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Noncanonical WNT5A controls the activation of latent TGF-β to drive fibroblast activation and tissue fibrosis
Thuong Trinh-Minh, … , Georg Schett, Jörg H.W. Distler
Thuong Trinh-Minh, … , Georg Schett, Jörg H.W. Distler
Published May 15, 2024
Citation Information: J Clin Invest. 2024;134(10):e159884. https://doi.org/10.1172/JCI159884.
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Research Article Dermatology Pulmonology

Noncanonical WNT5A controls the activation of latent TGF-β to drive fibroblast activation and tissue fibrosis

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Abstract

Transforming growth factor β (TGF-β) signaling is a core pathway of fibrosis, but the molecular regulation of the activation of latent TGF-β remains incompletely understood. Here, we demonstrate a crucial role of WNT5A/JNK/ROCK signaling that rapidly coordinates the activation of latent TGF-β in fibrotic diseases. WNT5A was identified as a predominant noncanonical WNT ligand in fibrotic diseases such as systemic sclerosis, sclerodermatous chronic graft-versus-host disease, and idiopathic pulmonary fibrosis, stimulating fibroblast-to-myofibroblast transition and tissue fibrosis by activation of latent TGF-β. The activation of latent TGF-β requires rapid JNK- and ROCK-dependent cytoskeletal rearrangements and integrin αV (ITGAV). Conditional ablation of WNT5A or its downstream targets prevented activation of latent TGF-β, rebalanced TGF-β signaling, and ameliorated experimental fibrosis. We thus uncovered what we believe to be a novel mechanism for the aberrant activation of latent TGF-β in fibrotic diseases and provided evidence for targeting WNT5A/JNK/ROCK signaling in fibrotic diseases as a new therapeutic approach.

Authors

Thuong Trinh-Minh, Chih-Wei Chen, Cuong Tran Manh, Yi-Nan Li, Honglin Zhu, Xiang Zhou, Debomita Chakraborty, Yun Zhang, Simon Rauber, Clara Dees, Neng-Yu Lin, Delf Kah, Richard Gerum, Christina Bergmann, Alexander Kreuter, Christiane Reuter, Florian Groeber-Becker, Beate Eckes, Oliver Distler, Ben Fabry, Andreas Ramming, Alexandra Schambony, Georg Schett, Jörg H.W. Distler

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Figure 6

WNT5A induces coordinated cytoskeletal changes to promote activation of latent TGF-β.

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WNT5A induces coordinated cytoskeletal changes to promote activation of ...
(A) Representative images showing WNT5A-induced changes in F-actin, Vimentin filaments, and microtubules with (B) quantification of each cytoskeletal component in relation to its subcellular localization. (C) Violin plots showing the force required to rupture magnetic beads coupled with LAP-TGF-β1 peptides from dermal fibroblasts incubated with WNT5A with or without the actin inhibitor cytochalasin D (n ≥ 50 for each group). (D) Levels of active TGF-β in the supernatant of dermal fibroblast incubated with WNT5A in the presence or absence of cytochalasin D measured by TMLC assays (n = 6 for each group). (E) Representative Western blots showing the levels of P-SMAD3 in dermal fibroblasts stimulated with WNT5A and cytochalasin D (n = 3 for each group). The black thin vertical lines were drawn to separate noncontiguous lanes. (F) Volcano plot and (G) heatmap illustration of DEGs from RNA-Seq of WNT5A-stimulated human dermal fibroblasts treated with Cytochalasin D or with vehicle. (H) Deenrichment of GO biological processes related to fibroblast-to-myofibroblast transition and fibrosis (n = 3 for each group). (I) Representative Trichrome stainings, and (J) quantification of the dermal thickness, hydroxyproline content, myofibroblast counts, and active TGF-β in skin lysates from mice with WNT5A-induced skin fibrosis with or without ITGAV inhibitor (n = 5 for each group). Results are shown as median ± IQR with data representing individual data points. The statistical significance was determined by 1-way ANOVA with Tukey’s multiple comparison test. Adv, Adenovirus; Actin-i, Actin inhibitor.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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