Sunitinib, a Small-Molecule Kinase Inhibitor, Attenuates Bleomycin-Induced Pulmonary Fibrosis in Mice

Tohoku J Exp Med. 2016 Aug;239(4):251-61. doi: 10.1620/tjem.239.251.

Abstract

Idiopathic pulmonary fibrosis (IPF) is a chronic and ultimately fatal disease, characterized by excessive accumulation of fibroblasts, extensive deposition of extracellular matrix, and destruction of alveolar architecture. IPF is associated with an epithelial-dependent fibroblast-activated process, termed the epithelial-to-mesenchymal transition (EMT). However, there is still a lack of strategies to target EMT for the treatment of IPF. Sunitinib, a small-molecule multi-targeted tyrosine kinase inhibitor, targets multiple kinases that may play an important role in developing pulmonary fibrosis. Here, we explored the therapeutic potential of sunitinib using a mouse model of pulmonary fibrosis. Mice received intratracheal instillation of bleomycin (BLM). Then, the mice were intragastrically administrated with sunitinib or normal saline until the end of the experiment. Distinguished destruction of pulmonary architecture, conspicuous proliferation of fibroblasts and extensive deposition of collagen fibers were found in BLM mice. Sunitinib attenuated the pulmonary fibrosis and inhibited the accumulation of fibroblasts in the lung of BLM mice. To investigate if the inhibition of fibroblast accumulation in the lung by sunitinib was associated with EMT, we used human bronchial epithelial cells (HBEs) and W138 human lung fibroblasts. Sunitinib suppressed the degree of EMT induced by TGF-β, a profibrotic factor, in HBEs and the proliferation of WI38 fibroblasts. Moreover, sunitinib reduced the degree of phosphorylation of serine residues on Smad2/3 that was induced by TGF-β in HBEs. As EMT and accumulation of fibroblasts are critical for the development of pulmonary fibrosis, targeting multiple pro-fibrosis signaling pathways with sunitinib may be a novel strategy to treat pulmonary fibrosis.

MeSH terms

  • Animals
  • Bleomycin
  • Bronchi / pathology
  • Cell Proliferation / drug effects
  • Disease Models, Animal
  • Epithelial Cells / drug effects
  • Epithelial Cells / metabolism
  • Epithelial Cells / pathology
  • Extracellular Matrix / drug effects
  • Extracellular Matrix / metabolism
  • Female
  • Fibroblasts / drug effects
  • Fibroblasts / metabolism
  • Fibroblasts / pathology
  • Humans
  • Indoles / pharmacology
  • Indoles / therapeutic use*
  • Mesoderm / drug effects
  • Mesoderm / pathology
  • Mice
  • Mice, Inbred C57BL
  • Phosphorylation / drug effects
  • Platelet-Derived Growth Factor / pharmacology
  • Protein Kinase Inhibitors / pharmacology
  • Protein Kinase Inhibitors / therapeutic use*
  • Pulmonary Fibrosis / chemically induced
  • Pulmonary Fibrosis / drug therapy*
  • Pulmonary Fibrosis / pathology
  • Pyrroles / pharmacology
  • Pyrroles / therapeutic use*
  • Signal Transduction / drug effects
  • Smad Proteins / metabolism
  • Small Molecule Libraries / pharmacology
  • Small Molecule Libraries / therapeutic use*
  • Sunitinib
  • Transforming Growth Factor beta / pharmacology
  • Vascular Endothelial Growth Factor A / pharmacology

Substances

  • Indoles
  • Platelet-Derived Growth Factor
  • Protein Kinase Inhibitors
  • Pyrroles
  • Smad Proteins
  • Small Molecule Libraries
  • Transforming Growth Factor beta
  • Vascular Endothelial Growth Factor A
  • Bleomycin
  • Sunitinib