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and Smad3 Signaling Link Inflammation to Chronic Fibrogenesis1



* Department of Pathology and Molecular Medicine, Center for Gene Therapeutics, McMaster University, Hamilton, Ontario, Canada;
Service de Pneumologie et Réanimation Respiratoire, Centre Hospitalier Universitaire du Bocage et Université de Bourgogne, Dijon, France;
National Cancer Institute, National Institutes of Health, Bethesda, MD 20892; and
Department of Medicine, Firestone Institute for Respiratory Health, McMaster University, Hamilton, Ontario, Canada
Transient adenovirus-mediated gene transfer of IL-1
(AdIL-1
), a proinflammatory cytokine, induces marked inflammation and severe and progressive fibrosis in rat lungs. This is associated with an increase in TGF-
1 concentration in bronchoalveolar lavage (BAL) fluid. TGF-
1 is a key cytokine in the process of fibrogenesis, using intracellular signaling pathways involving Smad2 and Smad3. In this study we investigate whether inflammation induced by IL-1
is able to independently induce lung fibrosis in mice deficient in the Smad3 gene. Seven days after AdIL-1
administration, similar levels of IL-1
transgene are seen in BAL in both wild-type (WT) and knockout (KO) mice, and BAL cell profiles demonstrated a similar marked neutrophilic inflammation. Phospho-Smad2 staining was positive in areas of inflammation in both WT and KO mice at day 7. By day 35 after transient IL-1
expression, WT mice showed marked fibrosis in peribronchial areas, quantified by picrosirius red staining and morphometry. However, there was no evidence of fibrosis or collagen accumulation in IL-1
-treated KO mice, and peribronchial areas were not different from KO mice treated with the control adenovector. TGF-
1 and phospho-Smad2 were strongly positive at day 35 in fibrotic areas observed in WT mice, but no such staining was detectable in KO mice. The IL-1
-induced chronic fibrotic response in mouse lungs is dependent on Smad3. KO and WT animals demonstrated a similar inflammatory response to overexpression of IL-1
indicating that inflammation must link to the Smad3 pathway, likely through TGF-
, to induce progressive fibrosis.
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