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Publication : Epithelium-specific deletion of TGF-β receptor type II protects mice from bleomycin-induced pulmonary fibrosis.

First Author  Li M Year  2011
Journal  J Clin Invest Volume  121
Issue  1 Pages  277-87
PubMed ID  21135509 Mgi Jnum  J:171845
Mgi Id  MGI:5000184 Doi  10.1172/JCI42090
Citation  Li M, et al. (2011) Epithelium-specific deletion of TGF-beta receptor type II protects mice from bleomycin-induced pulmonary fibrosis. J Clin Invest 121(1):277-87
abstractText  Idiopathic pulmonary fibrosis (IPF) is a chronic fibroproliferative pulmonary disorder for which there are currently no treatments. Although the etiology of IPF is unknown, dysregulated TGF-beta signaling has been implicated in its pathogenesis. Recent studies also suggest a central role for abnormal epithelial repair. In this study, we sought to elucidate the function of epithelial TGF-beta signaling via TGF-beta receptor II (TbetaRII) and its contribution to fibrosis by generating mice in which TbetaRII was specifically inactivated in mouse lung epithelium. These mice, which are referred to herein as TbetaRIINkx2.1-cre mice, were used to determine the impact of TbetaRII inactivation on (a) embryonic lung morphogenesis in vivo; and (b) the epithelial cell response to TGF-beta signaling in vitro and in a bleomycin-induced, TGF-beta-mediated mouse model of pulmonary fibrosis. Although postnatally viable with no discernible abnormalities in lung morphogenesis and epithelial cell differentiation, TbetaRIINkx2.1-cre mice developed emphysema, suggesting a requirement for epithelial TbetaRII in alveolar homeostasis. Absence of TbetaRII increased phosphorylation of Smad2 and decreased, but did not entirely block, phosphorylation of Smad3 in response to endogenous/physiologic TGF-beta. However, TbetaRIINkx2.1-cre mice exhibited increased survival and resistance to bleomycin-induced pulmonary fibrosis. To our knowledge, these findings are the first to demonstrate a specific role for TGF-beta signaling in the lung epithelium in the pathogenesis of pulmonary fibrosis.
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