Amino acids

Targeting Transglutaminase 2 with Selective Drugs as a New Treatment for Idiopathic Pulmonary Fibrosis

Updated

Abstract

Idiopathic pulmonary fibrosis fibroblasts exhibit increased TG2 expression compared to normal human lung fibroblasts.

  • IPF fibroblasts showed higher levels of TG2, α smooth muscle actin (αSMA), and fibronectin (FN) compared to normal human lung fibroblasts.
  • Inhibition of TG2 selectively reversed the in IPF fibroblasts, reducing matrix FN and TGFβ1 deposition.
  • Transforming growth factor β1 (TGFβ1) treatment or TG2 transduction in normal human lung fibroblasts induced a phenotype similar to that of IPF fibroblasts, which was reversible with TG2 inhibition.
  • Exogenous TG2 addition to normal human lung fibroblasts activated TGFβ1, inducing the myofibroblast phenotype that could also be mitigated by TG2 inhibition.
  • SMAD3-deleted IPF fibroblasts exhibited lower TG2 levels after TGFβ1 stimulation, suggesting a regulatory role of SMAD3 in TG2 expression.

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What this is

  • Idiopathic pulmonary fibrosis (IPF) is a severe lung disease characterized by excessive fibrosis and a poor prognosis.
  • Transglutaminase 2 (TG2) plays a significant role in promoting the and () deposition in IPF.
  • This research explores the potential of TG2-selective inhibitors to reverse myofibroblast characteristics and reduce accumulation.

Essence

  • TG2-selective inhibitors can reverse the in IPF fibroblasts, reducing deposition and myofibroblast markers. This positions TG2 as a promising therapeutic target in IPF.

Key takeaways

  • TG2 inhibition led to a reduction in myofibroblast markers and proteins in IPF fibroblasts. Selective inhibitors like 1–155 and R281 effectively reversed the .
  • Exogenous TG2 treatment induced myofibroblast characteristics in normal human lung fibroblasts (NHLFs) via TGFβ1 activation. This underscores TG2's role in driving fibrosis.
  • TG2-selective inhibitors disrupted the feedback loop between TG2 and TGFβ1, which is crucial for sustaining fibrosis in IPF. This mechanism indicates a potential therapeutic strategy.

Caveats

  • The study primarily relies on in vitro models, which may not fully replicate the complexity of IPF in vivo. Further research is needed to validate these findings in clinical settings.
  • While TG2 inhibition shows promise, the long-term effects and potential side effects of these inhibitors require thorough investigation before clinical application.

Definitions

  • myofibroblast phenotype: A cell state characterized by increased contractility and ECM production, often associated with fibrosis.
  • extracellular matrix (ECM): A network of proteins and carbohydrates surrounding cells, providing structural and biochemical support.

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Funding

Competing interests

The authors declare no conflict of interest among themselves.
PubMed

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