[HTML][HTML] Blockade of IL-6 Trans signaling attenuates pulmonary fibrosis

TTT Le, H Karmouty-Quintana, E Melicoff… - The Journal of …, 2014 - journals.aai.org
TTT Le, H Karmouty-Quintana, E Melicoff, TTT Le, T Weng, NY Chen, M Pedroza, Y Zhou…
The Journal of Immunology, 2014journals.aai.org
Idiopathic pulmonary fibrosis (IPF) is a lethal lung disease with progressive fibrosis and
death within 2–3 y of diagnosis. IPF incidence and prevalence rates are increasing annually
with few effective treatments available. Inhibition of IL-6 results in the attenuation of
pulmonary fibrosis in mice. It is unclear whether this is due to blockade of classical signaling,
mediated by membrane-bound IL-6Rα, or trans signaling, mediated by soluble IL-6Rα (sIL-
6Rα). Our study assessed the role of sIL-6Rα in IPF. We demonstrated elevations of sIL-6Rα …
Abstract
Idiopathic pulmonary fibrosis (IPF) is a lethal lung disease with progressive fibrosis and death within 2–3 y of diagnosis. IPF incidence and prevalence rates are increasing annually with few effective treatments available. Inhibition of IL-6 results in the attenuation of pulmonary fibrosis in mice. It is unclear whether this is due to blockade of classical signaling, mediated by membrane-bound IL-6Rα, or trans signaling, mediated by soluble IL-6Rα (sIL-6Rα). Our study assessed the role of sIL-6Rα in IPF. We demonstrated elevations of sIL-6Rα in IPF patients and in mice during the onset and progression of fibrosis. We demonstrated that protease-mediated cleavage from lung macrophages was important in production of sIL-6Rα. In vivo neutralization of sIL-6Rα attenuated pulmonary fibrosis in mice as seen by reductions in myofibroblasts, fibronectin, and collagen in the lung. In vitro activation of IL-6 trans signaling enhanced fibroblast proliferation and extracellular matrix protein production, effects relevant in the progression of pulmonary fibrosis. Taken together, these findings demonstrate that the production of sIL-6Rα from macrophages in the diseased lung contributes to IL-6 trans signaling that in turn influences events crucial in pulmonary fibrosis.
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