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      Aryl hydrocarbon receptor signals attenuate lung fibrosis in the bleomycin-induced mouse model for pulmonary fibrosis through increase of regulatory T cells

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          Abstract

          Background

          Interstitial lung disease (ILD) is a serious complication of connective tissue diseases (CTDs). Although immune dysregulation triggered by genetic and environmental factors is thought to provoke inflammation and subsequent fibrosis, precise mechanisms of these processes remain unclear. Recent reports suggest that activation of aryl hydrocarbon receptor (AhR) signals by various ligands such as tryptophan derivatives can induce hyper-immune responses and are involved in autoimmunity. We investigated the effects of AhR signals on the process of lung fibrosis and changes in immunological features using a bleomycin (BLM)-induced lung fibrosis mouse model.

          Methods

          BLM was administered intratracheally to C57BL/6JJcl mice and either 5,11-dihydroindolo[3,2-b]carbazole-6-carboxaldehyde (FICZ), a natural AhR ligand, or vehicle was subsequently injected intraperitoneally on day 0, 1, and 2 from BLM administration. Mice were sacrificed at week 3, and lung fibrosis was quantified by the histological changes using the Ashcroft score and deposition of soluble collagen levels in the lung using Sircol assay. The population of immune cells infiltrated into the lungs was analyzed using flow cytometry.

          Results

          Both the Ashcroft score and soluble collagen level in FICZ-treated mice were significantly lower than those in the vehicle group. Moreover, the survival rate of FICZ-treated mice was significantly higher than that of control mice during the 3 weeks after treatment. Interestingly, flow cytometric analysis revealed that the number of CD4 +Foxp3 + regulatory T cells (Tregs) was significantly increased and CD4 +IFNγ + and γδ +IL-17A + T cells were decreased in the lungs of FICZ-treated mice, while the total number of T, B, and NK cells were unaffected by FICZ treatment.

          Conclusions

          Our findings suggest that stimulation of AhR signals attenuated lung fibrosis by increasing Tregs and suppressing inflammatory T cell subsets in a BLM-induced fibrosis model. AhR signaling pathways may therefore be useful therapeutic targets for connective tissue disease-associated ILD.

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          Most cited references31

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          Idiopathic pulmonary fibrosis.

          Idiopathic pulmonary fibrosis is a prototype of chronic, progressive, and fibrotic lung disease. Healthy tissue is replaced by altered extracellular matrix and alveolar architecture is destroyed, which leads to decreased lung compliance, disrupted gas exchange, and ultimately respiratory failure and death. In less than a decade, understanding of the pathogenesis and management of this disease has been transformed, and two disease-modifying therapies have been approved, worldwide. In this Seminar, we summarise the presentation, pathophysiology, diagnosis, and treatment options available for patients with idiopathic pulmonary fibrosis. This disease has improved understanding of the mechanisms of lung fibrosis, and offers hope that similar approaches will transform the management of patients with other progressive fibrotic lung diseases.
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            Simple method of estimating severity of pulmonary fibrosis on a numerical scale.

            A continuous numerical scale for determining the degree of fibrosis in lung specimens was devised for correlation with other pulmonary variables such as lung function tests or mineral burden. Grading was scored on a scale from 0 to 8, using the average of microscope field scores. The system allows fibrosis to be measured in small samples of tissue (1 cm) which can provide a detailed description of the changes in a lung, currently not possible with most existing methods.
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              Fibrotic disease and the T(H)1/T(H)2 paradigm.

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                Author and article information

                Contributors
                tsutake@z5.keio.jp
                Journal
                Arthritis Res Ther
                Arthritis Res. Ther
                Arthritis Research & Therapy
                BioMed Central (London )
                1478-6354
                1478-6362
                7 February 2020
                7 February 2020
                2020
                : 22
                : 20
                Affiliations
                [1 ]ISNI 0000 0004 1936 9959, GRID grid.26091.3c, Division of Rheumatology, Department of Internal Medicine, , Keio University School of Medicine, ; 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan
                [2 ]ISNI 0000 0004 1761 798X, GRID grid.256115.4, Division of Rheumatology, Department of Internal Medicine, , Fujita Health University School of Medicine, ; 1-98 Dengakugakubo, Kutsukake-cho, Aichi, Japan
                [3 ]ISNI 0000 0001 0633 2119, GRID grid.412096.8, Clinical and Translational Research Center, , Keio University Hospital, ; 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan
                Author information
                http://orcid.org/0000-0003-1111-8218
                Article
                2112
                10.1186/s13075-020-2112-7
                7006193
                32033616
                261ca54a-5067-47b4-a201-4e15195d889e
                © The Author(s). 2020

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 2 October 2019
                : 28 January 2020
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100012351, Mitsubishi Tanabe Pharma Corporation;
                Award ID: MTPS20160518023
                Award Recipient :
                Funded by: Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology of Japan
                Award ID: 19K17893
                Award Recipient :
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2020

                Orthopedics
                interstitial lung disease,aryl hydrocarbon receptor,bleomycin (blm)-induced lung fibrosis mouse model,regulatory t cells

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