Myeloid Fbxw7 Prevents Pulmonary Fibrosis by Suppressing TGF-β Production.

Idiopathic pulmonary fibrosis (IPF) is a group of chronic interstitial pulmonary diseases characterized by an inexorable decline in lung function with limited treatment options. The abnormal expression of transforming growth factor-β (TGF-β) in profibrotic macrophages is linked to severe pulmonary fibrosis, but the regulation mechanisms of TGF-β expression are incompletely understood. We found that decreased expression of E3 ubiquitin ligase Fbxw7 in peripheral blood mononuclear cells (PBMCs) was significantly related to the severity of pulmonary fibrosis in IPF patients. Fbxw7 is identified to be a crucial suppressing factor for pulmonary fibrosis development and progression in a mouse model induced by intratracheal bleomycin treatment. Myeloid cell-specific Fbxw7 deletion increases pulmonary monocyte-macrophages accumulation in lung tissue, and eventually promotes bleomycin-induced collagen deposition and progressive pulmonary fibrosis. Notably, the expression of TGF-β in profibrotic macrophages was significantly upregulated in myeloid cell-specific Fbxw7 deletion mice after bleomycin treatment. C-Jun has long been regarded as a critical transcription factor of Tgfb1, we clarified that Fbxw7 inhibits the expression of TGF-β in profibrotic macrophages by interacting with c-Jun and mediating its K48-linked ubiquitination and degradation. These findings provide insight into the role of Fbxw7 in the regulation of macrophages during the pathogenesis of pulmonary fibrosis.

Introduction

Idiopathic pulmonary fibrosis (IPF) is a lung disease characterized by fibroblast hyperproliferation and extracellular matrix (ECM) deposition (1), which can cause pulmonary fibrosis and eventually lead to respiratory failure. However, the etiology of IPF remains unclear. Transforming growth factor-β (TGF-β) is one of the best-characterized pro-fibrotic factors (2). In mammals, there are three isoforms of TGF-β (TGF-β1, TGF-β2, and TGF-β3), of which TGF-β1 most closely related to the development of IPF (2). Disturbances of the pulmonary microenvironment induced by TGF-β are critical to promote the recruitment of circulating fibrocytes and bone marrow–derived progenitor cells to the lung (3), and enhance the pro-fibrotic capacities of these cells or induce their differentiation into activated myofibroblasts (4), eventually leading to the typical IPF symptoms like ECM deposition and abnormal collagen accumulation (5). Moreover, TGF-β1 induces macrophage recruitment and stimulates the expression of several pro-inflammatory and profibrogenic cytokines in macrophages, such as TNF-α and IL-1β (5). IPF patients have much higher TGF-β1 mRNA expression in profibrotic macrophages compared to normal volunteers (6, 7). Previous studies have reported that TGF-β1 expression can be induced by cytokines, such as IL-1β, TNF-α (8), IL-13 (9, 10) and IL-24 (11), the increased generation of ROS also induces TGF-β1 production (12). Moreover, the activation of TGF-β1 in fibrotic disorders can be induced by multiple factors, such as matrix metalloproteinases (MMP) 3 and MMP9 (13), thrombospodin-1 (14) and integrins αVβ6 (15). TGF-β1 signaling pathways and their downstream signal transduction mechanisms have been extensively studied, but there are few reports involved in the regulation mechanism of TGF-β1 expression.

Pulmonary macrophages derived from blood monocytes and classified into CD64+SiglecF+ alveolar macrophages (AMs) and CD11b+CD206+ interstitial macrophages (IMs) based on the different anatomical locations (16), both of those macrophage subsets derived from blood monocytes have been known to play a crucial role in IPF pathogenesis. Pulmonary macrophages polarized into alternatively activated anti-inflammatory phenotypes to promote tissue repair and fibrosis after lung injury (17). Aberrant immune function of anti-inflammatory macrophages present profibrogenic phenotypes, which induce the dysfunction of wound repair and accumulate in fibrotic lung, further support fibrogenesis of lung by generating reactive oxygen species (ROS) (6), contributing to collagen synthesis and ECM remodeling. Increased accumulation of profibrotic AMs have been detected in lung of IPF patients (6). During lung fibrogenesis, profibrotic macrophages release soluble factors to create and sustain the profibrotic lung microenvironment (18–20), such as TGF-β1, CCL8 (21), IGF-I (22), PDGF (23), and arginase 1 (24). In contrast, loss of profibrotic macrophages promotes the resolution of established pulmonary fibrosis (25) and the reduction of lung collagen deposition (26). Importantly, in rodents with bleomycin-induced lung fibrosis, pulmonary macrophages have been demonstrated to be the predominant source of profibrogenic mediator TGF-β (27). However, the specific mechanism of TGF-β1 secreted by macrophages in the pathogenesis of IPF is remain poorly understood.

