Single-cell analysis of senescent epithelia reveals targetable mechanisms promoting fibrosis

Progressive fibrosis and maladaptive organ repair result in significant morbidity and millions of premature deaths annually. Senescent cells accumulate with aging and after injury and are implicated in organ fibrosis, but the mechanisms by which senescence influences repair are poorly understood. Us...

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Main Authors: Eoin D. O’Sullivan, Katie J. Mylonas, Rachel Bell, Cyril Carvalho, David P. Baird, Carolynn Cairns, Kevin M. Gallagher, Ross Campbell, Marie Docherty, Alexander Laird, Neil C. Henderson, Tamir Chandra, Kristina Kirschner, Bryan Conway, Gry H. Dihazi, Michael Zeisberg, Jeremy Hughes, Laura Denby, Hassan Dihazi, David A. Ferenbach
Format: Article
Language:English
Published: American Society for Clinical investigation 2022-12-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.154124
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author Eoin D. O’Sullivan
Katie J. Mylonas
Rachel Bell
Cyril Carvalho
David P. Baird
Carolynn Cairns
Kevin M. Gallagher
Ross Campbell
Marie Docherty
Alexander Laird
Neil C. Henderson
Tamir Chandra
Kristina Kirschner
Bryan Conway
Gry H. Dihazi
Michael Zeisberg
Jeremy Hughes
Laura Denby
Hassan Dihazi
David A. Ferenbach
author_facet Eoin D. O’Sullivan
Katie J. Mylonas
Rachel Bell
Cyril Carvalho
David P. Baird
Carolynn Cairns
Kevin M. Gallagher
Ross Campbell
Marie Docherty
Alexander Laird
Neil C. Henderson
Tamir Chandra
Kristina Kirschner
Bryan Conway
Gry H. Dihazi
Michael Zeisberg
Jeremy Hughes
Laura Denby
Hassan Dihazi
David A. Ferenbach
author_sort Eoin D. O’Sullivan
collection DOAJ
description Progressive fibrosis and maladaptive organ repair result in significant morbidity and millions of premature deaths annually. Senescent cells accumulate with aging and after injury and are implicated in organ fibrosis, but the mechanisms by which senescence influences repair are poorly understood. Using 2 murine models of injury and repair, we show that obstructive injury generated senescent epithelia, which persisted after resolution of the original injury, promoted ongoing fibrosis, and impeded adaptive repair. Depletion of senescent cells with ABT-263 reduced fibrosis in reversed ureteric obstruction and after renal ischemia/reperfusion injury. We validated these findings in humans, showing that senescence and fibrosis persisted after relieved renal obstruction. We next characterized senescent epithelia in murine renal injury using single-cell RNA-Seq. We extended our classification to human kidney and liver disease and identified conserved profibrotic proteins, which we validated in vitro and in human disease. We demonstrated that increased levels of protein disulfide isomerase family A member 3 (PDIA3) augmented TGF-β–mediated fibroblast activation. Inhibition of PDIA3 in vivo significantly reduced kidney fibrosis during ongoing renal injury and as such represented a new potential therapeutic pathway. Analysis of the signaling pathways of senescent epithelia connected senescence to organ fibrosis, permitting rational design of antifibrotic therapies.
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spelling doaj.art-4b3de86c4fb74e508d5ddb5a3c0e00032023-11-07T16:24:52ZengAmerican Society for Clinical investigationJCI Insight2379-37082022-12-01722Single-cell analysis of senescent epithelia reveals targetable mechanisms promoting fibrosisEoin D. O’SullivanKatie J. MylonasRachel BellCyril CarvalhoDavid P. BairdCarolynn CairnsKevin M. GallagherRoss CampbellMarie DochertyAlexander LairdNeil C. HendersonTamir ChandraKristina KirschnerBryan ConwayGry H. DihaziMichael ZeisbergJeremy HughesLaura DenbyHassan DihaziDavid A. FerenbachProgressive fibrosis and maladaptive organ repair result in significant morbidity and millions of premature deaths annually. Senescent cells accumulate with aging and after injury and are implicated in organ fibrosis, but the mechanisms by which senescence influences repair are poorly understood. Using 2 murine models of injury and repair, we show that obstructive injury generated senescent epithelia, which persisted after resolution of the original injury, promoted ongoing fibrosis, and impeded adaptive repair. Depletion of senescent cells with ABT-263 reduced fibrosis in reversed ureteric obstruction and after renal ischemia/reperfusion injury. We validated these findings in humans, showing that senescence and fibrosis persisted after relieved renal obstruction. We next characterized senescent epithelia in murine renal injury using single-cell RNA-Seq. We extended our classification to human kidney and liver disease and identified conserved profibrotic proteins, which we validated in vitro and in human disease. We demonstrated that increased levels of protein disulfide isomerase family A member 3 (PDIA3) augmented TGF-β–mediated fibroblast activation. Inhibition of PDIA3 in vivo significantly reduced kidney fibrosis during ongoing renal injury and as such represented a new potential therapeutic pathway. Analysis of the signaling pathways of senescent epithelia connected senescence to organ fibrosis, permitting rational design of antifibrotic therapies.https://doi.org/10.1172/jci.insight.154124Cell biologyNephrology
spellingShingle Eoin D. O’Sullivan
Katie J. Mylonas
Rachel Bell
Cyril Carvalho
David P. Baird
Carolynn Cairns
Kevin M. Gallagher
Ross Campbell
Marie Docherty
Alexander Laird
Neil C. Henderson
Tamir Chandra
Kristina Kirschner
Bryan Conway
Gry H. Dihazi
Michael Zeisberg
Jeremy Hughes
Laura Denby
Hassan Dihazi
David A. Ferenbach
Single-cell analysis of senescent epithelia reveals targetable mechanisms promoting fibrosis
JCI Insight
Cell biology
Nephrology
title Single-cell analysis of senescent epithelia reveals targetable mechanisms promoting fibrosis
title_full Single-cell analysis of senescent epithelia reveals targetable mechanisms promoting fibrosis
title_fullStr Single-cell analysis of senescent epithelia reveals targetable mechanisms promoting fibrosis
title_full_unstemmed Single-cell analysis of senescent epithelia reveals targetable mechanisms promoting fibrosis
title_short Single-cell analysis of senescent epithelia reveals targetable mechanisms promoting fibrosis
title_sort single cell analysis of senescent epithelia reveals targetable mechanisms promoting fibrosis
topic Cell biology
Nephrology
url https://doi.org/10.1172/jci.insight.154124
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