Tissue fibroblasts are a critical source of prostacyclin and anti-thrombotic protection

Abstract

Prostacyclin is an anti-thrombotic hormone long considered to be derived from the vascular endothelium. However, the role of non-vascular sources for prostacyclin synthesis has not been systematically evaluated due to a lack of tools. Here we used cell-specific knockout mice and human tissues to show that lung, and other tissues, are powerful producers of prostacyclin independent of their vascular components. Instead, in mice and humans, lung prostacyclin synthesis is associated with fibroblasts. The fibroblast-derived prostaglandins enter the circulation and provide systemic anti-thrombotic protection. These observations define a new paradigm in prostacyclin biology in which fibroblast/non-vascular-derived prostacyclin works in parallel with prostaglandins produced by the endothelium to control cardiovascular health. These results may explain how local diseases of the lung and elsewhere result in cardiovascular risk.