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Nanoscale dysregulation of collagen structure-function disrupts mechano-homeostasis and mediates pulmonary fibrosis.


ABSTRACT: Matrix stiffening with downstream activation of mechanosensitive pathways is strongly implicated in progressive fibrosis; however, pathologic changes in extracellular matrix (ECM) that initiate mechano-homeostasis dysregulation are not defined in human disease. By integrated multiscale biomechanical and biological analyses of idiopathic pulmonary fibrosis lung tissue, we identify that increased tissue stiffness is a function of dysregulated post-translational collagen cross-linking rather than any collagen concentration increase whilst at the nanometre-scale collagen fibrils are structurally and functionally abnormal with increased stiffness, reduced swelling ratio, and reduced diameter. In ex vivo and animal models of lung fibrosis, dual inhibition of lysyl oxidase-like (LOXL) 2 and LOXL3 was sufficient to normalise collagen fibrillogenesis, reduce tissue stiffness, and improve lung function in vivo. Thus, in human fibrosis, altered collagen architecture is a key determinant of abnormal ECM structure-function, and inhibition of pyridinoline cross-linking can maintain mechano-homeostasis to limit the self-sustaining effects of ECM on progressive fibrosis.

SUBMITTER: Jones MG 

PROVIDER: S-EPMC6029847 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Nanoscale dysregulation of collagen structure-function disrupts mechano-homeostasis and mediates pulmonary fibrosis.

Jones Mark G MG   Andriotis Orestis G OG   Roberts James Jw JJ   Lunn Kerry K   Tear Victoria J VJ   Cao Lucy L   Ask Kjetil K   Smart David E DE   Bonfanti Alessandra A   Johnson Peter P   Alzetani Aiman A   Conforti Franco F   Doherty Regan R   Lai Chester Y CY   Johnson Benjamin B   Bourdakos Konstantinos N KN   Fletcher Sophie V SV   Marshall Ben G BG   Jogai Sanjay S   Brereton Christopher J CJ   Chee Serena J SJ   Ottensmeier Christian H CH   Sime Patricia P   Gauldie Jack J   Kolb Martin M   Mahajan Sumeet S   Fabre Aurelie A   Bhaskar Atul A   Jarolimek Wolfgang W   Richeldi Luca L   O'Reilly Katherine Ma KM   Monk Phillip D PD   Thurner Philipp J PJ   Davies Donna E DE  

eLife 20180703


Matrix stiffening with downstream activation of mechanosensitive pathways is strongly implicated in progressive fibrosis; however, pathologic changes in extracellular matrix (ECM) that initiate mechano-homeostasis dysregulation are not defined in human disease. By integrated multiscale biomechanical and biological analyses of idiopathic pulmonary fibrosis lung tissue, we identify that increased tissue stiffness is a function of dysregulated post-translational collagen cross-linking rather than a  ...[more]

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