F-box and WD repeat domain–containing 7 (Fbxw7) is a member of the F-box protein family, which is a component of the SKP1-cullin-F-box-protein (SCF) ubiquitin ligase complex. Many studies have shown that Fbxw7 is a tumor suppressor by targeting c-Myc, Notch, MCL1 and c-Jun (28). Fbxw7 mutation was detected in squamous cell carcinoma developed on IPF (29). Fbxw7 also participates in the regulation of Parkinson’s disease (30) and circadian rhythm (31). Moreover, Fbxw7 controls neural stem cell differentiation (32) and myelination (33). Fbxw7 has immunoregulatory capacities, it controls effector T cell polyfunctionality and survival in tumor environment by inhibiting Notch activation (34). Our previous studies have shown that Fbxw7 enhances antiviral innate immune response (35) and aggravate intestinal inflammation (36). These observations implicate that Fbxw7 may act as a transducer of tissue microenvironment, regulating the plastic function of macrophages. In this work, we further investigated the function of Fbxw7 in pulmonary macrophages during the pathogenesis of IPF. Our findings demonstrate that Fbxw7 expression decreased significantly in peripheral blood mononuclear cells (PBMCs) of IPF patients and lung tissues of the mice model of bleomycin-induced fibrosis. Fbxw7 deletion in myeloid cells increased the release of fibrogenic factors and the recruitment of monocytes into lung tissues. In terms of the mechanism, the Fbxw7 deletion promoted the TGF-β expression in macrophages through reducing c-Jun ubiquitination, thereby aggravating the severity of pulmonary fibrosis.

Materials and Methods

Mice Information

Fbxw7 mice (C57BL/6J background) were obtained from Jackson Laboratories. LysM-Cre mice C57BL/6J were kindly provided by Dr. Ximei Wu (Zhejiang University School of Medicine, Hangzhou, China). LysM mice were generated by crossing Fbxw7 mice with LysM-Cre transgenic mice as previously described (36). All mice were bred at the laboratory animal center of Zhejiang University under specific pathogen-free conditions. In all experiments, age-matched (8-12 week) mice were randomized into the experimental or control groups. All animal experiments were performed according to the protocol approved by the Animal Ethics Committee of Zhejiang University and were in compliance with institutional guidelines.

Cell Culture and DNA Transfection

Bone marrow cells were isolated by flushing femurs and tibias of 6- to 8-week-old mice with PBS and differentiated into BMDMs in RPMI-1640 medium with 10% (vol/vol) FCS and 10 ng/ml recombinant mouse M-CSF (R&D, 416-ML). To induce M2 macrophages, BMDMs were stimulated by adding the recombinant mouse IL-4 (30 ng/ml, PeproTech, 214-14). Proteasome inhibitors MG132 (M8699), protein synthesis inhibitor CHX (C4859), and JNK inhibitor SP600125 (420119) were from Sigma-Aldrich. TGF-β neutralizing antibody (MAB1835) and mouse IgG1 isotype control (MAB002) were from R&D systems.

Mouse embryonic fibroblast cell line (MEF) was obtained from American Type Culture Collection (ATCC) and maintained in Dulbecco’s modified Eagle medium (DMEM) with 10% fetal bovine serum (FBS; BI). Murine macrophage-like RAW264.7 cells were cultured in RPMI 1640 medium with 10% fetal bovine serum (FBS; BI), 100 U/ml penicillin and 100 mg/ml streptomycin in an atmosphere of humidified 5% CO2 at 37°C.

Recombinant vectors encoding mouse c-Jun (NM_010591) were cloned into pcDNA3.1-c-Myc eukaryotic expression vector. The RAW264.7 cells (3 × 105 cells/well, in 24-well plate) were incubated with NATE™ (In vivogen, lyec-nate) for 30 min to enhance the transfection efficiency and transient expression of target plasmid. Then RAW264.7 cells were transfected with c-Jun plasmid (Roche, FuGENE HD Reagent) and treated with IL-4 for the indicated time.

Co-Culture Experiments

MEF cells (2×105) were cultured in the lower chamber and macrophages (5×105) were added to the upper chamber of a 12-well transwell apparatus (0.4 mm pore size, Costar, Cambridge, MA). The MEF were subjected to the further analysis at 48 h after co-culturing.

Induction of Pulmonary Fibrosis

An experimental pulmonary fibrosis model was established using the direct endotracheal injection of bleomycin (37). Briefly, 6- to 8-week-old C57BL/6 mice were anesthetized with pentobarbital by intraperitoneal injections. Neck area of mice was sterilized using povidone-iodine swabs after depilation of hairs, and 1 cm midline incision was made with sterile scissors. Intratracheal administration of 3.5 mg/kg bleomycin hydrochloride (Hisun-Pfizer Pharmaceuticals, Taizhou, China) in sterile PBS, an equal volume of sterile PBS for controls by using 1 ml syringe fitted with a 26 G needle (carefully insert the needle into the visualized trachea and rapidly inject the bleomycin solution during a single inspiration). The incision was closed with surgical sutures after withdrawing the needle. The mice were placed on warmer pads and monitored until fully awake. Mouse lung tissues were sacrificed at 14 days and 21 days post-bleomycin injection for subsequent experiments.

LPS induced pulmonary injury model (38, 39) were established using the direct endotracheal injection of 5 mg/kg LPS (Sigma-Aldrich, St. Louis, Missouri, USA). Mouse lung tissues were sacrificed at 10 days post-LPS injection for subsequent experiments.

