Mitochondrial Fusion: the Machineries in and Out
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Dissertation Philip Böhler
Three Tales of Death: New Pathways in the Induction, Inhibition and Execution of Apoptosis Inaugural-Dissertation zur Erlangung des Doktorgrades der Mathematisch-Naturwissenschaftlichen Fakultät der Heinrich-Heine-Universität Düsseldorf vorgelegt von Philip Böhler aus Bonn Düsseldorf, Juni 2019 aus dem Institut für Molekulare Medizin I der Heinrich-Heine-Universität Düsseldorf Gedruckt mit der Genehmigung der Mathematisch-Naturwissenschaftlichen Fakultät der Heinrich-Heine-Universität Düsseldorf Berichterstatter: 1. Prof. Dr. Sebastian Wesselborg 2. Prof. Dr. Henrike Heise Tag der mündlichen Prüfung: 29. Oktober 2019 “Where the first primal cell was, there was I also. Where man is, there am I. When the last life crawls under freezing stars, there will I be.” — DEATH, in: Mort, by Terry Pratchett “Right away I found out something about biology: it was very easy to find a question that was very interesting, and that nobody knew the answer to.” — Richard Feynman, in: Surely You're Joking, Mr. Feynman! Acknowledgements (Danksagung) Acknowledgements (Danksagung) Viele Menschen haben zum Gelingen meiner Forschungsarbeit und dieser Dissertation beigetragen, und nicht alle können hier namentlich erwähnt werden. Dennoch möchte ich einige besonders hervorheben. An erster Stelle möchte ich Professor Sebastian Wesselborg danken, der diese Dissertation als Erstgutachter betreut hat und der mir die Möglichkeit gab, die dazugehörigen experimentellen Arbeiten am Institut für Molekulare Medizin durchzuführen. Er und Professor Björn Stork, dem ich für die herzliche Aufnahme in seine Arbeitsgruppe danke, legten durch die richtige Mischung aus aktiver Förderung und dem Freiraum zur Umsetzung eigener wissenschaftlicher Ideen die ideale Grundlage für die Forschungsprojekte, aus denen diese Dissertation entstand. Professorin Henrike Heise, die sich freundlicherweise zur Betreuung dieser Dissertation als Zweitgutachterin bereiterklärt hat, gilt ebenfalls mein herzlicher Dank. -
Huang Grad.Sunysb 0771E 10211
SSStttooonnnyyy BBBrrrooooookkk UUUnnniiivvveeerrrsssiiitttyyy The official electronic file of this thesis or dissertation is maintained by the University Libraries on behalf of The Graduate School at Stony Brook University. ©©© AAAllllll RRRiiiggghhhtttsss RRReeessseeerrrvvveeeddd bbbyyy AAAuuuttthhhooorrr... Development of a quantitative assay for mitochondrial fusion and characterization of a lipid signaling pathway on the mitochondrial surface A Dissertation Presented by Huiyan Huang to The Graduate School in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy in Molecular and Cellular Pharmacology Stony Brook University August 2010 Stony Brook University The Graduate School Huiyan Huang We, the dissertation committee for the above candidate for the Doctor of Philosophy degree, hereby recommend acceptance of this dissertation. Michael A. Frohman, M.D., Ph.D. - Dissertation Advisor Professor Department of Pharmacological Sciences Daniel F. Bogenhagen, MD - Chairperson of the Defense Professor Department of Pharmacological Sciences Robert S. Haltiwanger, Ph.D. Professor Department of Biochemistry and Structural Biology Deborah A. Brown, Ph.D. Professor Department of Biochemistry and Structural Biology This dissertation is accepted by the Graduate School. Lawrence Martin Dean of the Graduate School ii Abstract of the Dissertation Development of a quantitative assay for mitochondrial fusion and characterization of a lipid signaling pathway on the mitochondrial surface by Huiyan Huang Doctor of Philosophy in Molecular and Cellular Pharmacology Stony Brook University 2010 Mitochondria continuously undergo fusion and fission, the relative rates of which define their morphology. Mitochondrial fusion is currently assayed by fusing together cells expressing GFP or RFP in their mitochondria and then scoring the frequency of cells with yellow mitochondria (representing fused green and red mitochondria). -
