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Impaired AMPK control of alveolar epithelial cell metabolism promotes pulmonary fibrosis
Luis R. Rodríguez, … , Darrell N. Kotton, Michael F. Beers
Luis R. Rodríguez, … , Darrell N. Kotton, Michael F. Beers
Published July 1, 2025
Citation Information: JCI Insight. 2025;10(15):e182578. https://doi.org/10.1172/jci.insight.182578.
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Research Article Metabolism Pulmonology

Impaired AMPK control of alveolar epithelial cell metabolism promotes pulmonary fibrosis

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Abstract

Alveolar epithelial type II (AT2) cell dysfunction is implicated in the pathogenesis of familial and sporadic idiopathic pulmonary fibrosis (IPF). We previously demonstrated that expression of an AT2 cell–exclusive disease-associated protein isoform (SP-CI73T) in murine and patient-specific induced pluripotent stem cell–derived (iPSC-derived) AT2 cells leads to a block in late macroautophagy and promotes time-dependent mitochondrial impairments; however, how a metabolically dysfunctional AT2 cell results in fibrosis remains elusive. Here, using murine and human iPSC-derived AT2 cell models expressing SP-CI73T, we characterize the molecular mechanisms governing alterations in AT2 cell metabolism that lead to increased glycolysis, decreased mitochondrial biogenesis, disrupted fatty acid oxidation, accumulation of impaired mitochondria, and diminished AT2 cell progenitor capacity manifesting as reduced AT2 cell self-renewal and accumulation of transitional epithelial cells. We identify deficient AMPK signaling as a critical component of AT2 cell dysfunction and demonstrate that targeting this druggable signaling hub can rescue the aberrant AT2 cell metabolic phenotype and mitigate lung fibrosis in vivo.

Authors

Luis R. Rodríguez, Konstantinos-Dionysios Alysandratos, Jeremy Katzen, Aditi Murthy, Willy Roque Barboza, Yaniv Tomer, Sarah Bui, Rebeca Acín-Pérez, Anton Petcherski, Kasey Minakin, Paige Carson, Swati Iyer, Katrina Chavez, Charlotte H. Cooper, Apoorva Babu, Aaron I. Weiner, Andrew E. Vaughan, Zoltan Arany, Orian S. Shirihai, Darrell N. Kotton, Michael F. Beers

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Figure 1

Increased glycolysis in murine AT2 cells expressing SftpcI73T.

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Increased glycolysis in murine AT2 cells expressing SftpcI73T.
(A) Unsup...
(A) Unsupervised hierarchical clustering (Euclidean) heatmap of differentially expressed genes (DEGs; fold-change [FC] > 1.5; false discovery rate [FDR] < 0.05) in AT2I73T cells 3 days and 14 days after in vivo tamoxifen induction (n = 4 per group) versus AT2WT cells (age-matched C57B6/J mice, n = 8 by popRNA-Seq). A subset of DEGs is highlighted. STRING network analysis shows downregulation of genes associated with primary metabolic processes and lipid metabolism and upregulation of genes associated with proliferation and ECM organization in AT2I73T cells. (B) Reactome pathway analysis of DEGs in AT2I73T cells at 3 days and 14 days after tamoxifen induction demonstrates differential regulation of multiple metabolic pathways. (C) Schematic of rate-limiting enzymes in glycolysis pathway and individual graphs of normalized popRNA-Seq counts for highlighted genes in 3-day and 14-day AT2I73T and AT2WT cells. (D) Western blot of AT2WT and AT2I73T cells at peak of inflammation (14 days) and fibrosis (28 days) with densitometric quantification (mean±SEM; n = 3 biological replicates) showing differential LDHA and LDHB protein abundance. (E) Extracellular lactate and glucose concentrations (μM) in 48-hour ex vivo cultures of AT2I73T cells (28 days after in vivo tamoxifen) and AT2WT cells, measured by YSI biochemistry analyzer and normalized to total protein content (mean±SEM; n = 3 or 4 biological replicates). (F) Intracellular glucose, lactate, and pyruvate concentrations from 40,000 flow-sorted AT2 cells, reported as ratios to WT mean concentration (mean±SEM; n = 4 biological replicates). *P < 0.05, **P < 0.005, ***P < 0.0005, ****P < 0.00005 by ordinary 1-way ANOVA.

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