Flow Cytometry

Cells were stained with fluorochrome-labeled mAbs and analyzed with an LSRII flow cytometer (BD). Flow cytometric analysis was performed using FlowJo software. The following fluorochrome-labeled mAbs were purchased from Biolegend, Inc. and used according to the manufacturers’ protocols: anti-CD11b-FITC (101205, RRID: AB_312788), anti-CD206-APC (141707, RRID: AB_10896057), anti-Ly6C-APC-Cy7 (128026, RRID: AB_10640120), anti-Ly6G-PE (127608, RRID: AB_1186099), anti-F4/80-Brilliant Violet 421 (123132, RRID: AB_11203717), anti-CD64-PE (139303, RRID: AB_10613467), and anti-Siglec-F-APC (155507, RRID: AB_2750236).

Immunoprecipitation and Immunoblot Analysis

Immunoprecipitation, SDS-PAGE and immunoblot analysis were performed according to a standard protocol as described previously (35). The following antibodies were used according to the manufacturers’ protocols: anti-Fbxw7 (Abcam, ab12292, RRID: AB_442966), anti-Lys48-specific linked polyubiquitin (MilliporeSigma, 05-1307, RRID: AB_1587578), anti-c-Jun (CST, #9165S, RRID: AB_2130165), anti-p65 (CST, #8242, RRID: AB_10859369), anti-p-p65 (CST, #3036, RRID: AB_331281), Collagen-I(Abcam, ab34710, RRID: AB_731684), Collagen-III (Abcam, ab7778, RRID: AB_306066), EGR-1 (CST, #4154S, RRID: AB_2097035). The PVDF membranes were incubated with corresponding primary antibodies followed by horseradish peroxidase-linked secondary antibodies. The images were developed and captured using Chemiluminescence imaging system (ChemiScope 3000 Mini, Clinx Science Instruments Co., Ltd). Relative quantities of target protein were determined comparing to β-actin expression using densitometric analysis (ImageJ 1.52v). The standard deviation was calculated for biological duplicates.

Lung Histology

Lungs from bleomycin-treated or control mice were dissected, fixed in 10% phosphate-buffered formalin, and embedded into paraffin. Tissue sections were stained with H&E for morphological analysis and with Masson’s trichrome for the detection of collagen fibers according to the manufacturers’ instructions (Nanjing Jiancheng, Nanjing, China). The Szapiel’s score was used to evaluate the severity of fibrosis using the following criteria (40): none (0), no evidence of fibrosis; mild (1), <20% of the lung affected; moderate (2), 20%–50% affected; severe (3), >50% affected.

Hydroxyproline Assay

To assess collagen synthesis in the lung, pulmonic hydroxyproline levels were determined using a hydroxyproline assay kit obtained from Jiancheng Bioengineering Institute (Nanjing, China), according to manufacturer’s instructions. Hydroxyproline content was expressed as μg/mg lung wet weight.

Quantitative RT-PCR

Total RNA was extracted from tissues or cells using RNAiso Plus (TakaRa), and then reversely transcribed to cDNA using the PrimeScript RT reagent kit (TaKaRa) with random primers according to the manufacturer’s instructions. Quantitative PCR was performed using KAPA SYBR Green (SYBR Green Fast qPCR Master Mix) on CFX96 Touch™ Real-Time PCR Detection System (BioRad). Expression data were normalized to the mRNA levels of the β-actin gene and calculated using the 2−ΔΔCt method (41). The sequences for primers were listed in .

ELISA

The levels of mouse TGF-β in bronchoalveolar lavage fluid (BALF) or culture supernatants were measured with ELISA kits (Invitrogen, 88-8350-88) according to the manufacturer’s instructions.

Statistical Analysis

Statistical analysis was performed with GraphPad Prism 7.0. All data are shown as mean ± SD. The comparisons of two experimental groups were determined using an unpaired, 2-tailed student’s t-test. Multiple comparisons were assessed by one-way ANOVA with Tukey’s multiple comparisons test. P-values less than 0.05 were considered significant.

Results

Decreased Expression of Fbxw7 Is Related to IPF

We first investigated whether Fbxw7 was related to the development of IPF, the expression level of Fbxw7 from IPF patients was analyzed in the data from Gene Expression Omnibus (GEO) database (GSE70867) (42). The result showed that Fbxw7 mRNA expression in bronchoalveolar lavage (BAL) cells of IPF patients was significantly lower than that in healthy controls ( ). In another database of microarray expression profiling of PBMCs from IPF patients in the training cohort (GSE132607) (43), Fbxw7 mRNA expression level in 12-months IPF patients was significantly lower than that in baseline, 4-months, and 8-months IPF patients ( ). We then used the bleomycin-induced mouse model of pulmonary fibrosis to observe the expression of Fbxw7 in lung tissues ( ) and peripheral blood monocytes ( ). qRT-PCR results showed that the expression level of Fbxw7 was significantly reduced after 21 days of intratracheal bleomycin administration compared to the PBS controls. Moreover, the expression of Fbxw7 in the macrophages in mice pulmonary fibrosis tissue was markedly decreased compared with those in healthy control subjects detected by immunofluorescence staining ( ). These results suggest that the decreased expression of Fbxw7 is associated with the formation of pulmonary fibrosis.

