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Communication between alveolar macrophages and fibroblasts via the TNFSF12-TNFRSF12A pathway promotes pulmonary fibrosis in severe COVID-19 patients.
Guo, Lei; Chen, Qiong; Xu, Mengying; Huang, Jing; Ye, Hua.
Afiliación
  • Guo L; Department of Infection Control, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325000, People's Republic of China.
  • Chen Q; Department of Infection Control, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325000, People's Republic of China.
  • Xu M; Department of Neurology, The Wenzhou Third Clinical Institute Affiliated To Wenzhou Medical University, The Third Affiliated Hospital of Shanghai University, Wenzhou People's Hospital, 299 Gu'an Road, Ouhai District, Wenzhou, 325000, Zhejiang, People's Republic of China.
  • Huang J; Department of Neurology, The Wenzhou Third Clinical Institute Affiliated To Wenzhou Medical University, The Third Affiliated Hospital of Shanghai University, Wenzhou People's Hospital, 299 Gu'an Road, Ouhai District, Wenzhou, 325000, Zhejiang, People's Republic of China.
  • Ye H; Department of Neurology, The Wenzhou Third Clinical Institute Affiliated To Wenzhou Medical University, The Third Affiliated Hospital of Shanghai University, Wenzhou People's Hospital, 299 Gu'an Road, Ouhai District, Wenzhou, 325000, Zhejiang, People's Republic of China. yehua0577@163.com.
J Transl Med ; 22(1): 698, 2024 Jul 29.
Article en En | MEDLINE | ID: mdl-39075394
ABSTRACT

BACKGROUND:

Severe COVID-19 infection has been associated with the development of pulmonary fibrosis, a condition that significantly affects patient prognosis. Understanding the underlying cellular communication mechanisms contributing to this fibrotic process is crucial.

OBJECTIVE:

In this study, we aimed to investigate the role of the TNFSF12-TNFRSF12A pathway in mediating communication between alveolar macrophages and fibroblasts, and its implications for the development of pulmonary fibrosis in severe COVID-19 patients.

METHODS:

We conducted single-cell RNA sequencing (scRNA-seq) analysis using lung tissue samples from severe COVID-19 patients and healthy controls. The data was processed, analyzed, and cell types were annotated. We focused on the communication between alveolar macrophages and fibroblasts and identified key signaling pathways. In vitro experiments were performed to validate our findings, including the impact of TNFRSF12A silencing on fibrosis reversal.

RESULTS:

Our analysis revealed that in severe COVID-19 patients, alveolar macrophages communicate with fibroblasts primarily through the TNFSF12-TNFRSF12A pathway. This communication pathway promotes fibroblast proliferation and expression of fibrotic factors. Importantly, silencing TNFRSF12A effectively reversed the pro-proliferative and pro-fibrotic effects of alveolar macrophages.

CONCLUSION:

The TNFSF12-TNFRSF12A pathway plays a central role in alveolar macrophage-fibroblast communication and contributes to pulmonary fibrosis in severe COVID-19 patients. Silencing TNFRSF12A represents a potential therapeutic strategy for mitigating fibrosis in severe COVID-19 lung disease.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrosis Pulmonar / Transducción de Señal / Macrófagos Alveolares / Fibroblastos / Receptor de TWEAK / COVID-19 Límite: Female / Humans / Male / Middle aged Idioma: En Revista: J Transl Med Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrosis Pulmonar / Transducción de Señal / Macrófagos Alveolares / Fibroblastos / Receptor de TWEAK / COVID-19 Límite: Female / Humans / Male / Middle aged Idioma: En Revista: J Transl Med Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido