Chronic Activation of the Renin-Angiotensin System Induces Lung Fibrosis
Open accessAbstract
Pulmonary fibrosis is a serious lung disorder that can lead to respiratory failure. Here we show that transgenic mice expressing active renin from the liver (RenTgMK) developed progressive pulmonary fibrosis leading to impaired pulmonary function. Histological analyses revealed a marked increase in extracellular matrix (ECM) deposition and decrease in alveolar size in the lungs of RenTgMK mice compared to wild-type (WT) littermates, accompanied with increased expression of ECM proteins and fibrogenic factors. The increase in lung fibrosis led to a substantial decrease in respiratory system compliance. Two-week treatment with aliskiren (renin inhibitor) or losartan (AT1 antagonist) ameliorated pulmonary ECM deposition, blocked the induction of ECM proteins and fibrogenic factors and improved respiratory compliance in RenTgMK mice, confirming a critical role of the renin-Ang II-AT1 cascade in promoting pulmonary fibrogenesis. However, when RenTgMK mice were treated with hydralazine (a smooth muscle relaxant), the blood pressure was normalized but the lung fibrotic abnormalities, fibrogenic gene induction and pulmonary elasticity were not corrected. Moreover, intratracheal instillation of lipopolysaccharide induced more severe lung injury in RenTgMK mice compared to WT littermates. These observations demonstrate that the renin-angiotensin system is a key mediator of lung fibrosis and its pro-fibrotic effect is independent of blood pressure.
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RAAS mediates key events of COVID-19, including viral entry in the cell, inflammation, and lung fibrosis.
“RAAS mediates key events of the disease, including viral entry in the cell [112, 113], inflammation, and lung fibrosis [114].”
From Hyperactivation of P2X7 receptors as a culprit of COVID-19 neuropathology (2021) · cites this paper as [114]
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- Authors
- Wang, J., Chen, L., Chen, B., Meliton, A., Liu, S. Q., Shi, Y., Liu, T., Deb, D. K., Solway, J., & Chun Li, Y.
- Affiliations
- University of Chicago (US)
- Sheng Jing Hospital (CN)
- Northwestern University (US)
- Venue
- Scientific Reports
- Published
- 2015-10-23
- Volume
- 5
- Issue
- 1
- Pages
- 15561-15561
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC4616037
- OpenAlex
- W2410545784
- Cited by
- 70
- References
- 34
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 7 · 2023: 9 · 2022: 2 · 2021: 11 · 2020: 15 · 2019: 8 · 2018: 6 · 2017: 4 · 2016: 1
- FWCI
- 2.90
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Georgia Clinical and Translational Science Alliance
- National Institutes of Health (UL1TR000430)
- National Cancer Institute (R01CA180087)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Renin-Angiotensin System Studies
- Health Sciences › Medicine › Pathology and Forensic Medicine › Systemic Sclerosis and Related Diseases
- Keywords
- pulmonary fibrosis, renin-angiotensin system, angiotensin II, angiotensin II type 1 receptor, aliskiren, losartan, hydralazine, extracellular matrix deposition, fibrogenic factors, respiratory compliance, lipopolysaccharide-induced lung injury, transgenic mice, renin overexpression
- MeSH terms
- Angiotensin II, Animals, Hypertension, Mice, Transgenic, Pulmonary Fibrosis, Renin-Angiotensin System, Disease Progression, Receptor, Angiotensin, Type 2, Mice
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