RRC ID 63148
著者 Kato M, Takahashi F, Sato T, Mitsuishi Y, Tajima K, Ihara H, Nurwidya F, Baskoro H, Murakami A, Kobayashi I, Hidayat M, Shimada N, Sasaki S, Mineki R, Fujimura T, Kumasaka T, Niwa SI, Takahashi K.
タイトル Tranilast Inhibits Pulmonary Fibrosis by Suppressing TGFβ/SMAD2 Pathway.
ジャーナル Drug Des Devel Ther
Abstract Purpose:Idiopathic pulmonary fibrosis (IPF) is characterized by the accumulation of extracellular matrix (ECM) protein in the lungs. Transforming growth factor (TGF) β-induced ECM protein synthesis contributes to the development of IPF. Tranilast, an anti-allergy drug, suppresses TGFβ expression and inhibits interstitial renal fibrosis in animal models. However, the beneficial effects of tranilast or its mechanism as a therapy for pulmonary fibrosis have not been clarified.
Methods:We investigated the in vitro effect of tranilast on ECM production and TGFβ/SMAD2 pathway in TGFβ2-stimulated A549 human alveolar epithelial cells, using quantitative polymerase chain reaction, Western blotting, and immunofluorescence. In vitro observations were validated in the lungs of a murine pulmonary fibrosis model, which we developed by intravenous injection of bleomycin.
Results:Treatment with tranilast suppressed the expression of ECM proteins, such as fibronectin and type IV collagen, and attenuated SMAD2 phosphorylation in TGFβ2-stimulated A549 cells. In addition, based on a wound healing assay in these cells, tranilast significantly inhibited cell motility, with foci formation that comprised of ECM proteins. Histological analyses revealed that the administration of tranilast significantly attenuated lung fibrosis in mice. Furthermore, tranilast treatment significantly reduced levels of TGFβ, collagen, fibronectin, and phosphorylated SMAD2 in pulmonary fibrotic tissues in mice.
Conclusion:These findings suggest that tranilast inhibits pulmonary fibrosis by suppressing TGFβ/SMAD2-mediated ECM protein production, presenting tranilast as a promising and novel anti-fibrotic agent for the treatment of IPF.
巻・号 14
ページ 4593-4603
公開日 2020-1-1
DOI 10.2147/DDDT.S264715
PII 264715
PMID 33149556
PMC PMC7605600
MeSH Bleomycin Cell Line, Tumor Cell Proliferation / drug effects Dose-Response Relationship, Drug Humans Idiopathic Pulmonary Fibrosis / drug therapy* Idiopathic Pulmonary Fibrosis / metabolism Idiopathic Pulmonary Fibrosis / pathology Molecular Structure Smad2 Protein / antagonists & inhibitors* Smad2 Protein / metabolism Structure-Activity Relationship Transforming Growth Factor beta / antagonists & inhibitors* Transforming Growth Factor beta / metabolism ortho-Aminobenzoates
IF 3.216
リソース情報
ヒト・動物細胞 A549