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* From the Tulane University School of Medicine, New Orleans, LA.
Correspondence to: Joseph A. Lasky, MD, FCCP, Associate Professor of Medicine, Section of Pulmonary Diseases and Critical Care Medicine, Tulane University Medical Center, 1430 Tulane Ave SL9, New Orleans, LA 70112-2699
Asbestos
exposure results in the formation of fibroproliferative lung
abnormalities similar to those encountered in subjects with idiopathic
pulmonary fibrosis. Our prior publications demonstrate that
platelet-derived growth factor (PDGF) is a potent mitogen and
chemoattractant for lung fibroblasts and is elaborated in response to
asbestos fibers. Stimulation of alveolar macrophages or lung
fibroblasts with asbestos fibers in vitro induces the
release of three biologically active PDGF dimers (AA, AB, BB).
Likewise, we reported that exposure of rats or mice to chrysotile
asbestos results in upregulation of PDGF-A and PDGF-B chain messenger
RNA and peptide expression, as well as the PDGF-
receptor that binds
all three PDGF ligands, at the sites of fiber deposition and subsequent
lesion formation. Now, we are employing the PDGF-receptorselective
tyrosine kinase inhibitor to test whether PDGF is essential in the
formation of asbestos-induced lesions. We report herein that the
development of asbestos-induced scars is blocked by 64% in
PDGF-receptorselective tyrosine kinase inhibitor-treated mice. PDGF
ligand or receptor knockout mice are not viable. Thus, in an effort to
determine which PDGF ligand-receptor interactions are important to
asbestos-induced scar formation, we exposed "Patch" mice, which
exhibit a 50% reduction in PDGF-
receptor expression, and ßRH
mice with similar reductions in PDGF-ßreceptor expression, along
with their wild-type littermates, to a regimen of chrysotile asbestos
(15 mg/m3) for 5 h/d on 3 consecutive days. Fibrotic
lesions developing at the alveolar duct bifurcations were analyzed 4
weeks following the onset of exposure and were found to be reduced in
volume by approximately 50% in two separate experiments in the ßRH
mice, but not in Patch mice. Our in vivo findings could not
be explained by differences in proliferative responses to PDGF isoforms
using lung fibroblast isolates from ßRH mice and their wild-type
littermates. Thus, our findings demonstrate that PDGF does play a
significant role in asbestos-induced scar formation, and that reduction
in expression of PDGF-ß, but not PDGF-
, receptor inhibits
asbestos-induced
fibrogenesis.
Footnotes
Abbreviation: PDGF = platelet-derived growth factor
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