Therapeutic targeting of 15-PGDH in murine pulmonary fibrosis

Sci Rep. 2020 Jul 15;10(1):11657. doi: 10.1038/s41598-020-68336-0.

Abstract

Idiopathic pulmonary fibrosis (IPF) is a progressive disease characterized by interstitial remodeling and pulmonary dysfunction. The etiology of IPF is not completely understood but involves pathologic inflammation and subsequent failure to resolve fibrosis in response to epithelial injury. Treatments for IPF are limited to anti-inflammatory and immunomodulatory agents, which are only partially effective. Prostaglandin E2 (PGE2) disrupts TGFβ signaling and suppresses myofibroblast differentiation, however practical strategies to raise tissue PGE2 during IPF have been limited. We previously described the discovery of a small molecule, (+)SW033291, that binds with high affinity to the PGE2-degrading enzyme 15-hydroxyprostaglandin dehydrogenase (15-PGDH) and increases PGE2 levels. Here we evaluated pulmonary 15-PGDH expression and activity and tested whether pharmacologic 15-PGDH inhibition (PGDHi) is protective in a mouse model of bleomycin-induced pulmonary fibrosis (PF). Long-term PGDHi was well-tolerated, reduced the severity of pulmonary fibrotic lesions and extracellular matrix remodeling, and improved pulmonary function in bleomycin-treated mice. Moreover, PGDHi attenuated both acute inflammation and weight loss, and decreased mortality. Endothelial cells and macrophages are likely targets as these cell types highly expressed 15-PGDH. In conclusion, PGDHi ameliorates inflammatory pathology and fibrosis in murine PF, and may have clinical utility to treat human disease.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / pharmacology*
  • Bleomycin / administration & dosage
  • Body Weight / drug effects
  • Dinoprostone / agonists
  • Dinoprostone / metabolism*
  • Disease Models, Animal
  • Endothelial Cells / drug effects
  • Endothelial Cells / enzymology
  • Endothelial Cells / pathology
  • Enzyme Inhibitors / pharmacology*
  • Extracellular Matrix / drug effects
  • Extracellular Matrix / enzymology
  • Female
  • Gene Expression
  • Humans
  • Hydroxyprostaglandin Dehydrogenases / antagonists & inhibitors*
  • Hydroxyprostaglandin Dehydrogenases / genetics
  • Hydroxyprostaglandin Dehydrogenases / metabolism
  • Idiopathic Pulmonary Fibrosis / chemically induced
  • Idiopathic Pulmonary Fibrosis / drug therapy*
  • Idiopathic Pulmonary Fibrosis / enzymology
  • Idiopathic Pulmonary Fibrosis / mortality
  • Inflammation
  • Lung / drug effects
  • Lung / enzymology
  • Lung / pathology
  • Macrophages / drug effects
  • Macrophages / enzymology
  • Macrophages / pathology
  • Mice
  • Mice, Inbred C57BL
  • Molecular Targeted Therapy / methods
  • Pyridines / pharmacology*
  • Respiratory Function Tests
  • Survival Analysis
  • Thiophenes / pharmacology*

Substances

  • Anti-Inflammatory Agents
  • Enzyme Inhibitors
  • Pyridines
  • SW033291
  • Thiophenes
  • Bleomycin
  • Hydroxyprostaglandin Dehydrogenases
  • 15-hydroxyprostaglandin dehydrogenase
  • Dinoprostone