title: Intratracheal gene transfer of tissue factor pathway inhibitor attenuates pulmonary fibrosis.
abstract: Activation of the coagulation system and increased expression of tissue factor (TF) in pulmonary fibrosis associated with acute and chronic lung injury have been previously documented. In the present study, we evaluated the effect of TF inhibition with intratracheal gene transfer of tissue factor pathway inhibitor (TFPI), a potent and highly specific endogenous inhibitor of TF-dependent coagulation activation, in a rat model of bleomycin-induced lung fibrosis. Significant lung fibrotic changes as assessed by histologic findings and hydroxyproline content, and increased procoagulant activity and thrombin generation in bronchoalveolar lavage fluid were detected in rats after intratracheal injection of bleomycin. Intratracheal administration of an adenovirus vector expressing TFPI significantly decreased bleomycin-induced procoagulant and thrombin generation resulting in a strong inhibition of pulmonary fibrosis. TFPI-overexpression in the lung was associated with a significant reduction in gene expression of the connective tissue growth factor, a potent profibrotic growth factor. This is the first report showing that direct inhibition of TF-mediated coagulation activation abrogates bleomycin-induced pulmonary fibrosis.
authors.affiliation: Division of Pathological Biochemistry, Department of Life Sciences, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Kijiyama
authors.forename: Hikaru
authors.initials: H
authors.lastname: Ueno
authors.forename: Isamu
authors.initials: I
authors.lastname: Sugimoto
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Sasaguri
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yatera
authors.forename: Masamitsu
authors.initials: M
authors.lastname: Kido
authors.forename: Esteban C
authors.initials: EC
authors.lastname: Gabazza
authors.forename: Koji
authors.initials: K
authors.lastname: Suzuki
authors.forename: Eikichi
authors.initials: E
authors.lastname: Hashimoto
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Takeya
mesh_terms: D000818:Animals; D018014:Gene Transfer Techniques; D015316:Genetic Therapy / Q000379:methods*; D008074:Lipoproteins / Q000235:genetics* / Q000378:metabolism / Q000627:therapeutic use*; D008297:Male; D011658:Pulmonary Fibrosis / Q000235:genetics* / Q000378:metabolism / Q000628:therapy*; D051381:Rats; D017208:Rats, Wistar; D012720:Severity of Illness Index; D015398:Signal Transduction / Q000235:genetics; D013925:Thromboplastin / Q000378:metabolism; D014132:Trachea / Q000378:metabolism*; D016896:Treatment Outcome
chemical_list: D008074:Lipoproteins; C051928:lipoprotein-associated coagulation inhibitor; D013925:Thromboplastin