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Published ahead of print on May 5, 2008
Am. J. Respir. Cell Mol. Biol. 2008, doi:10.1165/rcmb.2007-0320OC
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Submitted on August 31, 2007
Revised on May 1, 2008

In vivo Investigations on Anti-fibrotic Potential of Proteasome Inhibition in Lung and Skin Fibrosis

Serena Fineschi1, Massimo Bongiovanni2, Yves Donati3, Souad Djaafar1, Filippo Naso4, Laurence Goffin1, Constance Barazzone Argiroffo3, Jean-Claude Pache2, Jean-Michel Dayer1, Sylvie Ferrari-Lacraz1, and Carlo Chizzolini1*

1 Immunology and Allergy, Department of Internal Medicine, School of Medicine and University Hospital, Geneva, Switzerland, 2 Department of Genetics and Laboratory Medicine, University Hospital, Geneva, Switzerland, 3 Department of Pediatrics and Pathology - Immunology, School of Medicine and University Hospital, Geneva, Switzerland, 4 Department of Experimental Biomedical Sciences, Padua University, Padua, Italy

* To whom correspondence should be addressed. E-mail: chizzolini{at}medecine.unige.ch.

In systemic sclerosis (SSc), a disease characterized by fibrosis of the skin and internal organs, the occurrence of interstitial lung disease is responsible for high morbidity and mortality. We previously demonstrated that proteasome inhibitors (PI) show anti-fibrotic properties in vitro by reducing collagen production and favoring collagen degradation in a c-jun N-terminal kinase (JNK) -dependent manner in human fibroblasts. Therefore, we tested whether PI could control fibrosis development in bleomycin-induced lung injury, which is preceded by massive inflammation. We extended the study to test PI in TSK-1/+ mice where skin fibrosis develops in the absence of overt inflammation. C57Bl/6 mice received bleomycin intratracheally and were treated or not with PI. Lung inflammation and fibrosis were assessed by histology and quantification of hydroxyproline content, type I collagen mRNA, and TGF-{beta} at day 7, 15, and 21, respectively. Histology was used to detect skin fibrosis in TSK-1/+mice. The chymotryptic activity of 20S proteasome was assessed in mice blood. JNK and Smad2 phosphorylation were evaluated by Western Blot on lung protein extracts. PI reduced collagen mRNA levels in murine lung fibroblasts, without affecting their viability in vitro. In addition, PI inhibited the chymotryptic activity of proteasome and enhanced JNK and TGF-{beta} signaling in vivo. PI failed to prevent bleomycin-induced lung inflammation and fibrosis and to attenuate skin fibrosis in TSK-1/+mice. In conclusion, our results provide direct evidence that, despite promising in vitro results, proteasome blockade may not be a strategy easily applicable to control fibrosis development in disease such as lung fibrosis and scleroderma







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Proc. Am. Thorac. Soc. Am. J. Respir. Crit. Care Med.
Copyright © 2008 American Thoracic Society.