Τίτλος:
Vitamin D prevents experimental lung fibrosis and predicts survival in patients with idiopathic pulmonary fibrosis
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background: Vitamin D (VitD) is a steroid hormone with cytoprotective and anti-inflammatory properties. Epidemiological studies have suggested a link between VitD deficiency and risk of development of chronic lung diseases. Its role in lung fibrosis is largely unknown. The aim of our study was to investigate the role of VitD in experimental and human lung fibrosis. Methods: VitD (25-OH-D3, 2 μg/kg) was orally administered from day 3-day 13 following bleomycin-challenge, in 8–10 weeks-old C57/BL6 mice. Mouse Lung Fibroblasts (MLFs) were pre-treated with VitD (2 μM for 24 h) and then stimulated with TGFB1 (10 ng/ml). Serum samples from 93 patients with IPF and other forms of interstitial lung diseases (ILDs) were prospectively collected for VitD measurement. Results: VitD administration prevented bleomycin-induced lung fibrosis, as assessed by reductions in hydroxyproline levels, mRNA levels of col1a1, col3a1 and a-SMA (1.4-, 3.1-, 2.25-, 2.5-fold, respectively) and Masson Trichrome staining compared to the untreated group and these changes were associated with restoration of the bleomycin-induced downregulation of vitamin D-receptor (Vdr) mRNA levels. Pre-treatment with VitD reduced the responsiveness of MLFs to pro-fibrotic stimuli, as indicated by significant decreases of col1a1, col3a1 and a-SMA (3.6-, 4.1- and 2.7-fold, respectively).These changes were associated with restoration of the TGFB1-induced downregulation of vitamin D-receptor (VDR) mRNA levels. VitD treatment deactivated TGFB1-induced Smad3 phosphorylation. Patients with IPF and other forms of ILDs displayed deficient VitD serum concentrations (mean VitD = 18.76 ± 8.36 vs. 18.54 ± 8.39 ng/ml, respectively, p = 0.9). VitD deficiency was correlated with baseline FVC%predicted (r = 0.47, p < 0.0001), DLCO%predicted (r = 0.6, p < 0.0001), GAP score (r = −0.4, p < 0.0001) and all-cause mortality in patients with IPF (HR: 3.7, p = 0.001). Conclusions: VitD could serve as a prognosticator and potential therapeutic target in patients with IPF. Further studies are sorely needed. © 2019 Elsevier Ltd
Συγγραφείς:
Tzilas, V.
Bouros, E.
Barbayianni, I.
Karampitsakos, T.
Kourtidou, S.
Ntassiou, M.
Ninou, I.
Aidinis, V.
Bouros, D.
Tzouvelekis, A.
Περιοδικό:
Pulmonary Pharmacology and Therapeutics
Εκδότης:
INSTAP Academic Press
Λέξεις-κλειδιά:
alpha smooth muscle actin; calcifediol; messenger RNA; Smad3 protein; transforming growth factor beta1; vitamin D receptor; bleomycin; calcifediol; calcitriol receptor; messenger RNA, aged; animal cell; animal experiment; animal model; Article; bleomycin-induced pulmonary fibrosis; col1a1 gene; col3a1 gene; female; fibrosing alveolitis; gene; human; lung fibroblast; major clinical study; male; mouse; nonhuman; priority journal; survival; animal; C57BL mouse; complication; disease model; drug effect; fibroblast; fibrosing alveolitis; genetics; lung; middle aged; oral drug administration; pathology; pathophysiology; prospective study; survival; very elderly; vitamin D deficiency, Administration, Oral; Aged; Aged, 80 and over; Animals; Bleomycin; Calcifediol; Disease Models, Animal; Female; Fibroblasts; Humans; Idiopathic Pulmonary Fibrosis; Lung; Male; Mice; Mice, Inbred C57BL; Middle Aged; Prospective Studies; Receptors, Calcitriol; RNA, Messenger; Survival; Vitamin D Deficiency
DOI:
10.1016/j.pupt.2019.01.003