Figure 1

Decreased Fbxw7 expression is related to pulmonary fibrosis. (A) Fbxw7 mRNA expression in bronchoalveolar lavage (BAL) cells from healthy donors (n=48) and from IPF patients (n=176), the data were collected from GEO database (GSE70867), P value was obtained using two-tailed Student’s t test, ****P < 0.0001. (B) Fbxw7 mRNA expression in PBMCs from baseline (n=74), 4 months (4 mo, n=74), 8 months (8 mo, n=68) and 12 months (12 mo, n=60) IPF patients, the data were collected from the GEO database (GSE132607). Statistical significance was assessed by one-way ANOVA with Tukey’s multiple comparisons test, **P < 0.01. qRT-PCR analysis of lung tissues (C) and peripheral blood monocytes (D) obtained from mice after 21 days of bleomycin-induced lung injury and healthy controls. Data are expressed as mean ± SD of biological duplicates (n=3) and are representative of three independent experiments. P value was obtained using two-tailed Student’s t test, *P < 0.05, **P < 0.01. (E) Immunofluorescence staining for FBXW7 (red), CD68 (green), and DAPI for nuclei (blue) in lung tissues obtained from mice after 21 days of bleomycin-induced lung injury and healthy control mice. Scale bars: 20 μm. Data shown are the representative of three independent experiments.

Myeloid Deficiency of Fbxw7 Aggravates Bleomycin-Induced Collagen Deposition in Lung Tissue

Augmented collagen deposition within the interstitium (44, 45) and the remodeling of ECM (46) are recognized as one of the primordial pathophysiological events of IPF. To investigate the role of Fbxw7 in macrophages in the pathogenesis of IPF, we generated LysM-Cre+Fbxw7fl/fl (LysM) mice ( ) and confirmed that myeloid specific deletion of Fbxw7 does not affect the differentiation and development of myeloid cells ( ).

LysM mice and their Fbxw7 littermates were subjected to establish experimental pulmonary fibrosis model. Masson staining of lung tissues showed that collagen deposition was significantly increased in LysM mice 14 days after bleomycin administration, compared with Fbxw7e ( ), and further increased after 21 days ( ). Szapiel scores also showed that Fbxw7 knockout exacerbated the degree of fibrosis ( and ). The expression of collagen III and α-SMA observed by immune-histochemical staining was also significantly higher in the fibrotic lung tissue of LysM mice compared with Fbxw7 littermates ( ). Furthermore, LysM mice had significantly higher levels of hydroxyproline in lung tissues compared with Fbxw7 mice ( ).

Figure 2

LysM mice show aggravated pulmonary fibrosis. Fbxw7 and LysM mice were administered bleomycin by direct endotracheal injection to induce pulmonary fibrosis. Three weeks later, lung tissues were isolated for Masson staining and RT-PCR analysis. (A) Masson staining of collagen fiber, scale bars 1000 μm (whole pulmonary section), and 200 μm (detail) and sapiel score of pulmonary tissue (B) obtained from Fbxw7 and LysM mice. (C) Representative collagen III and α-SMA immunohistochemical staining of lung tissues obtained from Fbxw7 and LysM mice after 21 days of bleomycin-induced lung injury, scale bars 100 μm. Comparison of DAB staining intensity (Image J) among the groups is shown. Quantification of hydroxyproline contents (D) and relative mRNA expression of collagen genes (E), Acta2 gene (α-SMA) (F), and matrix metalloproteinases (G) in the lungs from Fbxw7 and LysM mice after bleomycin treatment for 21 days. Data are expressed as mean ± SD of biological duplicates (n≥3) and are the representative of three independent experiments. P values were obtained using two-tailed Student’s t test. *P < 0.05, **P < 0.01, ***P < 0.001, ns, not significant.

Moreover, we examined the mRNA expression levels of collagen-related genes in the lung tissues after bleomycin administration. Fibronectin 1 (Fn1), a pro-fibrotic marker, is an important member of the fibronectin family (47). Col1α1 and Col3α1 is component of the ECM in IPF. qRT-PCR results showed that the expression of Fn1 and Col3α1 increased significantly in LysM mice ( and ). Furthermore, as a surface molecular marker of myofibroblasts, the mRNA expression of α-smooth muscle actin (α-SMA or Acta2) was also significantly increased in LysM mice ( and ). Matrix metalloproteinases (MMPs) and their specific inhibitors (tissue inhibitors of metalloproteinases, TIMPs) participate in the formation and degradation of ECM, and the imbalance between MMPs and TIMPs plays a pivotal role in pulmonary fibrosis pathogenesis. qRT-PCR results demonstrated that Fbxw7 deletion significantly increased the expression of Mmp9 and Timp1 ( ). These results suggest that the myeloid cell specific Fbxw7 knockout mice have increased collagen deposition in their lung tissue that may aggravate the degree of fibrosis induced by bleomycin.

Myeloid Deficiency of Fbxw7 Aggravates Bleomycin-Induced Lung Injury and Monocytes Recruitment

Tissue damage and inflammation are important triggers for pulmonary fibrosis (48). To determine whether Fbxw7 deletion in myeloid cells aggravates lung injury and inflammation, we evaluated the morphological characteristics in mouse lung tissues. The H & E staining results showed that the lung tissues of Lysm mice were more severely damaged 14 days ( ) and 21 days ( ) after bleomycin administration. Lung tissues of LysM mice appeared to be denser, congestion and edema, as well as loss of alveolar structures compared with Fbxw7 mice. Moreover, we examined the mRNA expression of surfactant protein-D (Sftpd) and qRT-PCR results showed that myeloid deficiency of Fbxw7 resulted in higher levels of Sftpd in fibrotic lung tissues ( and ).