Mitochondrial Rhomboid PARL Regulates Cytochrome C Release During Apoptosis Via OPA1-Dependent Cristae Remodeling
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector Mitochondrial Rhomboid PARL Regulates Cytochrome c Release during Apoptosis via OPA1-Dependent Cristae Remodeling Sara Cipolat,1,7 Tomasz Rudka,2,7 Dieter Hartmann,2,7 Veronica Costa,1 Lutgarde Serneels,2 Katleen Craessaerts,2 Kristine Metzger,2 Christian Frezza,1 Wim Annaert,3 Luciano D’Adamio,5 Carmen Derks,2 Tim Dejaegere,2 Luca Pellegrini,6 Rudi D’Hooge,4 Luca Scorrano,1,* and Bart De Strooper2,* 1 Dulbecco-Telethon Institute, Venetian Institute of Molecular Medicine, Padova, Italy 2 Neuronal Cell Biology and Gene Transfer Laboratory 3 Membrane Trafficking Laboratory Center for Human Genetics, Flanders Interuniversity Institute for Biotechnology (VIB4) and K.U.Leuven, Leuven, Belgium 4 Laboratory of Biological Psychology, K.U.Leuven, Leuven, Belgium 5 Albert Einstein College of Medicine, Bronx, NY 10461, USA 6 Centre de Recherche Robert Giffard, Universite` Laval, G1J 2G3 Quebec, Canada 7 These authors contribute equally to this work. *Contact: [email protected] (L.S.); [email protected] (B.D.S.) DOI 10.1016/j.cell.2006.06.021 SUMMARY been identified in D. melanogaster (Freeman, 2004), where they function as essential activators of the epidermal Rhomboids, evolutionarily conserved integral growth factor (EGF) signaling pathway, proteolytically membrane proteases, participate in crucial sig- cleaving the EGF receptor ligands Spitz, Gurken, and naling pathways. Presenilin-associated rhom- Keren. Since all Rhomboids share a conserved serine boid-like (PARL) is an inner mitochondrial protease catalytic dyad (Lemberg et al., 2005), it has membrane rhomboid of unknown function, been suggested that they are able to cleave proteins in whose yeast ortholog is involved in mito- the transmembrane domain. -
Mitochondrial Network Fragmentation Modulates Mutant Mtdna Accumulation Independently of Absolute Fission-Fusion Rates
bioRxiv preprint doi: https://doi.org/10.1101/409128; this version posted September 5, 2018. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-ND 4.0 International license. Mitochondrial network fragmentation modulates mutant mtDNA accumulation independently of absolute fission-fusion rates Juvid Aryaman1, Charlotte Bowles2, Nick S. Jones1,3*, Iain G. Johnston2,3,4† 1 Department of Mathematics, Imperial College London, London, United Kingdom 2 School of Biosciences, University of Birmingham, Birmingham, United Kingdom 3 EPSRC Centre for the Mathematics of Precision Healthcare, Imperial College London, London, United Kingdom 4 Lead Contact *[email protected] †[email protected] Summary Mitochondrial DNA (mtDNA) mutations cause severe congenital diseases but may also be associated with healthy aging. MtDNA is stochastically replicated and degraded, and exists within organelles which undergo dynamic fusion and fission. The role of the resulting mitochondrial networks in determining the time evolution of the cellular proportion of mutated mtDNA molecules (heteroplasmy), and cell-to-cell variability in heteroplasmy (heteroplasmy variance), remains incompletely understood. Heteroplasmy variance is particularly important since it modulates the number of pathological cells in a tissue. Here, we provide the first wide- reaching mathematical treatment which bridges mitochondrial network and genetic states. We show that, for a range of models, the rate of increase in heteroplasmy variance, and the rate of de novo mutation, is proportionately modulated by the fraction of unfused mitochondria, independently of the absolute fission- fusion rate. -
PINK1 and Parkin Mitochondrial Quality Control: a Source of Regional Vulnerability in Parkinson’S Disease Preston Ge1,2,3,4,5,6, Valina L
