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New Insights Via RNA Profiling of Formalin-Fixed Paraffin-Embedded Lung Tissue of Pulmonary Fibrosis Patients

Overview
Journal Int J Mol Sci
Publisher MDPI
Date 2023 Dec 9
PMID 38069069
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Abstract

In sporadic idiopathic pulmonary fibrosis (sIPF) and pulmonary fibrosis caused by a mutation in telomere (TRG-PF) or surfactant related genes (SRG-PF), there are a number of aberrant cellular processes known that can lead to fibrogenesis. We investigated whether RNA expression of genes involved in these processes differed between sIPF, TRG-PF, and SRG-PF and whether expression levels were associated with survival. RNA expression of 28 genes was measured in lung biopsies of 26 sIPF, 17 TRG-PF, and 6 SRG-PF patients. Significant differences in RNA expression of ( = 0.02) and ( = 0.02) were found between sIPF, TRG-PF, and SRG-PF. Patients with low (<median) expression of ( = 0.04), ( = 0.03), and (0.005) had significantly longer survival rates than patients with high (≥median) expression of these genes. In addition, we scored for low (0) or high (1) expression of six endoplasmic reticulum (ER) stress genes (, , , , and ) and found that patients with high expression in a low number of ER stress genes (total score 0-1) had longer survival rates than patients with high expression in a high number of ER stress genes (total score 2-6) ( = 0.03). In conclusion, there are minor differences between sIPF, TRG-PF, and SRG-PF and high expression in a high number of ER stress genes significantly associated with shorter survival time, suggesting that ER stress may be a target for therapy for PF.

References
1.
Takahashi H, Fujishima T, Koba H, Murakami S, Kurokawa K, Shibuya Y . Serum surfactant proteins A and D as prognostic factors in idiopathic pulmonary fibrosis and their relationship to disease extent. Am J Respir Crit Care Med. 2000; 162(3 Pt 1):1109-14. DOI: 10.1164/ajrccm.162.3.9910080. View

2.
Maguire J, Mulugeta S, Beers M . Endoplasmic reticulum stress induced by surfactant protein C BRICHOS mutants promotes proinflammatory signaling by epithelial cells. Am J Respir Cell Mol Biol. 2010; 44(3):404-14. PMC: 3095939. DOI: 10.1165/rcmb.2009-0382OC. View

3.
Delbrel E, Soumare A, Naguez A, Label R, Bernard O, Bruhat A . HIF-1α triggers ER stress and CHOP-mediated apoptosis in alveolar epithelial cells, a key event in pulmonary fibrosis. Sci Rep. 2018; 8(1):17939. PMC: 6299072. DOI: 10.1038/s41598-018-36063-2. View

4.
Li Y, Jiang D, Liang J, Meltzer E, Gray A, Miura R . Severe lung fibrosis requires an invasive fibroblast phenotype regulated by hyaluronan and CD44. J Exp Med. 2011; 208(7):1459-71. PMC: 3135364. DOI: 10.1084/jem.20102510. View

5.
Justet A, Klay D, Porcher R, Cottin V, Ahmad K, Molina Molina M . Safety and efficacy of pirfenidone and nintedanib in patients with idiopathic pulmonary fibrosis and carrying a telomere-related gene mutation. Eur Respir J. 2020; 57(2). DOI: 10.1183/13993003.03198-2020. View