Distinct roles of KLF4 in mesenchymal cell subtypes during lung fibrogenesis

RR Chandran, Y Xie, E Gallardo-Vara, T Adams… - Nature …, 2021 - nature.com
Nature Communications, 2021nature.com
During lung fibrosis, the epithelium induces signaling to underlying mesenchyme to
generate excess myofibroblasts and extracellular matrix; herein, we focus on signaling in the
mesenchyme. Our studies indicate that platelet-derived growth factor receptor (PDGFR)-β+
cells are the predominant source of myofibroblasts and Kruppel-like factor (KLF) 4 is
upregulated in PDGFR-β+ cells, inducing TGFβ pathway signaling and fibrosis. In fibrotic
lung patches, KLF4 is down-regulated, suggesting KLF4 levels decrease as PDGFR-β+ cells …
Abstract
During lung fibrosis, the epithelium induces signaling to underlying mesenchyme to generate excess myofibroblasts and extracellular matrix; herein, we focus on signaling in the mesenchyme. Our studies indicate that platelet-derived growth factor receptor (PDGFR)-β+ cells are the predominant source of myofibroblasts and Kruppel-like factor (KLF) 4 is upregulated in PDGFR-β+ cells, inducing TGFβ pathway signaling and fibrosis. In fibrotic lung patches, KLF4 is down-regulated, suggesting KLF4 levels decrease as PDGFR-β+ cells transition into myofibroblasts. In contrast to PDGFR-β+ cells, KLF4 reduction in α-smooth muscle actin (SMA)+ cells non-cell autonomously exacerbates lung fibrosis by inducing macrophage accumulation and pro-fibrotic effects of PDGFR-β+ cells via a Forkhead box M1 to C-C chemokine ligand 2—receptor 2 pathway. Taken together, in the context of lung fibrosis, our results indicate that KLF4 plays opposing roles in PDGFR-β+ cells and SMA+ cells and highlight the importance of further studies of interactions between distinct mesenchymal cell types.
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