Ge et al. Molecular Neurodegeneration (2020) 15:20 https://doi.org/10.1186/s13024-020-00367-7 REVIEW Open Access PINK1 and Parkin mitochondrial quality control: a source of regional vulnerability in Parkinson’s disease Preston Ge1,2,3,4,5,6, Valina L. Dawson1,2,3* and Ted M. Dawson1,2,3* Abstract That certain cell types in the central nervous system are more likely to undergo neurodegeneration in Parkinson’s disease is a widely appreciated but poorly understood phenomenon. Many vulnerable subpopulations, including dopamine neurons in the substantia nigra pars compacta, have a shared phenotype of large, widely distributed axonal networks, dense synaptic connections, and high basal levels of neural activity. These features come at substantial bioenergetic cost, suggesting that these neurons experience a high degree of mitochondrial stress. In such a context, mechanisms of mitochondrial quality control play an especially important role in maintaining neuronal survival. In this review, we focus on understanding the unique challenges faced by the mitochondria in neurons vulnerable to neurodegeneration in Parkinson’s and summarize evidence that mitochondrial dysfunction contributes to disease pathogenesis and to cell death in these subpopulations. We then review mechanisms of mitochondrial quality control mediated by activation of PINK1 and Parkin, two genes that carry mutations associated with autosomal recessive Parkinson’s disease. We conclude by pinpointing critical gaps in our knowledge of PINK1 and Parkin function, and propose that understanding the connection between the mechanisms of sporadic Parkinson’sand defects in mitochondrial quality control will lead us to greater insights into the question of selective vulnerability. Keywords: Parkinson disease, Parkin, PINK1, Mitochondria, Mitophagy, Selective vulnerability, Substantia nigra Background symptoms, and that the selective SNpc DA neuron toxin Parkinson’s disease (PD) is a late-onset neurodegenerative MPTP recapitulates the clinical phenotype of PD [2]. -
Mitochondrial Dynamic Abnormalities in Alzheimer's Disease Sirui Jiang Case Western Reserve University
MITOCHONDRIAL DYNAMIC ABNORMALITIES IN ALZHEIMER’S DISEASE by SIRUI JIANG Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy Dissertation Advisor: Dr. Xiongwei Zhu Department of Pathology CASE WESTERN RESERVE UNIVERSITY January 2019 CASE WESTERN RESERVE UNIVERSITY SCHOOL OF GRADUATE STUDIES We hereby approve the thesis/dissertation of SIRUI JIANG Candidate for the degree of Doctor of Philosophy* Dr. Shu Chen (Committee Chair) Dr. Xiongwei Zhu Dr. Xinglong Wang Dr. George Dubyak Dr. Charles Hoppel August 15, 2018 *We also certify that written approval has been obtained for any proprietary material contained therein Table of Contents Table of Contents 1 List of Figures 3 Acknowledgements 5 List of Abbreviations 7 Abstract 10 Chapter 1. Introduction 12 Introduction to Alzheimer’s Disease 13 General Information 13 Pathology 14 Pathogenesis 15 Introduction to Mitochondrial Dynamics 20 Mitochondrial Function and Neuronal Health 20 Mitochondrial Dynamics 21 Mitochondrial Dynamics and Mitochondrial Function 23 Mitochondrial Dynamics and Mitochondrial Transport 24 Mitochondrial Deficits in AD 26 Mitochondrial Dysfunction in AD 26 Aβ and Mitochondrial Dysfunction 27 Mitochondrial Dynamic Abnormalities in AD: Recent Advances 28 Conclusion 34 1 Chapter 2. Mfn2 ablation causes an oxidative stress response and eventual neuronal death in the hippocampus and cortex 36 Abstract 37 Background 39 Methods 43 Results 47 Discussion 54 Figures 60 Chapter 3. DLP1 Cleavage by Calpain in Alzheimer’s Disease 71 Abstract 72 Background 73 Methods 77 Results 80 Discussion 85 Figures 89 Chapter 4. Summary, Discussion and Future Directions 96 References 108 2 List of Figures Figure 2.1 Cre-mediated ablation of Mfn2 expression in the hippocampus and cortex of Mfn2 cKO mice 60 Figure 2.2 Quantification of DLP1 and OPA1 in cKO mice 61 Figure 2.3 Mfn2 ablation caused mitochondrial fragmentation and ultrastructural damage in the hippocampus in vivo as evidenced by electron microscopic analysis. -
