Type I Collagen During Lung Fibrosis Fibrocytes Are Not an Essential
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Fibrocytes Are Not an Essential Source of Type I Collagen during Lung Fibrosis Kathryn R. Kleaveland, Miranda Velikoff, Jibing Yang, Manisha Agarwal, Richard A. Rippe, Bethany B. Moore and This information is current as Kevin K. Kim of September 27, 2021. J Immunol 2014; 193:5229-5239; Prepublished online 3 October 2014; doi: 10.4049/jimmunol.1400753 http://www.jimmunol.org/content/193/10/5229 Downloaded from Supplementary http://www.jimmunol.org/content/suppl/2014/10/02/jimmunol.140075 Material 3.DCSupplemental http://www.jimmunol.org/ References This article cites 59 articles, 9 of which you can access for free at: http://www.jimmunol.org/content/193/10/5229.full#ref-list-1 Why The JI? Submit online. • Rapid Reviews! 30 days* from submission to initial decision by guest on September 27, 2021 • No Triage! Every submission reviewed by practicing scientists • Fast Publication! 4 weeks from acceptance to publication *average Subscription Information about subscribing to The Journal of Immunology is online at: http://jimmunol.org/subscription Permissions Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Email Alerts Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 Copyright © 2014 by The American Association of Immunologists, Inc. All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. The Journal of Immunology Fibrocytes Are Not an Essential Source of Type I Collagen during Lung Fibrosis Kathryn R. Kleaveland,* Miranda Velikoff,* Jibing Yang,* Manisha Agarwal,* Richard A. Rippe,† Bethany B. Moore,* and Kevin K. Kim* Progressive fibrosis involves accumulation of activated collagen-producing mesenchymal cells. Fibrocytes are hematopoietic- derived cells with mesenchymal features that potentially have a unique and critical function during fibrosis. Fibrocytes have been proposed as an important direct contributor of type I collagen deposition during fibrosis based largely on fate-mapping studies. To determine the functional contribution of hematopoietic cell-derived type I collagen to fibrogenesis, we use a double-transgenic sys- tem to specifically delete the type I collagen gene across a broad population of hematopoietic cells. These mice develop a robust fibrotic response similar to littermate genotype control mice injured with bleomycin indicating that fibrocytes are not a necessary source of type I collagen. Using collagen–promoter GFP mice, we find that fibrocytes express type I collagen. However, fibrocytes Downloaded from with confirmed deletion of the type I collagen gene have readily detectable intracellular type I collagen indicating that uptake of collagen from neighboring cells account for much of the fibrocyte collagen. Collectively, these results clarify several seemingly conflicting reports regarding the direct contribution of fibrocytes to collagen deposition. The Journal of Immunology, 2014, 193: 5229–5239. ibrosis is a common feature of many systemic inflamma- matrix proteins and eventual replacement with fibrillar collagens http://www.jimmunol.org/ tory conditions and can also occur as a primary progres- derived from activated fibrogenic cells. Initiation of these events F sive disease. Fibrosis can lead to organ dysfunction and can occur through recruitment of circulating cells with fibrogenic significant morbidity. Collectively, fibrosis is the leading cause of potential into the microenvironment, proliferation and activation death in developed countries. Idiopathic pulmonary fibrosis is the of quiescent fibroblasts, and transdifferentiation of structural cells most common primary fibrotic lung disorder, affecting .5 million into fibroblast-like cells. The original paradigm assumed that the people worldwide. The median survival of patients with this con- accumulated activated fibroblasts were derived from proliferation dition is 3–5 y from the time of diagnosis and current medical and activation of quiescent resident tissue fibroblasts. However, therapy is largely ineffective (1–5). Unfortunately, despite intense recently other possibilities for the origin of collagen producing by guest on September 27, 2021 investigation, we still have a poor understanding of the pathogenesis cells have been proposed including epithelial cells, endothelial of tissue fibrosis and fibrotic diseases are difficult to treat. Recent cells, pericytes, mesenchymal stem cells, and fibrocytes (7–14). evidence suggests that fibrogenesis is more complex than originally Differentiating among these possibilities is important because thought and involves activation of and coordination of many cells pathways leading to their activation may be