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Citrullinated and Malondialdehyde-Acetaldehyde-Modified Fibrinogen Activates Macrophages and Promotes Profibrotic Responses in Human Lung Fibroblasts



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  • Personal Author:
  • Description:
    The objective of this study was to assess fibrinogen (FIB) comodified with citrulline (CIT) and/or malondialdehyde-acetaldehyde (MAA) initiates macrophage-fibroblast interactions, leading to extracellular matrix (ECM) deposition that characterizes rheumatoid arthritis-associated interstitial lung disease (RA-ILD). Macrophages (Mo) were stimulated with native-FIB, FIB-CIT, FIB-MAA, or FIB-MAA-CIT. Supernatants (SNs) [Mo-SN (U-937-derived) or MoP-SN (PBMC-derived)] or direct antigens were coincubated with human lung fibroblasts (HLFs). Gene expression was examined using RT-PCR. ECM deposition was quantified using immunohistochemistry and Western blot; cell signaling mechanisms were delineated. Platelet-derived growth factor (PDGF)-BB and TGF-β were measured in macrophage supernatants, and inhibition studies were performed using Su16f and SB431542, respectively. HLF gene expression of CD36, COL6A3, MMP-9, MMP-10, and MMP-12 was increased following stimulations with Mo-SN generated from modified FIB but not from direct antigens. HLF stimulated with MoP-SNFIB-MAA-CIT derived from patients with RA-ILD resulted in 4- to 30-fold increases in COL6A3 and MMP12 expression; upregulation was greater in HLFs stimulated with MoP-SN derived from RA-ILD versus controls. HLF exposure to Mo-SNFIB-MAA-CIT increased types I/VI collagen deposition versus all other Mo-SN groups and was greater than FIB-MAA-CIT stimulation. PDGF-BB and TGF-β signaling had the highest concentrations identified in Mo-SNFIB-MAA-CIT and MoP-SNFIB-MAA-CIT, particularly from RA-ILD-derived cells. PDGF-BB and TGF-β inhibitors, alone and in combination, significantly reduced HLF-mediated ECM deposition from Mo-SN stimulations. These results show that comodified fibrinogen activates macrophages to produce PDGF-BB and TGF-β that promotes an aggressive HLF phenotype characterized by increased ECM deposition. These results suggest that targeting CIT and/or MAA modifications or downstream cellular signals could represent novel approaches to RA-ILD treatment. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    1040-0605
  • Document Type:
  • Funding:
  • Genre:
  • Place as Subject:
  • CIO:
  • Topic:
  • Location:
  • Volume:
    328
  • Issue:
    1
  • NIOSHTIC Number:
    nn:20070318
  • Citation:
    Am J Physiol Lung Cell Mol Physiol 2025 Jan; 328(1):L134-L147
  • Contact Point Address:
    Ted R. Mikuls, M.D, M.S.P.H, Omaha VA/UNMC Experimental18Immunology Laboratory, 986270 Nebraska Medical Center, Omaha, NE 68198-6270
  • Email:
    tmikuls@unmc.edu
  • CAS Registry Number:
  • Federal Fiscal Year:
    2025
  • Performing Organization:
    University of Nebraska Medical Center
  • Peer Reviewed:
    True
  • Start Date:
    20210901
  • Source Full Name:
    American Journal of Physiology: Lung Cellular and Molecular Physiology
  • End Date:
    20250831
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:005dbda8ee239e15915ea181452ce078cc5f389bbc9f5b2e5e7cdecc4e64efc6adca1a51ce1d4db5fa80dc72dffb4d83fce31e68df3999b209063ac5a2c0d6b0
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  • File Type:
    Filetype[PDF - 3.00 MB ]
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