Fiche publication


Date publication

février 2015

Journal

Nature medicine

Auteurs

Membres identifiés du Cancéropôle Est :
Dr METZGER Daniel


Tous les auteurs :
Palumbo-Zerr K, Zerr P, Distler A, Fliehr J, Mancuso R, Huang J, Mielenz D, Tomcik M, Fürnrohr BG, Scholtysek C, Dees C, Beyer C, Krönke G, Metzger D, Distler O, Schett G, Distler JH

Résumé

Mesenchymal responses are an essential aspect of tissue repair. Failure to terminate this repair process correctly, however, results in fibrosis and organ dysfunction. Therapies that block fibrosis and restore tissue homeostasis are not yet available for clinical use. Here we characterize the nuclear receptor NR4A1 as an endogenous inhibitor of transforming growth factor-β (TGF-β) signaling and as a potential target for anti-fibrotic therapies. NR4A1 recruits a repressor complex comprising SP1, SIN3A, CoREST, LSD1, and HDAC1 to TGF-β target genes, thereby limiting pro-fibrotic TGF-β effects. Even though temporary upregulation of TGF-β in physiologic wound healing induces NR4A1 expression and thereby creates a negative feedback loop, the persistent activation of TGF-β signaling in fibrotic diseases uses AKT- and HDAC-dependent mechanisms to inhibit NR4A1 expression and activation. Small-molecule NR4A1 agonists can overcome this lack of active NR4A1 and inhibit experimentally-induced skin, lung, liver, and kidney fibrosis in mice. Our data demonstrate a regulatory role of NR4A1 in TGF-β signaling and fibrosis, providing the first proof of concept for targeting NR4A1 in fibrotic diseases.

Mots clés

Adolescent, Adult, Aged, Animals, Case-Control Studies, Cells, Cultured, Co-Repressor Proteins, metabolism, Female, Fibroblasts, metabolism, Fibrosis, Histone Deacetylase 1, metabolism, Histone Demethylases, metabolism, Humans, Idiopathic Pulmonary Fibrosis, metabolism, Liver, metabolism, Liver Cirrhosis, Alcoholic, metabolism, Lung, metabolism, Male, Mice, Mice, Knockout, Middle Aged, Nuclear Receptor Subfamily 4, Group A, Member 1, genetics, Repressor Proteins, metabolism, Scleroderma, Systemic, metabolism, Signal Transduction, Skin, cytology, Sp1 Transcription Factor, metabolism, Transforming Growth Factor beta, metabolism, Wound Healing, Young Adult

Référence

Nat. Med.. 2015 Feb;21(2):150-8