1. Therapeutic targeting of 15-PGDH in murine pulmonary fibrosis
- Author
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Julianne N.P. Smith, Alvin P. Jogasuria, Matthew D Witkin, Thomas M. Raffay, Kelsey F. Christo, Sanford D. Markowitz, and Amar Desai
- Subjects
0301 basic medicine ,Pyridines ,Anti-Inflammatory Agents ,lcsh:Medicine ,Gene Expression ,Pulmonary function testing ,Extracellular matrix ,Idiopathic pulmonary fibrosis ,Mice ,0302 clinical medicine ,Fibrosis ,Pulmonary fibrosis ,Molecular Targeted Therapy ,Prostaglandin E2 ,Enzyme Inhibitors ,lcsh:Science ,Lung ,Multidisciplinary ,Respiration ,Extracellular Matrix ,Respiratory Function Tests ,Experimental models of disease ,Hydroxyprostaglandin Dehydrogenases ,Female ,medicine.symptom ,Myofibroblast ,medicine.drug ,Inflammation ,Thiophenes ,Article ,Dinoprostone ,03 medical and health sciences ,Bleomycin ,medicine ,Animals ,Humans ,Respiratory tract diseases ,business.industry ,Macrophages ,lcsh:R ,Body Weight ,Endothelial Cells ,Translational research ,medicine.disease ,Survival Analysis ,Idiopathic Pulmonary Fibrosis ,Mice, Inbred C57BL ,Disease Models, Animal ,030104 developmental biology ,030228 respiratory system ,Cancer research ,lcsh:Q ,business - Abstract
Idiopathic pulmonary fibrosis (IPF) is a progressive disease characterized by interstitial remodeling and pulmonary dysfunction. The etiology of IPF is not completely understood but involves pathologic inflammation and subsequent failure to resolve fibrosis in response to epithelial injury. Treatments for IPF are limited to anti-inflammatory and immunomodulatory agents, which are only partially effective. Prostaglandin E2 (PGE2) disrupts TGFβ signaling and suppresses myofibroblast differentiation, however practical strategies to raise tissue PGE2 during IPF have been limited. We previously described the discovery of a small molecule, (+)SW033291, that binds with high affinity to the PGE2-degrading enzyme 15-hydroxyprostaglandin dehydrogenase (15-PGDH) and increases PGE2 levels. Here we evaluated pulmonary 15-PGDH expression and activity and tested whether pharmacologic 15-PGDH inhibition (PGDHi) is protective in a mouse model of bleomycin-induced pulmonary fibrosis (PF). Long-term PGDHi was well-tolerated, reduced the severity of pulmonary fibrotic lesions and extracellular matrix remodeling, and improved pulmonary function in bleomycin-treated mice. Moreover, PGDHi attenuated both acute inflammation and weight loss, and decreased mortality. Endothelial cells and macrophages are likely targets as these cell types highly expressed 15-PGDH. In conclusion, PGDHi ameliorates inflammatory pathology and fibrosis in murine PF, and may have clinical utility to treat human disease.
- Published
- 2020