
(AT2)
are
a
heterogeneous
population
that
have
critical
secretory
and
regenerative
roles
in
the
alveolus
to
maintain
lung
homeostasis.
However,
impairment
their
normal
functional
capacity
development
of
pro-fibrotic
phenotype
has
been
demonstrated
contribute
idiopathic
pulmonary
fibrosis
(IPF).
A
number
factors
AT2
death
dysfunction.
As
mucosal
surface,
exposed
environmental
stresses
can
lasting
effects
fibrogenesis.
Genetical
risks
also
identified
cause
fibrosis.
Furthermore,
aging
is
final
factor
adds
pathogenic
changes
cells.
Here,
we
will
discuss
homeostatic
role
studies
recently
defined
heterogeneity
this
review
mechanisms
dysfunction
context
Frontiers in Pharmacology,
Journal Year:
2022,
Volume and Issue:
12
Published: Jan. 19, 2022
Idiopathic
pulmonary
fibrosis
(IPF)
is
a
progressive,
lethal
fibrotic
lung
disease
that
occurs
primarily
in
middle-aged
and
elderly
adults.
It
major
cause
of
morbidity
mortality.
With
an
increase
life
expectancy,
the
economic
burden
IPF
expected
to
continuously
rise
near
future.
Although
exact
pathophysiological
mechanisms
underlying
remain
not
known.
Significant
progress
has
been
made
our
understanding
pathogenesis
this
devastating
last
decade.
The
current
paradigm
assumes
results
from
sustained
or
repetitive
epithelial
injury
subsequent
activation
fibroblasts
myofibroblast
differentiation.
Persistent
phenotype
contributes
excessive
deposition
extracellular
matrix
(ECM)
aberrant
repair,
leading
tissue
scar
formation,
distortion
alveolar
structure,
irreversible
loss
function.
Treatments
patients
with
by
pirfenidone
nintedanib
have
shown
significant
reduction
function
decline
slowing
progression
IPF.
However,
these
drugs
do
cure
disease.
In
review,
we
discuss
recent
advances
on
highlight
development
novel
therapeutic
strategies
against
Experimental & Molecular Medicine,
Journal Year:
2021,
Volume and Issue:
53(2), P. 151 - 167
Published: Feb. 1, 2021
Abstract
The
endoplasmic
reticulum
(ER)
is
an
essential
organelle
of
eukaryotic
cells.
Its
main
functions
include
protein
synthesis,
proper
folding,
modification,
and
the
transportation
synthesized
proteins.
Any
perturbations
in
ER
function,
such
as
increased
demand
for
folding
or
accumulation
unfolded
misfolded
proteins
lumen,
lead
to
a
stress
response
called
(UPR).
primary
aim
UPR
restore
cellular
homeostasis;
however,
it
triggers
apoptotic
signaling
during
prolonged
stress.
core
mechanisms
response,
failure
respond
stress,
final
fate
cell
are
not
yet
clear.
Here,
we
discuss
cross
talk
between
mitochondria
its
significance,
conditions
that
can
trigger
failure.
We
also
describe
how
redox
environment
affects
vice
versa,
aftermath
integrating
discussion
on
imbalance-induced
progressing
death
dynamic
pathophysiological
changes.
Journal of Clinical Investigation,
Journal Year:
2020,
Volume and Issue:
130(10), P. 5088 - 5099
Published: Sept. 1, 2020
Epithelial
cell
dysfunction
has
emerged
as
a
central
component
of
the
pathophysiology
diffuse
parenchymal
diseases
including
idiopathic
pulmonary
fibrosis
(IPF).
Alveolar
type
2
(AT2)
cells
represent
metabolically
active
lung
population
important
for
surfactant
biosynthesis
and
alveolar
homeostasis.
AT2
other
distal
epithelia,
like
all
eukaryotic
cells,
contain
an
elegant
quality
control
network
to
respond
intrinsic
metabolic
biosynthetic
challenges
imparted
by
mutant
protein
conformers,
dysfunctional
subcellular
organelles,
dysregulated
telomeres.
Failed
components
(the
ubiquitin-proteasome
system,
unfolded
response,
macroautophagy,
mitophagy,
telomere
maintenance)
result
in
diverse
cellular
endophenotypes
molecular
signatures
ER
stress,
defective
autophagy,
mitochondrial
dysfunction,
apoptosis,
inflammatory
recruitment,
profibrotic
signaling,
altered
progenitor
function
that
ultimately
converge
drive
downstream
fibrotic
remodeling
IPF
lung.
As
this
complex
becomes
increasingly
better
understood,
opportunities
will
emerge
identify
targets
therapeutic
strategies
IPF.
Journal of Clinical Investigation,
Journal Year:
2023,
Volume and Issue:
133(22)
Published: Sept. 28, 2023
Idiopathic
Pulmonary
Fibrosis
(IPF)
is
a
progressive
scarring
disease
arising
from
impaired
regeneration
of
the
alveolar
epithelium
after
injury.
During
regeneration,
type
2
epithelial
cells
(AEC2s)
assume
transitional
state
that
upregulates
multiple
keratins,
and
ultimately
differentiate
into
AEC1s.
In
IPF,
AECs
accumulate
with
ineffectual
AEC1
differentiation.
However,
whether
how
cause
fibrosis,
keratins
regulate
cell
accumulation
why
fibrosis
resolve
in
mouse
models
but
IPF
are
unclear.
Here,
we
show
human
keratin
(KRT)
8
genetic
variants
associated
IPF.
Krt8-/-
mice
protected
state.
Keratin
(K)
regulates
expression
macrophage
chemokines
recruitment.
Profibrotic
macrophages
myofibroblasts
promote
AECs,
establishing
K8-dependent
positive
feedback
loop
driving
fibrogenesis.
Finally,
rare
murine
highly
senescent,
basaloid,
do
not
AEC1s,
recapitulating
aberrant
basaloid
We
conclude
induce
maintained
by
manner;
mice,
most
resolve,
whereas
evolve
an
which
persists
fibrosis.
Drugs,
Journal Year:
2023,
Volume and Issue:
83(17), P. 1581 - 1593
Published: Oct. 26, 2023
Idiopathic
pulmonary
fibrosis
(IPF)
remains
a
disease
with
poor
survival.
The
pathogenesis
is
complex
and
encompasses
multiple
molecular
pathways.
first-generation
antifibrotics
pirfenidone
nintedanib,
approved
more
than
10
years
ago,
have
been
shown
to
reduce
the
rate
of
progression,
increase
length
life
for
patients
IPF,
work
other
fibrotic
lung
diseases.
In
last
two
decades,
most
clinical
trials
on
IPF
failed
meet
primary
endpoint
an
urgent
unmet
need
identify
agents
or
treatment
strategies
that
can
stop
progression.
pharmacotherapeutic
landscape
moving
forward
number
new
drugs
currently
in
development,
mostly
phase
I
II
trials,
while
only
few
III
are
running.
Since
our
understanding
still
limited,
we
should
keep
focusing
efforts
deeper
understand
mechanisms
underlying
this
their
reflection
phenotypes.
This
review
discusses
key
pathogenetic
concepts
development
antifibrotic
agents,
presents
newest
data
therapies,
summarizes
compounds
development.
Finally,
future
directions
discussed.