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World Journal of Emergency Medicine ›› 2021, Vol. 12 ›› Issue (3): 214-220.doi: 10.5847/wjem.j.1920-8642.2021.03.009

• Original Articles • Previous Articles     Next Articles

Role of epithelial-to-mesenchymal transition in the pulmonary fibrosis induced by paraquat in rats

Jian-hua Yi1, Zhao-cai Zhang2, Mei-bian Zhang3, Xin He4, Hao-ran Lin5, Hai-wen Huang2, Hai-bin Dai5, Yu-wen Huang5()   

  1. 1 Emergency Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
    2 Scientific Research Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
    3 Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 301051, China
    4 Shangyu People’s Hospital, Shaoxing 312300, China
    5 Pharmacy Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
  • Received:2020-08-10 Accepted:2021-02-21 Online:2021-06-01 Published:2021-05-31
  • Contact: Yu-wen Huang E-mail:2504152@zju.edu.cn

Abstract:

BACKGROUND: This study aims to explore the characteristics of the epithelial-to-mesenchymal transition (EMT) process and its underlying molecular mechanisms in the period of paraquat (PQ)-induced pulmonary fibrosis (PF).

METHODS: Picrosirius red staining and collagen volume fraction were utilized to evaluate the pathological changes of PQ-induced PF in rats. Immunohistochemistry, Western blot, and real-time reverse transcriptase-polymerase chain reaction (RT-PCR) were used to measure the protein and gene expression of EMT markers, EMT-associated transcription factors, and regulators of EMT-related pathways, respectively.

RESULTS: The collagen deposition in the alveolar septum and increased PF markers were characteristics of pathological changes in PQ-induced PF, reached a peak on day 14 after PQ poisoning, and then decreased on day 21. The protein and gene expression of the fibrosis marker, EMT markers, transcription factors, and regulators of EMT-related signaling pathways significantly increased at different time points after PQ poisoning compared with corresponding controls (P<0.05), and most of them reached a peak on day 14, followed by a decrease on day 21. The gene expression of EMT markers was significantly correlated with PF markers, transcription factors, and regulators of EMT-related signaling pathways (P<0.05). The mRNA expression of transcription factors was significantly correlated with that of TGF-β1 and Smad2 (P<0.05 or P<0.01), instead of Wnt2 and β-catenin (P>0.05).

CONCLUSIONS: EMT process plays a role in the PQ-induced PF, in which most PF and EMT markers have a peak phenomenon, and its underlying molecular mechanisms might be determined by further studies.

Key words: Pulmonary fibrosis, Paraquat, Epithelial-to-mesenchymal transition, Rats