[HTML][HTML] PAK proteins and YAP-1 signalling downstream of integrin beta-1 in myofibroblasts promote liver fibrosis

K Martin, J Pritchett, J Llewellyn, AF Mullan… - Nature …, 2016 - nature.com
K Martin, J Pritchett, J Llewellyn, AF Mullan, VS Athwal, R Dobie, E Harvey, L Zeef, S Farrow…
Nature communications, 2016nature.com
Fibrosis due to extracellular matrix (ECM) secretion from myofibroblasts complicates many
chronic liver diseases causing scarring and organ failure. Integrin-dependent interaction
with scar ECM promotes pro-fibrotic features. However, the pathological intracellular
mechanism in liver myofibroblasts is not completely understood, and further insight could
enable therapeutic efforts to reverse fibrosis. Here, we show that integrin beta-1, capable of
binding integrin alpha-11, regulates the pro-fibrotic phenotype of myofibroblasts. Integrin …
Abstract
Fibrosis due to extracellular matrix (ECM) secretion from myofibroblasts complicates many chronic liver diseases causing scarring and organ failure. Integrin-dependent interaction with scar ECM promotes pro-fibrotic features. However, the pathological intracellular mechanism in liver myofibroblasts is not completely understood, and further insight could enable therapeutic efforts to reverse fibrosis. Here, we show that integrin beta-1, capable of binding integrin alpha-11, regulates the pro-fibrotic phenotype of myofibroblasts. Integrin beta-1 expression is upregulated in pro-fibrotic myofibroblasts in vivo and is required in vitro for production of fibrotic ECM components, myofibroblast proliferation, migration and contraction. Serine/threonine-protein kinase proteins, also known as P21-activated kinase (PAK), and the mechanosensitive factor, Yes-associated protein 1 (YAP-1) are core mediators of pro-fibrotic integrin beta-1 signalling, with YAP-1 capable of perpetuating integrin beta-1 expression. Pharmacological inhibition of either pathway in vivo attenuates liver fibrosis. PAK protein inhibition, in particular, markedly inactivates the pro-fibrotic myofibroblast phenotype, limits scarring from different hepatic insults and represents a new tractable therapeutic target for treating liver fibrosis.
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