Figure 3

Fbxw7 deficiency increases recruitment of monocytes and macrophages after bleomycin-induced lung injury. Fbxw7 and LysM mice were administered PBS or bleomycin for 21 days to induce pulmonary fibrosis. (A) H&E staining of lung sections, scale bars 200 μm (whole pulmonary section), and 50 μm (detail). (B) qRT-PCR analysis of relative expression of Sftpd in lung tissue. Flow cytometry and statistical analysis of the percentage of CD11b+Ly6C+ monocytes in bronchoalveolar lavage fluid (BALF) (C), CD11b+CD206+ IMs (D) and CD11b+Ly6C+ monocytes (E) in lung tissues, data are expressed as mean ± SD of biological duplicates (n=3) and are the representative of three independent experiments. P values were obtained using two-tailed Student’s t test. *P < 0.05, **P < 0.01, ***P < 0.001, ns, not significant.

Furthermore, LysM mice had higher degree of inflammatory cell infiltration in the alveolar space observed by H & E staining ( ). Flow cytometric analysis was used to investigate the changes in mononuclear phagocyte subpopulations in bronchoalveolar lavage fluid (BALF) and lung tissue during pulmonary fibrosis development. After 21 days of bleomycin-induced pulmonary fibrosis in mice, Fbxw7 knockout did not increase CD64+SiglecF+ AMs accumulation ( ), but significantly increased CD11b+Ly6C+ monocytes recruitment ( ) in BALF. Moreover, a single-cell suspension was prepared by digesting lung tissues and analyzed by flow cytometry. Compared with the PBS group, the percentages of CD11b+CD206+ IMs ( ) and CD11b+Ly6C+ monocytes ( ) in lung tissues of mice treated with bleomycin were increased. Importantly, LysM mice showed an obviously increased accumulation of IM and monocyte cell populations compared with Fbxw7 littermates ( ). These results suggest that the deletion of Fbxw7 exacerbates injury-induced lung fibrosis by promoting the recruitment and accumulation of mononuclear phagocytes.

Fbxw7 Deficiency Upregulates TGF-β Expression in Macrophages

Macrophages are the major source of multiple profibrotic mediators in pulmonary fibrosis (49). We next investigated whether myeloid Fbxw7 deletion altered the cytokine profile in fibrotic lung tissues. The qRT-PCR results showed that the mRNA expressions of Tnf-α, and Il1β in lung tissues of LysM mice was significantly higher than that of Fbxw7 mice 14 days after bleomycin administration, but the expression of Il6 and Il10 was not significantly different ( ). In contrast, LysM mice had significantly higher levels of Il6 and Il1β, but not Tnf-α and Il10, compared with Fbxw7 mice 21 days after administration of bleomycin ( ). Furthermore, we evaluated cytokines expression in alveolar macrophages and found that the mRNA expressions of Il1β, Tnf-α, Il6 and Il10 were significantly increased after bleomycin administration, however, there were no significant differences in the expression level between LysM mice and Fbxw7 littermates ( ). Interestingly, mRNA expression of Tgfb1, the macrophage-derived fibrogenic cytokine, was significantly increased in lung tissues and alveolar macrophages in LysM mice compared to Fbxw7 littermates ( ). ELISA further confirmed that the concentration of TGF-β protein in BALF from LysM mice was significantly higher than that from Fbxw7 littermates ( ). In lung injury model established by LPS, more severe lung injury, fibrosis associated collagen deposition as well as higher expression of Tgfb1 were found in lung tissue and BAL cells from LysM mice compared to Fbxw7 littermates ( and ). The significantly elevated concentration of TGF-β protein in BALF and serum from LysM mice was observed by ELISA compared with that from Fbxw7 littermates ( ). These data suggest that deficiency of Fbxw7 in macrophages exacerbates pulmonary fibrosis, which may be related to the up-regulation of TGF-β expression.

Figure 4

Fbxw7 deletion upregulates TGF-β expression in lung fibrosis model induced by bleomycin. qRT-PCR analysis of Tnf-α, Il1β, Il6, and Il10 relative mRNA expression of AMs (A) after Fbxw7 and LysM mice were administered PBS or bleomycin for 21 days to induce pulmonary fibrosis. After a 21d period of bleomycin-induced lung injure, qRT-PCR analysis of Tgfb1 relative mRNA expression in lung tissue and AMs (B), TGF-β content in BALF was detected by ELISA (C). Tgfb1 relative mRNA expression in BAL cells was analyzed by qRT-PCR (D), TGF-β content in serum and BALF was detected by ELISA (E) after 10 days of LPS-induced lung injury. Macrophages from Fbxw7 and LysM mice were stimulated with IL-4 (30 ng/ml) and treated with or without TGF-β neutralizing antibody for 12 h, then co-cultured with MEF for another 48 h. (F) The schematics of the approach. (G) TGF-β in the media of the macrophage co-culture system. Data are expressed as mean ± SD of biological duplicates (n≥3) and are the representative of three independent experiments. P values were obtained using two-tailed Student’s t test, *P < 0.05, **P < 0.01, ***P < 0.001, ns, not significant. (H) Representative images of western blot analysis of collagen-I and collagen-III in co-cultured MEF after IL-4 treatment. Densitometric fold change of target proteins based on IL-4 untreated group was calculated. (I) Representative images of western blot analysis of collagen-I and collagen-III in co-cultured MEF after IL-4 with TGF-β neutralizing antibody (Ab) treatment (3 μg/ml). Iso: Isotype. Relative protein levels were presented by densitometric fold change quantified by ImageJ based on Fbxw7 untreated group, the floating bars indicate the min, mean and max value of biological duplicates (n=3), which are the representative of three independent experiments. P values were obtained using One-way ANOVA with Tukey’s Multiple Comparison test (H) or two-tailed Student’s t test (I). *P < 0.05, **P < 0.01, ***P < 0.001.

