Abstract:
Objective To explore the possible mechanism of iron metabolism and macrophage polarization in pulmonary fibrosis based on TWEAK/Fn14 signaling pathway.
Methods Thirty rats were randomly divided into three groups: control group, pulmonary fibrosis group, and TWEAK low-expression group, with 10 rats in each group.RT-qPCR was used to measure mRNA levels of tumor necrosis factor-like weak inducer of apoptosis (TWEAK), fibroblast growth factor-inducible 14 (Fn14), ferroportin (FPN), ferritin heavy chain 1 (FTH1), CD206, and rrginase 1 (Arg1).Western blotting was performed to determine protein levels of TWEAK, Fn14, FPN, and FTH1.HE staining was applied to assess pathological changes in lung tissue.Masson staining was employed to evaluate pulmonary fibrosis.Commercial kit was used to measure Fe2+ and Fe3+ levels in lung tissue.Immunohistochemistry was conducted to detect protein levels of CD206 and Arg1 in lung tissue.
Results Compared with the control group, the lung tissue of rats in the pulmonary fibrosis group was obviously damaged, with thickened alveolar wall, fibroblast proliferation, abnormal alveolar structure disorder, and extensive collagen fiber deposition; the protein and mRNA levels of TWEAK, Fn14, FPN, and FTH1 in lung tissue were significantly increased (P < 0.01);the levels of Fe2+ and Fe3+ were markedly elevated (P < 0.01);the protein and mRNA levels of M2 macrophage markers CD206 and Arg1 were significantly increased (P < 0.01).Compared with the pulmonary fibrosis group, the pathological injury of lung tissue in the low expression TWEAK group was significantly improved, the deposition of collagen fibers was reduced; the protein and mRNA levels of TWEAK, Fn14, FPN, and FTH1 in lung tissue were significantly decreased (P < 0.01);the levels of Fe2+ and Fe3+ were markedly decreased (P < 0.01);the protein and mRNA levels of CD206 and Arg1 were significantly decreased (P < 0.01).
Conclusions Down-regulation of TWEAK/Fn14 signaling pathway can improve the pathological injury and fibrosis level of lung tissue in rats with pulmonary fibrosis, which may be related to the down-regulation of iron metabolism in lung tissue and inhibition of M2 macrophage polarization.