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;2.江西中医药大学附属医院

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国家自然科学基金项目(青年项目), 江西省2024年研究生创新专项,江西省自然科学基金,江西省中医肺科学重点实验室,江西中医药大学校级科技创新团队发展计划


Molecular Mechanisms Association between Aging and Idiopathic Pulmonary Fibrosis Pathogenesis
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Affiliation:

1.Jiangxi University of Chinese Medicine;2.Affiliated Hospital of Jiangxi University of Chinese Medicine

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the National Natural Science Foundation of China, the 2024 Graduate Innovation Special Project of Jiangxi Province, the Natural Science Foundation of Jiangxi Province, Jiangxi Province Key Laboratory of Traditional Chinese Medicine - Pulmonary Science, and Jiangxi University of Chinese Medicine Science and Technology Innovation Team Development Program

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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 构建青年(2月龄)和老年(18月龄)C57BL/6J小鼠IPF模型,分别随机分为青年对照组(Ctrl-Y)、青年模型组(IPF-Y)、老年对照组(Ctrl-A)和老年模型组(IPF-A)。采用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。基于全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qRT-PCR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COL1A1、α-SMA和FN蛋白表达较IPF-Y组分别显著增加16 %、36 %和25 %(均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 uncover the underlying molecular mechanisms linking the two. Methods IPF models were established using young (2-month-old) and aged (18-month-old) C57BL/6J mice, which were randomly divided into young control group (Ctrl-Y), young model group (IPF-Y), aged control group (Ctrl-A), and aged model group (IPF-A). Histopathological changes were evaluated using HE and Masson staining. Immunohistochemistry was used to detect the expression levels of COL1A1, α-SMA, and FN. SA-β-Gal staining was employed to assess the degree of senescence. Differential genes were screened based on whole transcriptome sequencing, followed by GO functional annotation and KEGG pathway enrichment analysis. The expression of core genes was verified by qRT-PCR. Results The fibrosis score in the IPF-A group was significantly higher than that in the IPF-Y group (P<0.05). Compared to the IPF-Y group, the protein expressions of COL1A1, α-SMA, and FN in the IPF-A group were significantly upregulated by 16 %, 36 %, and 25 %, respectively (all P<0.05), and the SA-β-Gal positive area for senescence was significantly higher than that 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 ECM-receptor interaction, Phagosome, Cytokine-cytokine receptor interaction, Efferocytosis, and PI3K-Akt (FDR<0.05). Conclusions Aging promotes the progression of IPF, and IPF can induce lung tissue senescence. The mechanism may be related to ECM remodeling driven by immunosenescence, inflammatory accumulation, and metabolic disorders.

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  • 收稿日期:2025-05-02
  • 最后修改日期:2025-08-28
  • 录用日期:2025-09-05
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