IL-4, as a Th2 cytokine, was reported to induce TGF-β expression in profibrotic macrophage to activate fibroblasts and promotes extensive tissue fibrosis (50, 51). qRT-PCR confirmed that the expression of Il4 was abundant in fibrotic lung tissues, but the level of Il4 was similar between LysM mice and their Fbxw7 littermates ( ). Next, we performed a Transwell co-culture assay to evaluate the profibrogenic capability of macrophages from LysM mice and Fbxw7 littermates after IL-4 treatment in vitro ( ), the results consistently showed that myeloid Fbxw7 deficiency resulted in higher secretion levels of TGF-β in co-cultured macrophages after IL-4 treatment ( ), Fbxw7 deficient macrophages treated with IL-4 mediates a higher activation of co-cultured fibroblasts by the examination of the expression levels of collagen-I and collagen-III through western blot ( ). To further confirm that the enhanced profibrogenic capability of macrophages from LysM mice is TGF-β-dependent, transwell co-culture assay was performed after IL-4 treatment with or without TGF-β neutralizing antibody. Neutralization of TGF-β abrogated the difference of profibrogenic ability between LysM macrophages and Fbxw7 macrophages ( ). Collectively, these data further support that Fbxw7 deletion in myeloid cells can exacerbate bleomycin-induced production of TGF-β and promote the development of pulmonary fibrosis.

Fbxw7 Regulates TGF-β Expression by Mediating the Ubiquitination and Degradation of c-Jun

Transcription factors including early growth response protein 1 (EGR-1) (52, 53) and NF-κB (54) have been reported to be involved in the pathogenesis of fibrosis via enhancing TGF-β dependent signaling. To further elucidate the mechanisms how Fbxw7 regulates TGF-β production in profibrotic macrophages, we investigated the effect of Fbxw7 deletion on the protein levels of EGR-1 and NF-κB by western blot. The protein levels of EGR1 and NF-κB in alveolar macrophages after bleomycin stimulation were not significantly changed between Fbxw7 and LysM mice, but the level of c-Jun was significantly higher in LysM mice than that in Fbxw7 mice ( ). Subsequently, we found significantly higher protein expression of c-Jun in IL-4-stimulated BMDMs after Fbxw7 deletion ( ). We then overexpressed c-Jun in RAW264.7 cells ( ) and analyzed the expression of TGF-β by qRT-PCR and ELISA, the results showed that the expression level of TGF-β was significantly increased after c-Jun overexpression ( ), indicating that c-Jun expression is sufficient for TGF-β in macrophages. SP600125 is a specific JNK inhibitor that competes with ATP to inhibit the phosphorylation of c-Jun (55). qRT-PCR analysis and ELISA results showed that the mRNA and protein expression of TGF-β increased significantly after the deletion of Fbxw7 ( ), but this effect was abrogated after inhibition of c-Jun phosphorylation by SP600125 ( ). The MEF cells, co-cultured with peritoneal macrophage from LysM mice or Fbxw7 littermates after inhibiting the phosphorylation of c-Jun, showed similar protein levels of collagen-I and collagen-III, which were detected by western blot ( ). Taken together, Fbxw7 deletion leads to the upregulation of TGF-β expression and severity of pulmonary fibrosis through the regulation of c-Jun.

Figure 5

Fbxw7 regulates TGF-β expression via mediating the ubiquitination of c-Jun. (A) Immunoblot analysis of phosphorylated and/or total proteins in lysates of lung tissues obtained from bleomycin-treated Fbxw7 and LysM mice. Densitometric fold change of target proteins based on Fbxw7 group was calculated. (B) Immunoblot analysis of c-Jun protein levels in lysates of IL-4 (30 ng/ml) stimulated BMDMs from Fbxw7 and LysM mice. Densitometric fold change for the relative c-Jun level based on Fbxw7 untreated group was calculated. (C) Fbxw7 and LysM BMDMs stimulated with IL-4 and treated or not with SP600125 (15 μM), qRT-PCR analysis for Tgfb1 relative mRNA expression and ELISA for TGF-β protein expression. Data are expressed as mean ± SD of biological duplicates (n=5) and are the representative of three independent experiments. P values were obtained using two-tailed Student’s t test, ***P < 0.001. (D) Immunoblot analysis of c-Jun expression in BMDMs treated or not with MG132 (20 μM) for 8 hours and stimulated with IL-4 for the indicated durations. Densitometric fold change of c-Jun based on IL-4, MG132 untreated group was calculated. (E) Immunoblot analysis and relative protein levels of c-Jun in lysates of Fbxw7 and LysM BMDMs treated with CHX (40 μg/ml) for indicated hours after stimulation with IL-4 for 6 h. (F) Coimmunoprecipitation and immunoblot of BMDMs stimulated with IL-4 for indicated hours. (G) Immunoblot analysis of the K48 ubiquitination of c-Jun in Fbxw7 and LysM BMDMs stimulated with IL-4 for 6 h. (H) Peritoneal macrophages from LysM (WT) and Fbxw7 (KO) mice were stimulated with IL-4 for 6 h, coimmunoprecipitation was performed with K48-Ub to pull-down ubiquitylated proteins, followed by IB with c-Jun. Relative protein levels were presented by densitometric fold change quantified by ImageJ, the floating bars indicate the min, mean and max value of biological duplicates and are the representative of three independent experiments. P values were obtained using two-tailed Student’s t test. *P < 0.05, **P < 0.01, ***P < 0.001.

