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Abstract Number: 2565

Synergistic Effects Of Endothelin-1 On Transforming Growth Factor-β1 (TGF-β1) Induced Endothelial-To-Mesenchymal Transition. A Novel Mechanism For The Fibrogenic Effects Of Endothelin

Peter J. Wermuth, Zhaodong Li and Sergio A. Jimenez, Jefferson Institute of Molecular Medicine, Division of Connective Tissue Diseases and Scleroderma Center,Thomas Jefferson University, Philadelphia, PA

Meeting: 2013 ACR/ARHP Annual Meeting

Keywords: Collagen, endothelial cells, Fibroblasts, pathogenesis and systemic sclerosis

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Session Information

Title: Systemic Sclerosis, Fibrosing Syndromes, and Raynaud's II

Session Type: Abstract Submissions (ACR)

Background/Purpose:

The process of endothelial-to-mesenchymal transition (EndoMT) may be a crucial pathway in the generation of activated myofibroblasts, cells that play a pivotal role in the development of tissue and organ fibrosis in fibrotic diseases such as Systemic Sclerosis (SSc).  It has been previously demonstrated that TGF-β1 induces EndoMT in vitro in murine lung endothelial cells (ECs). Since extensive previous studies demonstrated a potent profibrotic role for Endothelin-1 (ET-1), the role of ET-1 in the induction of EndoMT was investigated in cultured murine lung ECs.

Methods:

Pulmonary EC were isolated from three C57Bl/6J mice employing trypsin/collagenase tissue digestion followed by sequential immunomagnetic selection with anti-CD31 and anti-CD102 antibodies.  After in vitro culture, the purified EC were treated with ET-1 in vitro in the presence and absence of TGF-β1.  EndoMT was assessed by immunofluorescence for α-smooth muscle actin (α-SMA) and by Western blot analysis for α-SMA and type I collagen.  Induction of type I, type III and type IV collagens, α-SMA, fibronectin, as well as several mesenchymal specific genes, including the transcription factor Twist1 and the transcriptional repressors Snail1 and Snail2 was assessed by semi-quantitative RT-PCR triplicate assays for two replicates per cell line. 

Results:

Treatment of murine pulmonary ECs with TGF-β1 induced high levels of α-SMA expression in comparison to saline-treated control ECs. ET-1 alone did not affect α-SMA levels but produced a synergistic effect with TGF-β1 by potentiating TGF-β1-induced EndoMT as indicated by increased α-SMA production.  A quantitative assessment of the number of α-SMA expressing EC in TGF-β1-treated cultures was 27% compared to 52% in cultures treated with both TGF-β1 and ET-1. These results were confirmed by Western blot analysis.  Semi-quantitative RT-PCR analysis demonstrated that ET-1 synergistically potentiated TGF-β1-mediated increased expression levels of types I and III collagens, α-SMA, fibronectin, Twist1, Snail1 and Snail2. Expression of EC-specific VE-cadherin (Cdh5) was downregulated in TGF-β1-treated cultures compared to saline controls and ET-1 also synergistically potentiated this TGF-β1-mediated effect.

Conclusion:

ET-1 plays an important role in regulating EndoMT by causing a synergistic potentiation of TGF-β1-induced EndoMT-mediated generation of activated myofibroblasts and of EndoMT-mediated increased expression of extracellular matrix components including Types I and III collagens. Furthermore, ET-1 also potentiated the TGF-β1-induced increase in expression of various genes involved in the phenotypic conversion of EC into myofibroblasts including Twist1, Snail1 and Snail2. Since ET-1 plays a crucial role in the pathogenesis of SSc-associated pulmonary arterial hypertension and may play a profibrotic role in skin and lung fibrosis, the results described here identify a novel mechanism supporting the concept that ET-1 plays a key pathogenetic role in SSc-associated pulmonary fibrosis.

Supported by NIH Grant R01AM19616 to SAJ.


Disclosure:

P. J. Wermuth,
None;

Z. Li,
None;

S. A. Jimenez,
None.

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