How Do Mechanics Guide Fibroblast Activity? Complex Disruptions during Emphysema Shape Cellular Responses and Limit Research

The emphysema death toll has steadily risen over recent decades, causing the disease to become the third most common cause of death worldwide in 2019. Emphysema is currently incurable and could be due to a genetic condition (Alpha-1 antitrypsin deficiency) or exposure to pollutants/irritants, such a...

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Main Authors: Mathew N. Leslie, Joshua Chou, Paul M. Young, Daniela Traini, Peta Bradbury, Hui Xin Ong
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Bioengineering
Subjects:
Online Access:https://www.mdpi.com/2306-5354/8/8/110
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author Mathew N. Leslie
Joshua Chou
Paul M. Young
Daniela Traini
Peta Bradbury
Hui Xin Ong
author_facet Mathew N. Leslie
Joshua Chou
Paul M. Young
Daniela Traini
Peta Bradbury
Hui Xin Ong
author_sort Mathew N. Leslie
collection DOAJ
description The emphysema death toll has steadily risen over recent decades, causing the disease to become the third most common cause of death worldwide in 2019. Emphysema is currently incurable and could be due to a genetic condition (Alpha-1 antitrypsin deficiency) or exposure to pollutants/irritants, such as cigarette smoke or poorly ventilated cooking fires. Despite the growing burden of emphysema, the mechanisms behind emphysematous pathogenesis and progression are not fully understood by the scientific literature. A key aspect of emphysematous progression is the destruction of the lung parenchyma extracellular matrix (ECM), causing a drastic shift in the mechanical properties of the lung (known as mechanobiology). The mechanical properties of the lung such as the stiffness of the parenchyma (measured as the elastic modulus) and the stretch forces required for inhalation and exhalation are both reduced in emphysema. Fibroblasts function to maintain the structural and mechanical integrity of the lung parenchyma, yet, in the context of emphysema, these fibroblasts appear incapable of repairing the ECM, allowing emphysema to progress. This relationship between the disturbances in the mechanical cues experienced by an emphysematous lung and fibroblast behaviour is constantly overlooked and consequently understudied, thus warranting further research. Interestingly, the failure of current research models to integrate the altered mechanical environment of an emphysematous lung may be limiting our understanding of emphysematous pathogenesis and progression, potentially disrupting the development of novel treatments. This review will focus on the significance of emphysematous lung mechanobiology to fibroblast activity and current research limitations by examining: (1) the impact of mechanical cues on fibroblast activity and the cell cycle, (2) the potential role of mechanical cues in the diminished activity of emphysematous fibroblasts and, finally, (3) the limitations of current emphysematous lung research models and treatments as a result of the overlooked emphysematous mechanical environment.
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spelling doaj.art-c1c94690286d4bb6b3af0514dba110ff2023-11-22T06:49:03ZengMDPI AGBioengineering2306-53542021-08-018811010.3390/bioengineering8080110How Do Mechanics Guide Fibroblast Activity? Complex Disruptions during Emphysema Shape Cellular Responses and Limit ResearchMathew N. Leslie0Joshua Chou1Paul M. Young2Daniela Traini3Peta Bradbury4Hui Xin Ong5Respiratory Technology, The Woolcock Institute of Medical Research, Glebe, Sydney, NSW 2037, AustraliaFaculty of Engineering and Information Technology, University of Technology Sydney, Ultimo, Sydney, NSW 2007, AustraliaRespiratory Technology, The Woolcock Institute of Medical Research, Glebe, Sydney, NSW 2037, AustraliaRespiratory Technology, The Woolcock Institute of Medical Research, Glebe, Sydney, NSW 2037, AustraliaRespiratory Technology, The Woolcock Institute of Medical Research, Glebe, Sydney, NSW 2037, AustraliaRespiratory Technology, The Woolcock Institute of Medical Research, Glebe, Sydney, NSW 2037, AustraliaThe emphysema death toll has steadily risen over recent decades, causing the disease to become the third most common cause of death worldwide in 2019. Emphysema is currently incurable and could be due to a genetic condition (Alpha-1 antitrypsin deficiency) or exposure to pollutants/irritants, such as cigarette smoke or poorly ventilated cooking fires. Despite the growing burden of emphysema, the mechanisms behind emphysematous pathogenesis and progression are not fully understood by the scientific literature. A key aspect of emphysematous progression is the destruction of the lung parenchyma extracellular matrix (ECM), causing a drastic shift in the mechanical properties of the lung (known as mechanobiology). The mechanical properties of the lung such as the stiffness of the parenchyma (measured as the elastic modulus) and the stretch forces required for inhalation and exhalation are both reduced in emphysema. Fibroblasts function to maintain the structural and mechanical integrity of the lung parenchyma, yet, in the context of emphysema, these fibroblasts appear incapable of repairing the ECM, allowing emphysema to progress. This relationship between the disturbances in the mechanical cues experienced by an emphysematous lung and fibroblast behaviour is constantly overlooked and consequently understudied, thus warranting further research. Interestingly, the failure of current research models to integrate the altered mechanical environment of an emphysematous lung may be limiting our understanding of emphysematous pathogenesis and progression, potentially disrupting the development of novel treatments. This review will focus on the significance of emphysematous lung mechanobiology to fibroblast activity and current research limitations by examining: (1) the impact of mechanical cues on fibroblast activity and the cell cycle, (2) the potential role of mechanical cues in the diminished activity of emphysematous fibroblasts and, finally, (3) the limitations of current emphysematous lung research models and treatments as a result of the overlooked emphysematous mechanical environment.https://www.mdpi.com/2306-5354/8/8/110emphysemalungfibroblastmechanobiology3D lunginhaled treatment
spellingShingle Mathew N. Leslie
Joshua Chou
Paul M. Young
Daniela Traini
Peta Bradbury
Hui Xin Ong
How Do Mechanics Guide Fibroblast Activity? Complex Disruptions during Emphysema Shape Cellular Responses and Limit Research
Bioengineering
emphysema
lung
fibroblast
mechanobiology
3D lung
inhaled treatment
title How Do Mechanics Guide Fibroblast Activity? Complex Disruptions during Emphysema Shape Cellular Responses and Limit Research
title_full How Do Mechanics Guide Fibroblast Activity? Complex Disruptions during Emphysema Shape Cellular Responses and Limit Research
title_fullStr How Do Mechanics Guide Fibroblast Activity? Complex Disruptions during Emphysema Shape Cellular Responses and Limit Research
title_full_unstemmed How Do Mechanics Guide Fibroblast Activity? Complex Disruptions during Emphysema Shape Cellular Responses and Limit Research
title_short How Do Mechanics Guide Fibroblast Activity? Complex Disruptions during Emphysema Shape Cellular Responses and Limit Research
title_sort how do mechanics guide fibroblast activity complex disruptions during emphysema shape cellular responses and limit research
topic emphysema
lung
fibroblast
mechanobiology
3D lung
inhaled treatment
url https://www.mdpi.com/2306-5354/8/8/110
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