It has been demonstrated that the transcription factor c-Jun can be degraded by the ubiquitin-proteasome system as a substrate for Fbxw7 (56). As expected, western blot analysis showed that the degradation of c-Jun protein could be inhibited by protease inhibitor MG132 ( ). A cycloheximide chase assay showed that Fbxw7 deletion extended the half-life of endogenous c-Jun protein in BMDMs ( ). Immunoprecipitation assay results showed that Fbxw7 can physically bind to c-Jun protein ( ) and induce K48-linked polyubiquitination of c-Jun ( ). Moreover, immunoprecipitation assay was performed by using K48-Ub to pull-down c-Jun and the peritoneal macrophages from LysM mice showed weaker ability of mediating c-Jun ubiquitination and proteasomal degradation compared with cells from Fbxw7 littermates ( ). This result further revealed that the myeloid Fbxw7 deficiency leads to a significantly accumulation of c-Jun by abolishing its K48 ubiquitination. Collectively, these data confirmed that Fbxw7 promotes TGF-β expression by inducing K48-linked polyubiquitination and proteasome degradation of c-Jun in macrophages.

Discussion

The E3 ubiquitin ligase Fbxw7 has been well characterized as a critical tumor suppressor that can mediate the degradation of various oncoproteins by the ubiquitin-proteasome system (57). Our studies and others have presented compelling evidence that Fbxw7 plays a crucial role in inflammation and antivirus immune response through regulating the function of macrophages (35, 36, 58). In this study, we demonstrated that the deletion of Fbxw7 in the myeloid lineages aggravates bleomycin-induced lung injury, collagen deposition, and monocyte recruitment, and eventually leads to the exacerbation of pulmonary fibrosis in mice. We revealed its underlying mechanism that Fbxw7 deletion will upregulate TGF-β expression by inhibiting the degradation of c-Jun in macrophages. These findings will be beneficial for understanding the role of innate immune response in the pathogenesis of IPF.

Macrophages are the most abundant immune cell population in the lung environment and are involved in tissue repair and lung fibrosis progression, it has also been recognized to play a significant role in driving the fibrogenesis and matrix remodeling. Given the high plasticity of lung macrophages, the relative roles of tissue-resident alveolar macrophages, interstitial macrophages and monocyte-derived infiltrating macrophages in pulmonary fibrosis is complicated (59). High numbers of both interstitial and alveolar macrophages were detected in pulmonary fibrosis (24), the depletion of macrophages, including alveolar and infiltrating macrophage, reduces fibrogenesis (25, 60). Experimental fibrosis leads to the recruitment of bone marrow-derived AMs that are more profibrogenic than their disrupted resident counterparts (61). Selectively targeting alveolar macrophage differentiation without affecting global monocytes or tissue-resident alveolar macrophage may ameliorate fibrosis depletion, while the depletion of tissue-resident AMs cannot alter fibrosis severity (61). In addition, IMs are also thought to arise from monocytes, and highly expression of monocyte-related genes, such as Cd14, Cd163, and Csfr1 (62), activated IMs have been reported to induce myofibroblastic activation and ECM production (24). Furthermore, those more profibrogenic macrophages which play a vital role in airway remodeling in pulmonary fibrosis biases alternatively activated macrophages, so we used IL-4-stimulated BMDMs for in vitro experiments to mimic profibrogenic macrophages in vivo. Our data showed that more monocytes are recruited into the lung tissues and BALF of Fbxw7-KO mice, these monocytes further differentiate into profibrogenic macrophages and then participate in the development of pulmonary fibrosis.

