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Published ahead of print on September 22, 2005, doi:10.1164/rccm.200507-1058OC

Am. J. Respir. Crit. Care Med., Volume 173, Number 1, January 2006, 112-121

A more recent version of this article appeared on January 1, 2006
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Submitted on July 8, 2005
Accepted on September 20, 2005

Negative Regulation of Myofibroblast Differentiation by PTEN

Eric S White1*, Rachelle G Atrasz1, Biao Hu2, Sem H Phan2, Vuk Stambolic3, Tak W Mak3, Cory M Hogaboam2, Kevin R Flaherty1, Fernando J Martinez1, Christopher D Kontos4, and Galen B Toews1

1 Division of Pulmonary and Critical Care Medicine, University of Michigan Medical School, Ann Arbor, MI, USA, 2 Department of Pathology, University of Michigan Medical School, Ann Arbor, MI, USA, 3 University of Toronto, University Health Network, Ontario Cancer Institute, Toronto, Ontario, Canada, 4 Division of Cardiology, Duke University Medical Center, Durham, NC, USA

* To whom correspondence should be addressed. E-mail: docew{at}umich.edu.

Rationale: Myofibroblasts are primary effector cells in idiopathic pulmonary fibrosis. Defining mechanisms of myofibroblast differentiation may be critical to the development of novel therapeutic agents. Objective: To show that myofibroblast differentiation is regulated by phosphatase and tensin homologue deleted on chromosome 10 (PTEN) activity in vivo and to identify a potential mechanism by which this occurs. Methods: We utilized tissue sections of surgical lung biopsies from patients with idiopathic pulmonary fibrosis to localize expression of PTEN and {alpha}-SMA. We utilized cell culture of pten-/- and wild-type fibroblasts as well as adenoviral strategies and pharmacologic inhibitors to determine the mechanism by which PTEN inhibits {alpha}-SMA, fibroblast proliferation, and collagen production. Results: In human lung specimens of idiopathic pulmonary fibrosis, myofibroblasts within fibroblastic foci demonstrate diminished PTEN expression. Further, inhibition of PTEN in mice worsened bleomycin-induced fibrosis. In pten-/- fibroblasts, and in normal fibroblasts in which PTEN is inhibited, {alpha}-SMA, proliferation, and collagen production is upregulated. Addition of transforming growth factor-{beta} to wild-type cells, but not pten-/- cells, results in increased {alpha}-SMA expression in a time-dependent fashion. In pten-/- cells, reconstitution of PTEN decreases {alpha}-SMA expression, proliferation, and collagen production, whereas overexpression of PTEN in wild-type cells inhibits transforming growth factor-{beta}-induced myofibroblast differentiation. Both the protein and lipid phosphatase actions of PTEN are capable of modulating the myofibroblast phenotype. Conclusions: The results indicate that in idiopathic pulmonary fibrosis, myofibroblasts have diminished PTEN expression. Inhibition of PTEN in vivo promotes fibrosis, and PTEN inhibits myofibroblast differentiation in vitro.


Key words: myofibroblast; fibrosis; PTEN; phosphatase; smooth muscle actin




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