2018
DOI: 10.1038/s41598-018-36063-2
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HIF-1α triggers ER stress and CHOP-mediated apoptosis in alveolar epithelial cells, a key event in pulmonary fibrosis

Abstract: Endoplasmic Reticulum (ER) stress of alveolar epithelial cells (AECs) is recognized as a key event of cell dysfunction in pulmonary fibrosis (PF). However, the mechanisms leading to AECs ER stress and ensuing unfolded protein response (UPR) pathways in idiopathic PF (IPF) remain unclear. We hypothesized that alveolar hypoxic microenvironment would generate ER stress and AECs apoptosis through the hypoxia-inducible factor-1α (HIF-1α). Combining ex vivo, in vivo and in vitro experiments, we investigated the effe… Show more

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Cited by 120 publications
(87 citation statements)
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“…Despite the fact that previous studies reported the hypoxia-related induction of BIP expression [ 7 , 60 , 61 , 62 ], we found that BiP mRNA levels were reduced after a 12 h exposure to hypoxia. Furthermore, the significant accumulation of apoptotic CHOP ( DDIT3) mRNA was observed only in cells exposed to hypoxia for 24 h. Although CHOP accumulation and the potential induction of an apoptotic response were observed in some hypoxia experiments (including lung endothelial cells) [ 63 , 64 ], these protein and mRNA levels were much lower than those observed during ER stress [ 19 ]. Furthermore, we did not observe the accumulation of XBP1s that could have suggested the UPR-related activation of IRE1 signaling.…”
Section: Discussionmentioning
confidence: 99%
“…Despite the fact that previous studies reported the hypoxia-related induction of BIP expression [ 7 , 60 , 61 , 62 ], we found that BiP mRNA levels were reduced after a 12 h exposure to hypoxia. Furthermore, the significant accumulation of apoptotic CHOP ( DDIT3) mRNA was observed only in cells exposed to hypoxia for 24 h. Although CHOP accumulation and the potential induction of an apoptotic response were observed in some hypoxia experiments (including lung endothelial cells) [ 63 , 64 ], these protein and mRNA levels were much lower than those observed during ER stress [ 19 ]. Furthermore, we did not observe the accumulation of XBP1s that could have suggested the UPR-related activation of IRE1 signaling.…”
Section: Discussionmentioning
confidence: 99%
“…Thus, the increased severity of pulmonary fibrosis in old mice was associated with increased numbers of profibrotic monocyte-derived alveolar macrophages. Chronic activation of the integrated stress response (ISR) during aging has been linked to the development of pulmonary fibrosis (33)(34)(35)(36). We treated young mice with a small molecule inhibitor of the integrated stress response, ISRIB (25 mg/kg via intraperitoneal injections) or vehicle daily starting at day 7 after instillation of bleomycin, when acute lung injury is largely resolved and active fibrogenesis has begun, and continued until harvest at day 28 ( Figure 3A).…”
Section: Resultsmentioning
confidence: 99%
“…The proapoptotic, ER-stress-related transcription factor CHOP is present at low levels under physiological conditions but is highly upregulated in response to ER stress [ 15 , 21 ], hypoxia [ 26 , 27 ], or DNA damage [ 28 ], which may also lead to misfolded protein accumulations and UPR activation [ 26 – 28 ]. CHOP expression is mainly regulated at the transcriptional level [ 29 ].…”
Section: Discussionmentioning
confidence: 99%