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Published ahead of print on September 18, 2009
Am. J. Respir. Cell Mol. Biol. 2009, doi:10.1165/rcmb.2009-0031OC
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Submitted on January 22, 2009
Accepted on September 14, 2009

Endothelial-mesenchymal transition in bleomycin-induced pulmonary fibrosis

Naozumi Hashimoto1, Sem H Phan2, Kazuyoshi Imaizumi1, Masaki Matsuo1, Harunori Nakashima1, Tsutomu Kawabe3, Kaoru Shimokata4, and Yoshinori Hasegawa1*

1 Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan, 2 Department of Pathology, University of Michigan, Ann Arbor, Michigan, United States, 3 Department of Medical Technology, Nagoya University Graduate School of Health Science, Nagoya, Japan, 4 Department of Biomedical Sciences, Chubu University, College of Life and Health Sciences, Kasugai, Japan

* To whom correspondence should be addressed. E-mail: yhasega{at}med.nagoya-u.ac.jp.

The pathological hallmark lesions in idiopathic pulmonary fibrosis are the fibroblastic foci, in which fibroblasts are thought to be involved in the tissue remodeling, matrix deposition and cross-talk with alveolar epithelium. Recent evidence indicates that some fibroblasts in fibrosis may be derived from bone marrow progenitors as well as from epithelial cells through epithelial–mesenchymal transition. To evaluate whether endothelial cells could represent an additional source for fibroblasts, bleomycin-induced lung fibrosis was established in Tie2-Cre/CAG-CAT-LacZ double-transgenic mice, in which LacZ was stably expressed in pan-endothelial cells. Combined X-gal staining and immunocytochemical staining for type I collagen and {alpha}-smooth muscle actin revealed the presence of X-gal positive cells in lung fibroblast cultures from bleomycin-treated mice. To explore the underlying mechanisms, by which loss of endothelial-specific markers and gain of mesenchymal phenotypes could be involved in microvascular endothelial cells, the effects of activated Ras and TGFß on the microvascular endothelial cell line MS1 were analyzed. Combined treatment with activated Ras and TGFß caused a significant loss of endothelial-specific markers, while inducing de novo mesenchymal phenotypes. The altered expression of these markers in MS1 cells with activated Ras persisted after withdrawal of TGFß in vitro and in vivo. These findings are the first to show that lung capillary endothelial cells could give rise to significant numbers of fibroblasts through an endothelial-mesenchymal transition in bleomycin-induced lung fibrosis model.


Key words: fibroblasts • myofibroblasts • endothelial cells • LacZ • fibrosis







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