Go to The Journal of Clinical Investigation
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Transfers
  • Advertising
  • Job board
  • Contact
  • Physician-Scientist Development
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Immunology
    • Metabolism
    • Nephrology
    • Oncology
    • Pulmonology
    • All ...
  • Videos
  • Collections
    • In-Press Preview
    • Resource and Technical Advances
    • Clinical Research and Public Health
    • Research Letters
    • Editorials
    • Perspectives
    • Physician-Scientist Development
    • Reviews
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • In-Press Preview
  • Resource and Technical Advances
  • Clinical Research and Public Health
  • Research Letters
  • Editorials
  • Perspectives
  • Physician-Scientist Development
  • Reviews
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Transfers
  • Advertising
  • Job board
  • Contact
A CD44/Brg1 nuclear complex confers mesenchymal progenitor cells with enhanced fibrogenicity in idiopathic pulmonary fibrosis
Libang Yang, Hong Xia, Karen Smith, Adam Gilbertsen, Daniel Beisang, Jonathan Kuo, Peter B. Bitterman, Craig A. Henke
Libang Yang, Hong Xia, Karen Smith, Adam Gilbertsen, Daniel Beisang, Jonathan Kuo, Peter B. Bitterman, Craig A. Henke
View: Text | PDF
Research Article Pulmonology

A CD44/Brg1 nuclear complex confers mesenchymal progenitor cells with enhanced fibrogenicity in idiopathic pulmonary fibrosis

  • Text
  • PDF
Abstract

Idiopathic pulmonary fibrosis (IPF) is a progressive fibrotic lung disease. We previously identified fibrogenic mesenchymal progenitor cells (MPCs) in the lungs of patients with IPF who serve as drivers of progressive fibrosis. Recent single-cell RNA sequencing work revealed that IPF MPCs with the highest transcriptomic network entropy differ the most from control MPCs and that increased CD44 was a marker of these IPF MPCs. We hypothesize that IPF MPCs with high CD44 (CD44hi) expression will display enhanced fibrogenicity. We demonstrate that CD44-expressing MPCs are present at the periphery of the IPF fibroblastic focus, placing them in regions of active fibrogenesis. In a humanized mouse xenograft model, CD44hi IPF MPCs are more fibrogenic than CD44lo IPF MPCs, and knockdown of CD44 diminishes their fibrogenicity. CD44hi IPF MPCs display increased expression of pluripotency markers and enhanced self-renewal compared with CD44lo IPF MPCs, properties potentiated by IL-8. The mechanism involves the accumulation of CD44 within the nucleus, where it associates with the chromatin modulator protein Brahma-related gene 1 (Brg1) and the zinc finger E-box binding homeobox 1 (Zeb1) transcription factor. This CD44/Brg1/Zeb1 nuclear protein complex targets the Sox2 gene, promoting its upregulation and self-renewal. Our data implicate CD44 interaction with the epigenetic modulator protein Brg1 in conveying IPF MPCs with cell-autonomous fibrogenicity.

Authors

Libang Yang, Hong Xia, Karen Smith, Adam Gilbertsen, Daniel Beisang, Jonathan Kuo, Peter B. Bitterman, Craig A. Henke

×

Figure 2

CD44hi IPF MPCs are more fibrogenic than CD44lo IPF MPCs.

Options: View larger image (or click on image) Download as PowerPoint
CD44hi IPF MPCs are more fibrogenic than CD44lo IPF MPCs.
(A–E) NSG mice...
(A–E) NSG mice were treated with IT bleomycin. Two weeks later, mice received either CD44hi or CD44lo IPF MPCs (IPF424); 10 mice/group. Flow cytometry showing isolation of SSEA4hi/CD44hi and SSEA4hi/CD44lo IPF MPCs (A). CD44 levels were quantified in CD44hi and CD44lo IPF MPCs by qPCR (B; left panel) and Western blot analysis (B; middle panel) (n = 4 cell lines tested IPF259, IPF309, IPF424, and IPF327); densitometry values summarize Western blot data (right panel). Lungs were harvested at week 6. (C) Collagen content was quantified in left lungs by Sircol assay (left panel). Ten mice from the above animal experiment (5 mice each from CD44hi and CD44lo groups; IPF 424) were used in this analysis. Semiquantitative analysis of collagen deposition was performed by Trichrome staining (right panel). Three sections from each animal were screened. Three Trichrome stained images at low power (5×; scale bar: 500 µm) randomly selected from each section were used for quantification. Blue regions (fibrotic stain) were defined and quantified using ImageJ (right panel). (D–M) Serial 4 µm sections of right lung tissue from mice receiving CD44hi IPF MPCs (D–G; scale bar: 200 µm) (H–M; scale bar: 50 µm). H&E and Trichrome stains assessing fibrosis and collagen deposition, respectively (D–G). IHC using an antibody recognizing human procollagen to identify human cells and assess collagen synthesis (H–J) and a CD44 antibody to determine the distribution of CD44 expressing cells (K–M). (H, I, K, and L) IHC for procollagen (H and I) and CD44 (K and L) to assess the distribution of human cells expressing collagen and CD44-expressing cells from fibrotic and nonfibrotic lung regions from mice receiving CD44hi IPF MPCs. Data expressed as mean ± SEM. P values were determined by 2-tailed Student’s t test.

Copyright © 2026 American Society for Clinical Investigation
ISSN 2379-3708

Sign up for email alerts