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Wilms tumor 1 impairs apoptotic clearance of fibroblasts in distal fibrotic lung lesions
Harshavardhana H. Ediga, … , Francis X. McCormack, Satish K. Madala
Harshavardhana H. Ediga, … , Francis X. McCormack, Satish K. Madala
Published June 10, 2025
Citation Information: J Clin Invest. 2025;135(15):e188819. https://doi.org/10.1172/JCI188819.
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Research Article Inflammation Pulmonology

Wilms tumor 1 impairs apoptotic clearance of fibroblasts in distal fibrotic lung lesions

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Abstract

Idiopathic pulmonary fibrosis (IPF) is a fatal fibrotic lung disease characterized by impaired fibroblast clearance and excessive extracellular matrix (ECM) protein production. Wilms tumor 1 (WT1), a transcription factor, is selectively upregulated in IPF fibroblasts. However, the mechanisms by which WT1 contributes to fibroblast accumulation and ECM production remain unknown. Here, we investigated the heterogeneity of WT1-expressing mesenchymal cells using single-nucleus RNA-Seq of distal lung tissues from patients with IPF and control donors. WT1 was selectively upregulated in a subset of IPF fibroblasts that coexpressed several prosurvival and ECM genes. The results of both loss-of-function and gain-of-function studies were consistent with a role for WT1 as a positive regulator of prosurvival genes to impair apoptotic clearance and promote ECM production. Fibroblast-specific overexpression of WT1 augmented fibroproliferation, myofibroblast accumulation, and ECM production during bleomycin-induced pulmonary fibrosis in young and aged mice. Together, these findings suggest that targeting WT1 is a promising strategy for attenuating fibroblast expansion and ECM production during fibrogenesis.

Authors

Harshavardhana H. Ediga, Chanukya P. Vemulapalli, Vishwaraj Sontake, Pradeep K. Patel, Hikaru Miyazaki, Dimitry Popov, Martin B. Jensen, Anil G. Jegga, Steven K. Huang, Christoph Englert, Andreas Schedl, Nishant Gupta, Francis X. McCormack, Satish K. Madala

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Figure 7

Fibroblast-specific WT1 overexpression augments bleomycin-induced pulmonary fibrosis in mice.

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Fibroblast-specific WT1 overexpression augments bleomycin-induced pulmon...
(A) Schematic representation of the animal experiment involving PDGFRαCreERT (control) and PDGFRαCreERT WT1OE (cWT1OE) mice. Mice were treated repeatedly with bleomycin via intratracheal administration and with tamoxifen via intraperitoneal injection. (B) Quantification of Wt1 gene transcripts by RT-PCR in total lung RNA isolated from control and cWT1OE mice (n = 6/group). **P < 0.01, by 2-tailed Student’s t test. (C) Representative confocal images of lung sections from control and cWT1OE mice co-immunostained for WT1 (red), vimentin (green), and DAPI (blue). Scale bars: 20 μm. (D) Representative images of Masson’s trichrome–stained lung sections from control and cWT1OE mice. Original magnification, ×4 and ×20, respectively. Scale bars: 1,500 μm and 200 μm, respectively. (E) The percentage of fibrotic area was quantified in control and cWT1OE mice using BZ-X image analysis (n = 6/group). ****P < 0.0001, by 2-tailed Student’s t test. (F) Hydroxyproline levels were measured in the right lungs of control and cWT1OE mice (n = 6/group). ***P < 0.001, by 2-tailed Student’s t test. (G) Lung resistance was assessed using FlexiVent in control and cWT1OE mice treated with bleomycin (n = 6/group). *P < 0.01, by 2-tailed Student’s t test. (H) Proliferation of fibroblasts was quantified using a BrdU incorporation assay in lung cultures from control and cWT1OE mice treated with bleomycin (n = 3/group). *P < 0.05, by 2-tailed Student’s t test. (I) Fibroblasts from the lung cultures of control and cWT1OE mice treated with bleomycin were treated with anti-Fas antibody for 24 hours, followed by TUNEL staining (red). Representative confocal images are shown; nuclei are stained with DAPI (blue). Original magnification, ×20. Scale bars: 100 μm. (J) Percentage of TUNEL+ fibroblasts in total DAPI+ fibroblasts (n = 3/group). *P < 0.05 and **P < 0.01, by 1-way ANOVA. Data are representative of 2 independent experiments with similar findings.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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