Citrullinated and Malondialdehyde-Acetaldehyde-Modified Fibrinogen Activates Macrophages and Promotes Profibrotic Responses in Human Lung Fibroblasts
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2025/01/01
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Personal Author:Aripova N ; Bailey KL ; Duryee MJ ; England BR ; Hunter CD ; Katafiasz D ; Klingemann LE ; Mikuls TR ; Nelson AJ ; Poole JA ; Thiele GM ; Zhou W
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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]
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ISSN:1040-0605
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Volume:328
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Issue:1
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NIOSHTIC Number:nn:20070318
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Citation:Am J Physiol Lung Cell Mol Physiol 2025 Jan; 328(1):L134-L147
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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
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Email:tmikuls@unmc.edu
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Federal Fiscal Year:2025
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Performing Organization:University of Nebraska Medical Center
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Peer Reviewed:True
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Start Date:20210901
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Source Full Name:American Journal of Physiology: Lung Cellular and Molecular Physiology
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End Date:20250831
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Main Document Checksum:urn:sha-512:005dbda8ee239e15915ea181452ce078cc5f389bbc9f5b2e5e7cdecc4e64efc6adca1a51ce1d4db5fa80dc72dffb4d83fce31e68df3999b209063ac5a2c0d6b0
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