Externalized histones fuel pulmonary fibrosis via a platelet-macrophage circuit of TGFβ1 and IL-27

Dennis R. Riehl,Arjun Sharma,Julian Roewe,Florian Murke,C. Ruppert,Sabine A. Eming,T. Bopp,Hartmut Kleinert,M. Radsak,Giuseppe Colucci,S. Subramaniam,Christoph Reinhardt,Bernd Giebel,I. Prinz,Andreas Guenther,Dennis Strand,Matthias Gunzer,A. Waisman,Peter A. Ward,W. Ruf,Katrin Schäfer,M. Bosmann

Published 2023 in Proceedings of the National Academy of Sciences of the United States of America

ABSTRACT

Significance Lung fibrosis is a progressive, lethal disease with limited treatment options available that do not provide cure. Hence, a better understanding of the inflammatory pathophysiology and molecular mechanisms of tissue remodeling is mandatory. In this study, we uncover that externalized histones from neutrophil extracellular traps act profibrotic by shifting the balance of critical cytokines. Externalized histones activate platelets to release TGFβ1, which subsequently antagonizes antifibrotic Interleukin-27 (IL-27) production from macrophages via multiple intracellular signaling pathways. The importance of these mechanisms is highlighted by the observation that blocking monoclonal antibodies against externalized histones protect from excessive collagen matrix deposition in injured lungs.

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