Progression of Pathology in PINK1-Deficient Mouse Brain From
Torres-Odio et al. Journal of Neuroinflammation (2017) 14:154 DOI 10.1186/s12974-017-0928-0 RESEARCH Open Access Progression of pathology in PINK1-deficient mouse brain from splicing via ubiquitination, ER stress, and mitophagy changes to neuroinflammation Sylvia Torres-Odio1†, Jana Key1†, Hans-Hermann Hoepken1, Júlia Canet-Pons1, Lucie Valek2, Bastian Roller3, Michael Walter4, Blas Morales-Gordo5, David Meierhofer6, Patrick N. Harter3, Michel Mittelbronn3,7,8,9,10, Irmgard Tegeder2, Suzana Gispert1 and Georg Auburger1* Abstract Background: PINK1 deficiency causes the autosomal recessive PARK6 variant of Parkinson’s disease. PINK1 activates ubiquitin by phosphorylation and cooperates with the downstream ubiquitin ligase PARKIN, to exert quality control and control autophagic degradation of mitochondria and of misfolded proteins in all cell types. Methods: Global transcriptome profiling of mouse brain and neuron cultures were assessed in protein-protein interaction diagrams and by pathway enrichment algorithms. Validation by quantitative reverse transcriptase polymerase chain reaction and immunoblots was performed, including human neuroblastoma cells and patient primary skin fibroblasts. Results: In a first approach, we documented Pink1-deleted mice across the lifespan regarding brain mRNAs. The expression changes were always subtle, consistently affecting “intracellular membrane-bounded organelles”.Significant anomalies involved about 250 factors at age 6 weeks, 1300 at 6 months, and more than 3500 at age 18 months in the cerebellar tissue, including Srsf10, Ube3a, Mapk8, Creb3,andNfkbia. Initially, mildly significant pathway enrichment for the spliceosome was apparent. Later, highly significant networks of ubiquitin-mediated proteolysis and endoplasmic reticulum protein processing occurred. Finally, an enrichment of neuroinflammation factors appeared, together with profiles of bacterial invasion and MAPK signaling changes—while mitophagy had minor significance. -
Two Separate Functions of NME3 Critical for Cell Survival Underlie a Neurodegenerative Disorder
Two separate functions of NME3 critical for cell survival underlie a neurodegenerative disorder Chih-Wei Chena, Hong-Ling Wanga, Ching-Wen Huangb, Chang-Yu Huangc, Wai Keong Lima, I-Chen Tua, Atmaja Koorapatia, Sung-Tsang Hsiehd, Hung-Wei Kand, Shiou-Ru Tzenge, Jung-Chi Liaof, Weng Man Chongf, Inna Naroditzkyg, Dvora Kidronh,i, Ayelet Eranj, Yousif Nijimk, Ella Selak, Hagit Baris Feldmanl, Limor Kalfonm, Hadas Raveh-Barakm, Tzipora C. Falik-Zaccaim,n, Orly Elpelego, Hanna Mandelm,p,1, and Zee-Fen Changa,q,1 aInstitute of Molecular Medicine, College of Medicine, National Taiwan University, 10002 Taipei, Taiwan; bDepartment of Medicine, College of Medicine, National Taiwan University, 10002 Taipei, Taiwan; cInstitute of Biochemistry and Molecular Biology, National Yang-Ming University, 11221 Taipei, Taiwan; dInstitute of Anatomy and Cell Biology, College of Medicine, National Taiwan University, 10002 Taipei, Taiwan; eInstitute of Biochemistry and Molecular Biology, College of Medicine, National Taiwan University, 10002 Taipei, Taiwan; fInstitute of Atomic and Molecular Sciences, Academia Sinica, 10617 Taipei, Taiwan; gDepartment of Pathology, Rambam Health Care Campus, 31096 Haifa, Israel; hDepartment of Pathology, Meir Hospital, 44100 Kfar Saba, Israel; iSackler School of Medicine, Tel Aviv University, 69978 Tel Aviv, Israel; jDepartment of Radiology, Rambam Health Care Campus, 31096 Haifa, Israel; kPediatric and Neonatal Unit, Nazareth Hospital EMMS, 17639 Nazareth, Israel; lThe Genetics Institute, Rambam Health Care Campus, 31096 Haifa, Israel; mInstitute of Human Genetics, Galilee Medical Center, 22100 Nahariya, Israel; nThe Azrieli Faculty of Medicine, Bar Ilan University, 13100 Safed, Israel; oDepartment of Genetic and Metabolic Diseases, Hadassah Hebrew University Medical Center, 91120 Jerusalem, Israel; pMetabolic Unit, Technion Faculty of Medicine, Rambam Health Care Campus, 31096 Haifa, Israel; and qCenter of Precision Medicine, College of Medicine, National Taiwan University, 10002 Taipei, Taiwan Edited by Christopher K. -