distinct. There is sig- types that contribute directly and indirectly to fibrogenesis. A more nificant overlap in mechanisms of activation of fibroblasts, epi- thorough delineation of the processes that underlie fibrogenesis thelial cells, endothelial cells, and pericytes. For example, TGF-b requires the investigation of novel pathways and cell types. is the most well established cytokine leading to fibroblast to Fibrosis is characterized by accumulation of activated fibroblasts myofibroblast transition and epithelial to mesenchymal transition and excessive deposition of fibrotic extracellular matrix proteins, (15, 16). Most, if not all, factors promoting mesenchymal transition especially type I collagen. Extensive research has focused on of epithelial and endothelial cells have also been studied in models mechanisms of type I collagen synthesis by fibroblasts. However, of fibroblast activation. Fibrocyte recruitment may be unique in the origin of type I collagen secreting cells remains unclear and their ability to respond to a number of cytokines and chemokines controversial (6). Injury leads to sequential remodeling of the typically associated with activation of inflammatory cells (17). extracellular matrix with rapid replacement by plasma derived Fibrocytes are hematopoietic bone marrow–derived cells that express both fibroblast and leukocyte markers. They circulate in *Division of Pulmonary and Critical Care Medicine, Department of Internal Medi- peripheral blood and can be isolated from many tissues including cine, University of Michigan, Ann Arbor, MI 48109; and †National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD 20892 the lung. Cultured fibrocytes have been shown to express a number of fibrotic extracellular matrix proteins including collagen I, col- ORCID: 0000-0003-3051-745X (B.B.M.). lagen III, and fibronectin (17–21). In addition, fibrocytes maintain Received for publication March 24, 2014. Accepted for publication September 8, 2014. expression of common leukocyte markers including CD45, CD13, This work was supported by National Institutes of Health Grants R01 HL108904 (to and CD34. Fibrocytes have been shown to secrete a number of K.K.K.) and R01 HL115618 (to B.B.M.). profibrotic cytokines that could potentially help orchestrate fibro- Address correspondence and reprint requests to Dr. Kevin K. Kim, 109 Zina Pitcher genesis. Importantly, fibrocytes express a number of chemokine Place, BSRB 4061, Ann Arbor, MI 48109. E-mail address: [email protected] receptors, including CXCR4, CCR7, and CCR2, which likely The online version of this article contains supplemental material. mediate recruitment and activation of fibrocytes to areas of tissue Abbreviations used in this article: Col-GFP, collagen-GFP; MSC, mesenchymal damage (22–24). Thus, recruitment of fibrocytes to sites of injury stem/stromal cell. suggests an important transition from inflammation to fibrogenesis Copyright Ó 2014 by The American Association of Immunologists, Inc. 0022-1767/14/$16.00 with the ability of fibrocytes to respond to inflammatory cytokines, www.jimmunol.org/cgi/doi/10.4049/jimmunol.1400753 5230 FIBROCYTE-DERIVED COLLAGEN I DOES NOT PROMOTE LUNG FIBROSIS produce fibrotic extracellular matrix proteins, and foster further plemented with 10% FBS in a 37˚C, 5% CO2 incubator allowing primary activation of fibroblasts and other cell types (17). Although several lung mesenchymal cell outgrowth over 2–4 wk. Primary mesenchymal reports indicate that fibrocytes express type I collagen, others have cells were analyzed between passages 2-4 and within 4 wk of isolation. In some experiments, primary lung mesenchymal cells from col1a1fl/fl mice suggested that uptake of secreted type I collagen by hematopoietic were treated with adenovirus encoding Cre (50 PFU/cell) (37). cells accounts for the fibrocyte population (25, 26). Thus, whether fibrocytes contribute to matrix accumulation via direct or indirect Isolation of whole lung single cell suspension mechanisms remains unclear. Whole-lung single-cell suspensions were prepared as described previously Prior studies on the origin of fibrogenic effector cells have relied (22, 40, 41). In brief, mice were euthanized at the time points indicated. primarily on generation of fate-mapping chimeric mice by either Lungs were perfused with PBS, excised, and minced as above. Minced lungs were incubated in digestion solution containing collagenase (1 mg/ml) transplanting bone marrow from a transgenic reporter mouse into and DNase (25 U/ml) in RPMI 1640 medium at 37˚C for 30 min. Samples a wild-type mice or by crossing cell type–specific Cre mice with were dispersed by passing up and down 20 times with a 10-ml syringe. transgenic lox-stop-lox