Specific signals involved in the long-term maintenance of radiation-induced fibrogenic differentiation: a role for CCN2 and low concentration of TGF-beta1

Am J Physiol Cell Physiol. 2008 Jun;294(6):C1332-41. doi: 10.1152/ajpcell.90626.2007. Epub 2008 Apr 9.

Abstract

The fibrogenic differentiation of resident mesenchymal cells is a key parameter in the pathogenesis of radiation fibrosis and is triggered by the profibrotic growth factors transforming growth factor (TGF)-beta1 and CCN2. TGF-beta1 is considered the primary inducer of fibrogenic differentiation and is thought to control its long-term maintenance, whereas CCN2 is considered secondary effector of TGF-beta1. Yet, in long-term established fibrosis like that associated with delayed radiation enteropathy, in situ TGF-beta1 deposition is low, whereas CCN2 expression is high. To explore this apparent paradox, cell response to increasing doses of TGF-beta1 was investigated in cells modeling initiation and maintenance of fibrosis, i.e., normal and fibrosis-derived smooth muscle cells, respectively. Activation of cell-specific signaling pathways by low TGF-beta1 doses was demonstrated with a main activation of the Rho/ROCK pathway in fibrosis-derived cells, whereas the Smad pathway was mainly activated in normal cells. This leads to subsequent and cell-specific regulation of the CCN2 gene. These results suggested a specific profibrotic role of CCN2 in fibrosis-initiated cells. Furthermore, the modulation of CCN2 expression by itself and the combination of TGF-beta1 and CCN2 was investigated in fibrosis-derived cells. In fibrosis-initiated cells CCN2 triggered its autoinduction; furthermore, low concentration of TGF-beta1-potentiated CCN2 autoinduction. Our findings showed a differential requirement and action of TGF-beta1 in the fibrogenic response of normal vs. fibrosis-derived cells. This study defines a novel Rho/ROCK but Smad3-independent mode of TGF-beta signaling that may operate during the chronic stages of fibrosis and provides evidence of both specific and combinatorial roles of low TGF-beta1 dose and CCN2.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cell Differentiation / radiation effects*
  • Cells, Cultured
  • Colon / enzymology
  • Colon / metabolism
  • Colon / pathology
  • Colon / radiation effects*
  • Connective Tissue Growth Factor
  • Enzyme Activation
  • Fibrosis
  • Humans
  • Ileum / metabolism
  • Ileum / pathology
  • Immediate-Early Proteins / genetics
  • Immediate-Early Proteins / metabolism*
  • Intercellular Signaling Peptides and Proteins / genetics
  • Intercellular Signaling Peptides and Proteins / metabolism*
  • Intestinal Diseases / etiology
  • Intestinal Diseases / metabolism*
  • Intestinal Diseases / pathology
  • Middle Aged
  • Myocytes, Smooth Muscle / metabolism
  • Myocytes, Smooth Muscle / pathology
  • Myocytes, Smooth Muscle / radiation effects*
  • Radiation Injuries / etiology
  • Radiation Injuries / metabolism*
  • Radiation Injuries / pathology
  • Radiotherapy / adverse effects
  • Recombinant Proteins / metabolism
  • Signal Transduction / radiation effects*
  • Smad Proteins / metabolism
  • Transcriptional Activation
  • Transforming Growth Factor beta1 / metabolism*
  • rho-Associated Kinases / metabolism

Substances

  • CCN2 protein, human
  • Immediate-Early Proteins
  • Intercellular Signaling Peptides and Proteins
  • Recombinant Proteins
  • Smad Proteins
  • Transforming Growth Factor beta1
  • Connective Tissue Growth Factor
  • rho-Associated Kinases