Restoring Mitofusin Balance Prevents Axonal Degeneration in a Charcot-Marie-Tooth Type 2A Model
Amendment history: Corrigendum (January 2021) Restoring mitofusin balance prevents axonal degeneration in a Charcot-Marie-Tooth type 2A model Yueqin Zhou, … , Cathleen M. Lutz, Robert H. Baloh J Clin Invest. 2019;129(4):1756-1771. https://doi.org/10.1172/JCI124194. Research Article Neuroscience Graphical abstract Find the latest version: https://jci.me/124194/pdf RESEARCH ARTICLE The Journal of Clinical Investigation Restoring mitofusin balance prevents axonal degeneration in a Charcot-Marie-Tooth type 2A model Yueqin Zhou,1,2 Sharon Carmona,2 A.K.M.G. Muhammad,1,2 Shaughn Bell,1,2 Jesse Landeros,1,2 Michael Vazquez,1,2 Ritchie Ho,2 Antonietta Franco,3 Bin Lu,2 Gerald W. Dorn II,3 Shaomei Wang,2 Cathleen M. Lutz,4 and Robert H. Baloh1,2,5 1Center for Neural Science and Medicine, and 2Board of Governors Regenerative Medicine Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA. 3Center for Pharmacogenomics, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri, USA. 4The Jackson Laboratory, Bar Harbor, Maine, USA. 5Department of Neurology, Cedars-Sinai Medical Center, Los Angeles, California, USA. Mitofusin-2 (MFN2) is a mitochondrial outer-membrane protein that plays a pivotal role in mitochondrial dynamics in most tissues, yet mutations in MFN2, which cause Charcot-Marie-Tooth disease type 2A (CMT2A), primarily affect the nervous system. We generated a transgenic mouse model of CMT2A that developed severe early onset vision loss and neurological deficits, axonal degeneration without cell body loss, and cytoplasmic and axonal accumulations of fragmented mitochondria. While mitochondrial aggregates were labeled for mitophagy, mutant MFN2 did not inhibit Parkin-mediated degradation, but instead had a dominant negative effect on mitochondrial fusion only when MFN1 was at low levels, as occurs in neurons. -
Phosphorylation and Cleavage of Presenilin-Associated Rhomboid-Like Protein (PARL) Promotes Changes in Mitochondrial Morphology
Phosphorylation and cleavage of presenilin-associated rhomboid-like protein (PARL) promotes changes in mitochondrial morphology Danny V. Jeyaraju*, Liqun Xu†, Marie-Claude Letellier*, Sirisha Bandaru*, Rodolfo Zunino†, Eric A. Berg‡, Heidi M. McBride†§, and Luca Pellegrini*§ *Centre de Recherche Universite´Laval Robert-Giffard, 2601 ch. de la Canardie`re, Quebec City, QC, Canada G1J 2G3; †University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, ON, Canada K1Y 4W7; and ‡21st Century Biochemicals, 33 Locke Drive, Marlboro, MA 01752-1146 Edited by Walter Neupert, Institute fu¨r Physiologische Chemie, Munich, Germany, and accepted by the Editorial Board October 12, 2006 (received for review June 14, 2006) Remodeling of mitochondria is a dynamic process coordinated by residues would be expected to survive the Ϸ100 million years of fusion and fission of the inner and outer membranes of the organelle, evolution separating mammalian orders (12, 13). This analysis mediated by a set of conserved proteins. In metazoans, the molecular suggests that emergence of the P domain at the outset of verte- mechanism behind mitochondrial morphology has been recruited to brate evolution may be associated with the appearance of a new govern novel functions, such as development, calcium signaling, and mechanism of regulation of PARL. We have recently shown that apoptosis, which suggests that novel mechanisms should exist to this part of the PARL molecule undergoes two consecutive cleav- regulate the conserved membrane fusion/fission machinery. Here we age events, termed ␣ and . The proximal ␣-cleavage is a consti-  show that phosphorylation and cleavage of the vertebrate-specific P tutive processing associated with the protein import in the mito- domain of the mammalian presenilin-associated rhomboid-like chondria, whereas the distal -cleavage is regulated through a (PARL) protease can influence mitochondrial morphology. -
