衰老与特发性肺纤维化的相关性及关联的分子机制
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1. 江西中医药大学,南昌 330004;2. 江西中医药大学附属医院,南昌 330006

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Molecular association between aging and idiopathic pulmonary fibrosis pathogenesis
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1. Jiangxi University of Chinese Medicine, Nanchang 330004, China; 2. Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang 330006, China

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    摘要:

    目的 探讨衰老与特发性肺纤维化( IPF)的相关性,挖掘二者关联的潜在分子机制。 方法选择青年(2 月龄)和老年(18 月龄)C57BL / 6J 小鼠,充分暴露气管后采用缓慢注射盐酸博来霉素(BLM)溶液(2. 5 mg / kg)方法制作 IPF 模型,各对照组以相同的方式滴注等体积生理盐水,实验分为青年对照(Ctrl-Y)组、青年模型(IPF-Y)组、老年对照(Ctrl-A)组和老年模型(IPF-A)组。 采用苏木素-伊红(HE)和 Masson 染色评估组织病理改变,免疫组化检测 COL1A1、α-SMA 及 FN 表达水平,SA-β-Gal 染色评估衰老程度。 基于转录组测序筛选差异基因,进行 GO 功能注释和 KEGG 通路富集分析,并经 RT-qPCR 验证核心基因表达。 结果IPF-A 组纤维化评分均显著高于 IPF-Y 组(P<0. 05)。 IPF-A 组 α-SMA 和 FN 蛋白表达较 IPF-Y 组分别显著增加 36%和 25%(P<0. 05),且 SA-β-Gal 衰老阳性面积显著高于 IPF-Y 组。 鉴定出 55 个衰老-IPF 交互基因,其中 Cdkn1a、MMP3、Pdcd1 等在 IPF-A 组协同上调(P<0. 05)。 KEGG 分析显示 ECM-receptor interaction、phagosome、cytokine-cytokine receptor interaction、efferocytosis 和 PI3K-Akt 等信号通路激活(FDR<0. 05)。 结论衰老会促使 IPF 进展,IPF 会诱发肺组织衰老,其机制可能与免疫衰老、炎症累积及代谢紊乱驱动的 ECM 重构相关。

    Abstract:

    Objective To explore the correlation between aging and idiopathic pulmonary fibrosis (IPF) and reveal the underlying molecular mechanisms. Methods IPF models were established using young (2-month-old) and aged (18-month-old) C57BL / 6J mice by intratracheal instillation of bleomycin (BLM) hydrochloride (2. 5 mg / kg) after fully exposing the trachea. The control groups received an equal volume of saline administered in the same manner. Mice were divided randomly into four groups: a young control (Ctrl-Y)group, young model (IPF-Y) group, aged control ( Ctrl-A) group, and aged model ( IPF-A) group. Histopathological changes were evaluated by hematoxylin-eosin and Masson staining. Collagen type Ⅰ alpha 1 chain (COL1A1), α-smooth muscle actin (SMA),and fibronectin ( FN ) expression were detected by immunohistochemistry. Cell senescence was detected by senescence-associated beta-galactosidase ( SA-β-Gal ) staining. Differentially expressed genes were detected by transcriptome sequencing, followed by gene ontology functional annotation(GO) and kyoto encyclopedia of genes and genomes ( KEGG) pathway enrichment analysis. Core gene expression was validated by quantitative reverse transcription-polymerase chain reaction. Results The fibrosis score was significantly higher in the IPF-A group compared with the IPF-Y group (P<0. 05). Expression levels of α-SMA, and FN were significantly upregulated in the IPF-A group versus the IPF-Y group by 36%, and 25%, respectively (P<0. 05). The SA-β-Gal-positive area indicating senescence was significantly larger in the IPF-A group than in the IPF-Y group. Fifty-five senescence-IPF interactive genes were identified, among which Cdkn1a, MMP3, and Pdcd1 were synergistically upregulated in the IPF-A group (P<0. 05). KEGG analysis revealed the activation of signaling pathways such as extracellular matrix (ECM)-receptor interaction, phagosome, cytokine-cytokine receptor interaction, efferocytosis, and PI3K-Akt (FDR<0. 05). Conclusions aging promotes IPF progression, which induces lung tissue senescence. The underlying mechanism may involve ECM remodeling driven by immunosenescence, inflammatory accumulation, and metabolic disorders.

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李书晴,王艳芳,莫丽莎,刘良徛,柯诗文.衰老与特发性肺纤维化的相关性及关联的分子机制[J].中国实验动物学报,2025,33(10):1403~1411.

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  • 收稿日期:2025-05-02
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