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Publication : Myofibroblast contraction is essential for generating and regenerating the gas-exchange surface.

First Author  Li R Year  2020
Journal  J Clin Invest Volume  130
Issue  6 Pages  2859-2871
PubMed ID  32338642 Mgi Jnum  J:341149
Mgi Id  MGI:7531898 Doi  10.1172/JCI132189
Citation  Li R, et al. (2020) Myofibroblast contraction is essential for generating and regenerating the gas-exchange surface. J Clin Invest 130(6):2859-2871
abstractText  A majority (~95%) of the gas-exchange surface area is generated through septa formation during alveologenesis. Disruption of this process leads to alveolar simplification and bronchopulmonary dysplasia (BPD), a prevalent disorder in premature infants. Although several models have been proposed, the mechanism of septa formation remains under debate. Here we show that inactivation of myosin light chain kinase (MLCK), a key factor required for myofibroblast contraction, disrupted septa formation, supporting the myofibroblast contraction model of alveologenesis. The alveoli simplification phenotype was accompanied by decreased yes-associated protein (YAP), a key effector in the Hippo mechanotransduction pathway. Expression of activated YAP in Mlck-mutant lungs led to partial reversal of alveolar simplification. In the adult, although Mlck inactivation did not lead to simplification, it prevented reseptation during compensatory regrowth in the pneumonectomy model. These findings revealed that myofibroblast reactivation and contraction are requisite steps toward regenerating the gas-exchange surface in diseases such as BPD and chronic obstructive pulmonary disease (COPD).
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