Fibroblast growth factor receptor 3 activates a network of profibrotic signaling pathways to promote fibrosis in systemic sclerosis

D Chakraborty, H Zhu, A Jüngel, L Summa… - Science translational …, 2020 - science.org
D Chakraborty, H Zhu, A Jüngel, L Summa, YN Li, AE Matei, X Zhou, J Huang, T Trinh-Minh…
Science translational medicine, 2020science.org
Aberrant activation of fibroblasts with progressive deposition of extracellular matrix is a key
feature of systemic sclerosis (SSc), a prototypical idiopathic fibrotic disease. Here, we
demonstrate that the profibrotic cytokine transforming growth factor β selectively up-
regulates fibroblast growth factor receptor 3 (FGFR3) and its ligand FGF9 to promote
fibroblast activation and tissue fibrosis, leading to a prominent FGFR3 signature in the SSc
skin. Transcriptome profiling, in silico analysis and functional experiments revealed that …
Aberrant activation of fibroblasts with progressive deposition of extracellular matrix is a key feature of systemic sclerosis (SSc), a prototypical idiopathic fibrotic disease. Here, we demonstrate that the profibrotic cytokine transforming growth factor β selectively up-regulates fibroblast growth factor receptor 3 (FGFR3) and its ligand FGF9 to promote fibroblast activation and tissue fibrosis, leading to a prominent FGFR3 signature in the SSc skin. Transcriptome profiling, in silico analysis and functional experiments revealed that FGFR3 induces multiple profibrotic pathways including endothelin, interleukin-4, and connective tissue growth factor signaling mediated by transcription factor CREB (cAMP response element–binding protein). Inhibition of FGFR3 signaling by fibroblast-specific knockout of FGFR3 or FGF9 or pharmacological inhibition of FGFR3 blocked fibroblast activation and attenuated experimental skin fibrosis in mice. These findings characterize FGFR3 as an upstream regulator of a network of profibrotic mediators in SSc and as a potential target for the treatment of fibrosis.
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