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Pathogenesis, Diagnosis, and Treatment of Respiratory Diseases

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Cell Biology and Pathology".

Deadline for manuscript submissions: 30 April 2025 | Viewed by 2191

Special Issue Editor


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Guest Editor
1. School of Medicine, China Medical University, Taichung, Taiwan
2. Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan
Interests: COPD; asthma; interstitial lung disease; lung cancer; pneumonia; tuberculosis; respiratory failure; ARDS; COVID-19; obstructive sleep apnea
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

COVID-19 has had a huge impact on our lives. Thus, we must pay more attention to respiratory diseases, particularly their molecular mechanisms, diagnosis, and treatment. These actions will directly affect and contribute to the survival of human beings.

This Special Issue aims to collect various research articles on respiratory diseases. Studies focusing on the molecular mechanisms, pathogenesis, diagnosis, treatment, and prognosis of these diseases will be prioritized. This Special Issue will improve our understanding of the occurrence of respiratory diseases and possible approaches to early diagnosis and precise treatment.

In this Special Issue, original clinical and basic research articles and reviews are welcome. Research areas may include (but are not limited to) the following: COPD, asthma, interstitial lung disease, lung cancer, pneumonia, tuberculosis, respiratory failure, ARDS, COVID-19, and obstructive sleep apnea. I look forward to receiving your contributions.

Dr. Te-Chun Shen
Guest Editor

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Keywords

  • COPD
  • asthma
  • interstitial lung disease
  • lung cancer
  • pneumonia
  • tuberculosis
  • respiratory failure
  • ARDS
  • COVID-19
  • obstructive sleep apnea

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Published Papers (1 paper)

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Research

15 pages, 5770 KiB  
Article
PGC1-Alpha/Sirt3 Signaling Pathway Mediates the Anti-Pulmonary Fibrosis Effect of Hirudin by Inhibiting Fibroblast Senescence
by Bin He, Qian Zeng, Yumei Tian, Yuyang Luo, Minlin Liao, Wenjie Huang, Bin Wu, Ziqiang Luo, Xiaoting Huang, Wei Liu and Siyuan Tang
Biomedicines 2024, 12(7), 1436; https://doi.org/10.3390/biomedicines12071436 - 27 Jun 2024
Cited by 1 | Viewed by 1538
Abstract
Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive fibrotic lung disease for which there is a lack of effective pharmacological treatments. Hirudin, a natural peptide extracted from leeches, has been used for broad pharmacological purposes. In this study, we investigated the therapeutic effects [...] Read more.
Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive fibrotic lung disease for which there is a lack of effective pharmacological treatments. Hirudin, a natural peptide extracted from leeches, has been used for broad pharmacological purposes. In this study, we investigated the therapeutic effects of hirudin on IPF and its related mechanism of action. By constructing a mouse model of pulmonary fibrosis and treating it with hirudin in vivo, we found that hirudin exerted anti-fibrotic, anti-oxidative, and anti-fibroblast senescence effects. Moreover, using an in vitro model of stress-induced premature senescence in primary mouse lung fibroblasts and treating with hirudin, we observed inhibition of fibroblast senescence and upregulation of PGC1-alpha and Sirt3 expression. However, specific silencing of PGC1-alpha or Sirt3 suppressed the anti-fibroblast senescence effect of hirudin. Thus, the PGC1-alpha/Sirt3 pathway mediates the anti-fibroblast senescence effect of hirudin, potentially serving as a molecular mechanism underlying its anti-fibrosis and anti-oxidative stress effects exerted on the lungs. Full article
(This article belongs to the Special Issue Pathogenesis, Diagnosis, and Treatment of Respiratory Diseases)
Show Figures

