Abstract

Endoplasmic reticulum (ER) stress is considered one of the pathological mechanisms of idiopathic pulmonary fibrosis (IPF). Therefore, we examined whether an ER stress regulator, Bax inhibitor-1 (BI-1), regulates collagen accumulation, which is both a marker of fibrosis and a pathological mechanism of fibrosis. The presence of BI-1 inhibited the transforming growth factor-β1-induced epithelial–mesenchymal transition of epithelial pulmonary cells and bleomycin-induced pulmonary fibrosis in a mouse model by enhancing collagen degradation, most likely by enhanced activation of the lysosomal V-ATPase through glycosylation. We also found a correlation between post-translational glycosylation of the V-ATPase and its associated chaperone, calnexin, in BI-1-overexpressing cells. BI-1-induced degradation of collagen through lysosomal V-ATPase glycosylation and the involvement of calnexin were confirmed in a bleomycin-induced fibrosis mouse model. These results highlight the regulatory role of BI-1 in IPF and reveal for the first time the role of lysosomal V-ATPase glycosylation in IPF.

Highlights

  • After an acute lung injury, lung epithelial cells regenerate and replace necrotic or apoptotic cells

  • A recent study proposed that endoplasmic reticulum (ER) stress is involved in Idiopathic pulmonary fibrosis (IPF) and that chemical regulation of ER stress may be a potential therapy for IPF.[19]

  • We examined the effect of the endogenous ER stress regulator, Bax inhibitor-1 (BI-1), on the transforming growth factor (TGF)-b1-induced epithelial–mesenchymal transition (EMT), in an in vitro model of IPF

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Summary

Introduction

After an acute lung injury, lung epithelial cells regenerate and replace necrotic or apoptotic cells. ER stress response is regulated by Bax inhibitor-1 (BI-1), an anti-apoptotic protein capable of inhibiting Bax activation and translocation to the mitochondria.[12] Physiologically, BI-1 is linked to the dynamic Ca2 þ environment of the ER.[13,14] Dynamic Ca2 þ status is linked to chaperones, such as calnexin and calreticulin.[15] Calnexin has an important role in glycoprotein folding as a lectin-like chaperone;[16] together with calreticulin, it performs quality control by retaining incompletely folded or misfolded proteins in the ER.[17,18] Our hypothesis was that the expression levels of BI-1-associated ER chaperones change according to the dynamic Ca2 þ status in BI-1-overexpressing cells (BI-1 cells), leading to an increase in the folding capacity of the ER. We examined BI-1-associated ER stress regulation and the intraER protein folding process in both in vitro and in vivo fibrosis models

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