Cited by 153Interstitial Lung Diseases and Idiopathic Pulmonary FibrosisSystemic Sclerosis and Related DiseasesPulmonary Hypertension Research and Treatments

Activation of JUN in fibroblasts promotes pro-fibrotic programme and modulates protective immunity

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Cui, Lu, Chen, Shih-Yu, Lerbs, Tristan, Lee, Jin-Wook, Domizi, Pablo, Gordon, Sydney, Kim, Yong-hun, Nolan, Garry +2 more·2020·Nature Communications

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Abstract

The transcription factor JUN is highly expressed in pulmonary fibrosis. Its induction in mice drives lung fibrosis, which is abrogated by administration of anti-CD47. Here, we use high-dimensional mass cytometry to profile protein expression and secretome of cells from patients with pulmonary fibrosis. We show that JUN is activated in fibrotic fibroblasts that expressed increased CD47 and PD-L1. Using ATAC-seq and ChIP-seq, we found that activation of JUN rendered promoters and enhancers of CD47 and PD-L1 accessible. We further detect increased IL-6 that amplified JUN -mediated CD47 enhancer activity and protein expression. Using an in vivo mouse model of fibrosis, we found two distinct mechanisms by which blocking IL-6, CD47 and PD-L1 reversed fibrosis, by increasing phagocytosis of profibrotic fibroblasts and by eliminating suppressive effects on adaptive immunity. Our results identify specific immune mechanisms that promote fibrosis and suggest a therapeutic approach that could be used alongside conventional anti-fibrotics for pulmonary fibrosis.

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References 63 · Cited by 153

Authors
Cui, L., Chen, S.-Y., Lerbs, T., Lee, J.-W., Domizi, P., Gordon, S., Kim, Y.-H., Nolan, G., Betancur, P., & Wernig, G.
Affiliations
  • Stanford Medicine (US)
  • Institute of Biomedical Sciences, Academia Sinica (TW)
  • University of California, San Francisco (US)
Corresponding author
Wernig, Gerlinde
Venue
Nature Communications
Published
2020-06-03
Volume
11
Issue
1
Pages
2795-2795
ISSN
2041-1723 (ISSN-L)
OpenAlex
W3029242248
Cited by
153
References
63
Citations by year
2026: 15 · 2025: 28 · 2024: 33 · 2023: 19 · 2022: 21 · 2021: 31 · 2020: 4 · 2015: 1
FWCI
10.97
Type
journal article
Language
en
Open access
Locations
  • Nature Communications (publishedVersion, cc-by)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Scleroderma Research Foundation (SPO 134886)
  • U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (SPO 132801)
  • Boehringer Ingelheim (SPO 136135)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Systemic Sclerosis and Related Diseases
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pulmonary Hypertension Research and Treatments
Keywords
JUN transcription factor, pulmonary fibrosis, fibroblasts, CD47, PD-L1, interleukin-6, enhancer accessibility, phagocytosis, adaptive immunity, fibroblast secretome, antifibrotic therapy
MeSH terms
Animals, Fibroblasts, Humans, Immunity, Immunosuppression Therapy, Macrophages, Phenotype, Pulmonary Fibrosis, T-Lymphocytes, Interleukin-6, Proto-Oncogene Proteins c-jun, Bronchoalveolar Lavage, Mice, CD47 Antigen, B7-H1 Antigen

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