Go to The Journal of Clinical Investigation
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Transfers
  • Advertising
  • Job board
  • Contact
  • Physician-Scientist Development
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Immunology
    • Metabolism
    • Nephrology
    • Oncology
    • Pulmonology
    • All ...
  • Videos
  • Collections
    • In-Press Preview
    • Resource and Technical Advances
    • Clinical Research and Public Health
    • Research Letters
    • Editorials
    • Perspectives
    • Physician-Scientist Development
    • Reviews
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • In-Press Preview
  • Resource and Technical Advances
  • Clinical Research and Public Health
  • Research Letters
  • Editorials
  • Perspectives
  • Physician-Scientist Development
  • Reviews
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Transfers
  • Advertising
  • Job board
  • Contact
KLF4 is a therapeutically tractable brake on fibroblast activation that promotes resolution of pulmonary fibrosis
Loka R. Penke, … , Jared Baas, Marc Peters-Golden
Loka R. Penke, … , Jared Baas, Marc Peters-Golden
Published July 19, 2022
Citation Information: JCI Insight. 2022;7(16):e160688. https://doi.org/10.1172/jci.insight.160688.
View: Text | PDF
Research Article Pulmonology

KLF4 is a therapeutically tractable brake on fibroblast activation that promotes resolution of pulmonary fibrosis

  • Text
  • PDF
Abstract

There is a paucity of information about potential molecular brakes on the activation of fibroblasts that drive tissue fibrosis. The transcription factor Krüppel-like factor 4 (KLF4) is best known as a determinant of cell stemness and a tumor suppressor. We found that its expression was diminished in fibroblasts from fibrotic lung. Gain- and loss-of-function studies showed that KLF4 inhibited fibroblast proliferation, collagen synthesis, and differentiation to myofibroblasts, while restoring their sensitivity to apoptosis. Conditional deletion of KLF4 from fibroblasts potentiated the peak degree of pulmonary fibrosis and abrogated the subsequent spontaneous resolution in a model of transient fibrosis. A small molecule inducer of KLF4 was able to restore its expression in fibrotic fibroblasts and elicit resolution in an experimental model characterized by more clinically relevant persistent pulmonary fibrosis. These data identify KLF4 as a pivotal brake on fibroblast activation whose induction represents a therapeutic approach in fibrosis of the lung and perhaps other organs.

Authors

Loka R. Penke, Jennifer M. Speth, Steven K. Huang, Sean M. Fortier, Jared Baas, Marc Peters-Golden

×

Figure 6

Pharmacologic restoration of KLF4 attenuates peak fibrosis and promotes resolution in a model of persistent pulmonary fibrosis.

Options: View larger image (or click on image) Download as PowerPoint
Pharmacologic restoration of KLF4 attenuates peak fibrosis and promotes ...
(A) Schematic illustrating the timelines for in vivo administration of single-dose bleomycin and APTO-253 in a transient model of lung fibrosis and the determination of experimental endpoints at peak fibrosis (day 21). (B and C) Effect of APTO-253 administration in mice treated with and without bleomycin, as reflected by Masson’s trichrome staining for collagen deposition (stains blue) (B) and changes in the lung hydroxyproline content (C). (D) Schematic illustrating the timelines for in vivo administration of bleomycin in a 3-dose model characterized by persistent fibrosis and administration of APTO-253 during the fibrotic phase of this model beginning at day 42 and continuing until harvest at day 63. Effect of APTO-253 administration in mice treated with and without repeated bleomycin challenge, as reflected by changes in body weight (E), lung hydroxyproline content (F), Masson’s trichrome staining for collagen deposition (stains blue) (G), and expression of fibrotic markers Ctgf in whole lung tissue (H) and α-Sma in fibroblasts outgrown from lung tissue (I). Images in B and G are at original magnification of 40×, scale bar = 300 μm. In C, E, F, and H and I, each symbol represents an individual mouse. Results are expressed as mean ± SEM, n = 5–8 mice per group. *P < 0.05, 2-way ANOVA with Tukey’s multiple comparisons test.

Copyright © 2025 American Society for Clinical Investigation
ISSN 2379-3708

Sign up for email alerts