The abundant expression of Fbxw7 mRNA and protein can be detected in most human and mice tissues. The decreased level of Fbxw7 mRNA in IPF may be regulated by many factors, including DNA or RNA silencing. The expression of microRNA-155 (miR-155) has been reported to be correlated to the damage degree of IPF (63), and miR-155 reduces the levels of Fbxw7 mRNA (64). The Fbxw7 promoter can be regulated through epigenetic mechanism during lung fibrosis, including histone modifications. Aberrant elevation of DNA methyltransferase 1 (Dnmt1) can mediate the hypermethylation of Fbxw7 promoter and result in decreased gene level of Fbxw7 (65), subsequently contributes significantly to the development of pulmonary fibrosis (66). Moreover, the expression of enhancer of zeste homolog 2 (Ezh2) is increased in IPF patients, increased Ezh2 recruitment and hypermethylated H3K27 at the promoter of fibrotic related genes have been demonstrated, such as Cox-2 (67) and Cxcl10 (68). We speculate the function of Ezh2 in inducing the increase of H3K27me3 at Fbxw7 promotor and silencing of Fbxw7 gene (34) might also be involved in regulating pulmonary fibrosis. IL-4 has been shown to induce TGF-β expression in profibrotic macrophage to activate fibroblasts and promotes extensive tissue fibrosis (50). In our study, we found IL-4 was highly expressed in lung fibrosis tissue of bleomycin-induced mice, and the expression of Fbxw7 was significantly decreased in bleomycin-induced mice lung issue and in BMDMs after IL-4 stimulation as shown in , and . These findings suggest that IL-4 in the profibrotic microenvironment might downregulate Fbxw7 expression and block c-Jun degradation.

TGF-β can be produced by a wide variety of cell types, including lung macrophages, alveolar epithelial cells, endothelial cells, fibroblasts and myofibroblasts. However, lung macrophages are revealed to be the main source of TGF-β (6, 69). In bleomycin induced pulmonary fibrosis, macrophages induce fibroblast differentiation and proliferation by producing TGF-β, thereby exacerbating pulmonary fibrosis (70, 71). The widespread accumulation of collagen in lungs, which was observed in WT mice, disappeared in the myeloid TGF-β deficient mice, which showed similar lung architecture to saline controls (6). Several factors have previously been implicated in the transcriptional induction of Tgfb1, bacterial induction of Tgfb1 mRNA expression in human intestinal epithelial cells is butyrate and SP1-dependent (72). P38/MAPK signal, MEK-1 and JNK are involved in Tgfb1 transcription (73). The higher mRNA expression of Tgfb1 was detected in Egr-1 overexpressed mesangial cell compared with control cells (74). Moreover, p65 and c-Jun were recruited to the promoter of Tgfb1 in A549 cells upon IL-1β stimulation, this result suggesting the role of NF-κB and AP-1 in regulating Tgfb1 expression (75).

C-Jun protein is a component of the dimeric transcription factor activator protein 1 (AP-1) (76), it has been shown to play essential roles in most fibrotic conditions, which can activate multiple signaling pathways, resulting in the expression of many fibrogenesis-associated genes (77). C-Jun N-terminal kinase JNK1 has been reported to promote fibrosis in the lung (78), inhibition of c-Jun phosphorylation in vivo reduced fibrosis and mRNA levels of Tgfb1 in the unilateral ischemia reperfusion injury model (79). C-Jun expression in non-parenchymal liver cells (NPLCs) promotes the fibrogenesis and was particularly correlated with liver fibrosis during non-alcoholic steatohepatitis (80). Moreover, studies have shown that c-Jun can be degraded by the ubiquitin-proteasome system as the substrate of Fbxw7 (81, 82), which was also confirmed by our study. Our data show that deletion of Fbxw7 in macrophages does not affect the levels of P65, EGR-1 and their phosphorylation, but significantly increases the level of AP-1 transcription factor subunit c-Jun.

Notably, the published data from Wang et al. (83) showed that FBXW7 deficiency prevents fibrogenesis by increasing telomere capping, which is contrary to the conclusion of our finding. Several potential possibilities exist for this discrepancy. Wang et al. used a mouse model of Fbw7 conditional knockout in pulmonary alveolar epithelial type 2 (AEC2) stem cells, while we used a model of Fbxw7 conditional knockout in myeloid cells. Those reverse effects of Fbxw7 in AEC2 stem cells and myeloid cells in regulating lung fibrosis indicated that the pathogenesis of IPF is complicated, it involves the abnormal repair of lung tissue injury by alveolar epithelial cells, the disordered differentiation and proliferation of fibroblasts, or the hyperactivated recruitment and activation of innate immune cells. The dysfunction in any cell type can lead to different outcomes of IPF. Moreover, subtle genetic background differences in the strains of the mice used and microbiome differences between the mouse colonies may also contribute to these discrepancies.

In conclusion, our study revealed that Fbxw7 plays a crucial role in regulating pulmonary fibrosis progression. Myeloid-specific deletion of Fbxw7 exacerbates pulmonary fibrosis by inhibiting c-Jun degradation and upregulating TGF-β expression in macrophages.

Data Availability Statement

The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

Ethics Statement

The animal study was reviewed and approved by Medical Experimental Animal Care Commission of Zhejiang University.

Author Contributions

QW, JZ, and JH designed the research. JH, YD, GL, XS, WS, LL, and MX performed experiments and acquired and analyzed data. JZ, JH, and PX drafted the manuscript. QW revised the manuscript. All authors read and approved the submitted version.

Funding

This work was supported by the National Natural Science Foundation of China (31870907, 81930041, 91842103), Natural Science Foundation of Zhejiang Province (Z19H100001).

Conflict of Interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

The reviewer YS declared a shared affiliation, with no collaboration, with several of the authors, JH, YD, GL, PX, XS, LL, MX, QW, to the handling editor at the time of review.

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