Mitochondrial Dynamics and Apoptosis
Downloaded from genesdev.cshlp.org on October 2, 2021 - Published by Cold Spring Harbor Laboratory Press REVIEW Mitochondrial dynamics and apoptosis Der-Fen Suen, Kristi L. Norris, and Richard J. Youle1 Biochemistry Section, Surgical Neurology Branch, NINDS, National Institutes of Health, Bethesda, Maryland 20892, USA In healthy cells, mitochondria continually divide and 1, whereas others, such as Bax and Bak, activate apopto- fuse to form a dynamic interconnecting network. The sis. Bax and Bak actively induce cytochrome c release molecular machinery that mediates this organelle fis- from mitochondria within cells and in cell-free systems, sion and fusion is necessary to maintain mitochondrial both of which are inhibited by anti-apoptotic Bcl-2 fam- integrity, perhaps by facilitating DNA or protein quality ily members. As the anti-apoptotic Bcl-2 family mem- control. This network disintegrates during apoptosis at bers closely resemble the proapoptotic members in the time of cytochrome c release and prior to caspase structure, they may function as dominant negative in- activation, yielding more numerous and smaller mito- hibitors by binding and inhibiting Bax and Bak. Another chondria. Recent work shows that proteins involved in class of disparate proteins including Puma and Bim, mitochondrial fission and fusion also actively participate called BH3-only proteins, shares a short motif with Bcl-2 in apoptosis induction. This review will cover the recent family proteins and regulates their activity. One model advances and presents competing models on how the posits that upon apoptosis initiation, BH3-only proteins mitochondrial fission and fusion machinery may inter- are induced and then bind and inhibit anti-apoptotic sect apoptosis pathways. -
Mitofusins Regulate Lipid Metabolism to Mediate the Development of Lung Fibrosis
ARTICLE https://doi.org/10.1038/s41467-019-11327-1 OPEN Mitofusins regulate lipid metabolism to mediate the development of lung fibrosis Kuei-Pin Chung 1,2,3, Chia-Lang Hsu 4, Li-Chao Fan1, Ziling Huang1, Divya Bhatia 5, Yi-Jung Chen6, Shu Hisata1, Soo Jung Cho1, Kiichi Nakahira1, Mitsuru Imamura 1, Mary E. Choi5,7, Chong-Jen Yu5,8, Suzanne M. Cloonan1 & Augustine M.K. Choi1,7 Accumulating evidence illustrates a fundamental role for mitochondria in lung alveolar type 2 1234567890():,; epithelial cell (AEC2) dysfunction in the pathogenesis of idiopathic pulmonary fibrosis. However, the role of mitochondrial fusion in AEC2 function and lung fibrosis development remains unknown. Here we report that the absence of the mitochondrial fusion proteins mitofusin1 (MFN1) and mitofusin2 (MFN2) in murine AEC2 cells leads to morbidity and mortality associated with spontaneous lung fibrosis. We uncover a crucial role for MFN1 and MFN2 in the production of surfactant lipids with MFN1 and MFN2 regulating the synthesis of phospholipids and cholesterol in AEC2 cells. Loss of MFN1, MFN2 or inhibiting lipid synthesis via fatty acid synthase deficiency in AEC2 cells exacerbates bleomycin-induced lung fibrosis. We propose a tenet that mitochondrial fusion and lipid metabolism are tightly linked to regulate AEC2 cell injury and subsequent fibrotic remodeling in the lung. 1 Division of Pulmonary and Critical Care Medicine, Joan and Sanford I. Weill Department of Medicine, Weill Cornell Medicine, New York, NY 10021, USA. 2 Department of Laboratory Medicine, National Taiwan University Hospital and National Taiwan University Cancer Center, Taipei 10002, Taiwan. 3 Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei 10051, Taiwan.