Figure 1

Figure 1
<p>Hirudin has a therapeutic effect in bleomycin-induced lung fibrosis in mice. Bleomycin tracheal injection was used to create a pulmonary fibrosis model. From days 15 to 28, intraperitoneal injections of hirudin at high, moderate, and low doses were then administered. Histopathological structure and ECM deposition changes in mouse lung tissue (<b>A</b>,<b>B</b>). The overall fibrosis of lung tissue in groups of mice (<b>C</b>). The level of hydroxyproline in mouse lung tissue (<b>D</b>). The mRNA expression levels of <span class="html-italic">Col1a1</span> and <span class="html-italic">ACTA2</span> (<b>E</b>,<b>F</b>). The amount of type I collagen and α-SMA in mouse lung tissues (<b>G</b>). BLM + H, 10 mg/kg group; BLM + M, 3 mg/kg group; BLM + L, 1 mg/kg group; BLM, pulmonary fibrosis model group; and Control, control group. All data are expressed in the mean ± standard deviation; <span class="html-italic">n</span> = 8, * <span class="html-italic">p</span> &lt; 0.05; ** <span class="html-italic">p</span> &lt; 0.01; *** <span class="html-italic">p</span> &lt; 0.001; and **** <span class="html-italic">p</span> &lt; 0.0001.</p>
Full article ">Figure 2
<p>Hirudin inhibits oxidative stress in bleomycin-induced lung fibrosis. The levels of ROS in lung tissues (<b>A</b>).The MDA levels, GSH levels, and total SOD levels in lung tissues (<b>B</b>–<b>D</b>). BLM + H, 10 mg/kg group; BLM + M, 3 mg/kg group; BLM + L, 1 mg/kg group; BLM, pulmonary fibrosis model group; and Control, control group. All data are expressed in the mean ± standard deviation; <span class="html-italic">n</span> = 8; ** <span class="html-italic">p</span> &lt; 0.01; and **** <span class="html-italic">p</span> &lt; 0.0001.</p>
Full article ">Figure 3
<p>Hirudin inhibits fibroblast senescence in bleomycin-induced lung fibrosis. The levels of fibrosis and fibroblast senescence in mouse lung tissues (<b>A</b>). The mRNA expression levels of <span class="html-italic">IL1b</span>, <span class="html-italic">IL6</span>, <span class="html-italic">IL8</span>, and <span class="html-italic">TNF-α</span> in mouse lung tissues (<b>B</b>–<b>E</b>). The protein expression levels of p21, p16, PGC1-alpha, and Sirt3 in mouse lung tissues (<b>F</b>,<b>I</b>). The mRNA expression levels of <span class="html-italic">p21</span> and <span class="html-italic">p16</span> in mouse lung tissues (<b>G</b>,<b>H</b>). The mRNA expression levels of <span class="html-italic">PGC1-alpha</span> and <span class="html-italic">Sirt3</span> in mouse lung tissues (<b>J</b>,<b>K</b>). BLM + H, 10 mg/kg group; BLM + M, 3 mg/kg group; BLM + L, 1 mg/kg group; BLM, pulmonary fibrosis model group; and Control, control group. All data are expressed in the mean ± standard deviation; <span class="html-italic">n</span> = 8; **** <span class="html-italic">p</span> &lt; 0.0001; *** <span class="html-italic">p</span> &lt; 0.001; ** <span class="html-italic">p</span> &lt; 0.01; and * <span class="html-italic">p</span> &lt; 0.05.</p>
Full article ">Figure 4
<p>Hirudin has an inhibitory effect on hydrogen peroxide-induced senescence in fibroblasts. The effect of hirudin on the viability of fibroblasts (<b>A</b>). The level of ROS in fibroblasts (<b>B</b>). The β-galactosidase levels in fibroblasts (<b>C</b>). The mRNA expression levels of <span class="html-italic">IL1b</span>, <span class="html-italic">IL6</span>, <span class="html-italic">IL8</span>, and <span class="html-italic">TNF-α</span> in fibroblasts (<b>D</b>–<b>G</b>). The mRNA expression levels of <span class="html-italic">p21</span> and <span class="html-italic">p16</span> in fibroblasts (<b>I</b>,<b>J</b>). The expression of p21 in fibroblasts (<b>H</b>). The protein expression levels of p21 and p16 in fibroblasts (<b>K</b>). All data are presented as mean ± standard deviation, and all experiments were conducted independently and repeated a minimum of three times. * <span class="html-italic">p</span> &lt; 0.05; ** <span class="html-italic">p</span> &lt; 0.01; *** <span class="html-italic">p</span> &lt; 0.001; and **** <span class="html-italic">p</span> &lt; 0.0001.</p>
Full article ">Figure 5
<p>Hirudin activated the PGC1-alpha/Sirt3 pathway to inhibit fibroblast senescence. The protein expression levels of PGC1-alpha and Sirt3 in fibroblasts (<b>A</b>). The mRNA expression levels of <span class="html-italic">PGC1-alpha</span> and <span class="html-italic">Sirt3</span> in fibroblasts (<b>B</b>,<b>C</b>). The levels of ROS in fibroblasts (<b>D</b>). β-galactosidase levels in fibroblasts (<b>E</b>). The mRNA expression levels of <span class="html-italic">IL1b</span>, <span class="html-italic">TNF-α</span>, <span class="html-italic">IL8</span>, and <span class="html-italic">IL6</span> in fibroblasts (<b>F</b>–<b>I</b>). The expression of p21 in fibroblasts (<b>J</b>). The protein expression levels of p21 and p16 in fibroblasts (<b>K</b>). The mRNA expression levels of <span class="html-italic">p21</span> and <span class="html-italic">p16</span> in fibroblasts (<b>L</b>,<b>M</b>). All data are expressed in the mean ± standard deviation, and all experiments were conducted independently and repeated a minimum of three times. ** <span class="html-italic">p</span> &lt; 0.01; **** <span class="html-italic">p</span> &lt; 0.0001.</p>
Full article ">Figure 6
<p>Schematic of a model of the anti-pulmonary fibrosis effect of hirudin.</p>
Full article ">
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