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Publication : Itaconate controls the severity of pulmonary fibrosis.

First Author  Ogger PP Year  2020
Journal  Sci Immunol Volume  5
Issue  52 PubMed ID  33097591
Mgi Jnum  J:355208 Mgi Id  MGI:7737858
Doi  10.1126/sciimmunol.abc1884 Citation  Ogger PP, et al. (2020) Itaconate controls the severity of pulmonary fibrosis. Sci Immunol 5(52)
abstractText  Idiopathic pulmonary fibrosis (IPF) is a fatal lung disease in which airway macrophages (AMs) play a key role. Itaconate has emerged as a mediator of macrophage function, but its role during fibrosis is unknown. Here, we reveal that itaconate is an endogenous antifibrotic factor in the lung. Itaconate levels are reduced in bronchoalveolar lavage, and itaconate-synthesizing cis-aconitate decarboxylase expression (ACOD1) is reduced in AMs from patients with IPF compared with controls. In the murine bleomycin model of pulmonary fibrosis, Acod1(-/-) mice develop persistent fibrosis, unlike wild-type (WT) littermates. Profibrotic gene expression is increased in Acod1(-/-) tissue-resident AMs compared with WT, and adoptive transfer of WT monocyte-recruited AMs rescued mice from disease phenotype. Culture of lung fibroblasts with itaconate decreased proliferation and wound healing capacity, and inhaled itaconate was protective in mice in vivo. Collectively, these data identify itaconate as critical for controlling the severity of lung fibrosis, and targeting this pathway may be a viable therapeutic strategy.
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