It is generally believed that tissue-specific stem cells exist in most mammalian tissues. The function of these cells is to maintain tissue homeostasis by suppling new tissue-specific cells either during normal tissue cycling or when existing tissue cells are lost as a result of pathological development [19]. These resident MSCs mediate pathogenic processes largely through the secretion of proscarring, proangiogenic, and immunomodulatory factors [7]. Therefore, LR-MSCs are potentially useful in regenerative therapies in damaged lung tissue repair [9]. It is thus worth exploring the trigger that induces the myofibroblast differentiation of LR-MCSs in IPF. In this study, we revealed the role of Wnt8b and demonstrated a mechanism by which LR-MSCs participate in the development of pulmonary fibrosis.
Previously, we and others have evaluated that Wnt/β-catenin signaling to play a critical role in LR-MSCs fate decisions, Wnt ligands could be expressed in these types of cells [3, 20]. Moreover, activating Wnt/β-catenin signaling could induce LR-MSCs to differentiate into myofibroblasts which were the principal components of myofibroblast foci [14]. The Wnt/β-catenin signaling was mainly activated by Wnt proteins. Several Wnt proteins, including Wnt2, Wnt5a, Wnt7b, Wnt8b, Wnt11 and Wnt13, were expressed in both developing and adult lung [21]. In the present work, firstly we performed a mRNA microarray with total RNAs isolated from LR-MSCs treated with TGF-β1 for 7 days to analysis the expression of Wnt genes. Among the up-regulated genes, we found only Wnt8b was upregulated. Our observation in pulmonary fibrosis is consistent with the acknowledged actions of Wnt molecules in other fibrosis. For example, after unilateral ureteral obstruction, all members of the Wnt family except Wnt5b, Wnt8b, and Wnt9b are upregulated in the fibrotic kidneys with distinct dynamics [12].
Although the expression of Wnt ligands have been shown to be up regulated during the development of IPF, the role of Wnt8b in IPF remains unknown. The present studies showed that Wnt8b is a member of class I Wnt family signaling through β-catenin, and Wnts could regulated cell fate and behavior in the Wnt/β-catenin signaling pathway [22]. Wnt8b has been suggested to be a cancer-related gene through the synergistic activation of the β-catenin signaling [23]. To reveal the role that Wnt8b plays in the myofibroblast differentiation of LR-MSCs, we observed localization of Wnt8b expression in LR-MSCs undergoing pulmonary fibrosis in fibrotic lungs (Fig. 2I). In addition, overexpression of Wnt8b could activate canonical Wnt signaling and promote LR-MSCs to differentiate into myofibroblasts (Fig. 3D and F). Recently, the expression of Wnt8b was shown to play key roles in gastric cancer through activation of the β-catenin / transcription factors (TCF) signaling pathway [23]. Also, Wnt8b exerted a significant influence on phosphate induced vascular calcification (VC) by altering the Wnt/β-catenin signaling pathway. Silencing Wnt8b terminates phosphate-induced VC in vascular smooth muscle cells (VSMCs) by inhibiting the Wnt-β-catenin signaling pathway [24]. Here, we confirmed the contribution of Wnt8b inhibition to the maintenance of LR-MSC quiescence and protection of mice from BLM-induced pulmonary fibrosis (Figs. 4 and 5).
However, the means by which Wnt signaling elicits a biological response largely depends on the combination of Wnt ligands with the corresponding receptors that are present. When Wnt ligands bind to the frizzled (Fzd) receptor along with low-density lipoprotein receptor-related protein (LRP), β-catenin accumulated in the cytoplasm and subsequently translocated into the nucleus, which promote the transcription of target genes [11]. In the previous work we found that Wnt7b, Wnt10a and Fzd10 were induced in LR-MSCs following TGF-β1 treatment and fibrotic lung tissues. Fzd10 knockdown reduced Wnt7b and Wnt10a-induced activation of Wnt/β-catenin signaling, which imply that Wnt7b and Wnt10a may be the ligands for Fzd10 [14]. According to a systematic analysis of Fzd receptor expression, wnt8b and frizzled-3a (fzd3a) genetically interact to regulate the patterning of guidance cues in the rostral forebrain of zebrafish [25]. Wnt8b and Fzd8a can functionally interact to transmit posteriorizing signals that determine the fate of the posterior diencephalon and midbrain of zebrafish [22]. The sonic hedgehog (Shh) signaling is reported to regulate the expression of Wnt molecules by recruiting the transcription factor glioblastoma (Gli) to the promoters of Wnt genes [26]. Gli1 could bound to and increased promoter activity of the Wnt7b and Wnt10a genes, and inhibition of Gli1 suppressed myofibroblast differentiation of LR-MSCs and pulmonary fibrosis [14, 17]. Sine oculis–related homeobox 3 (Six3) directly repressed Wnt8b expression during the neuroretina specification in mouse embryos [27]. SRY-Box Transcription Factor 21 (SOX21) represses Wnt8b expression by interfering with the binding of TCF4/β-catenin complex to the Wnt8b enhancer [28]. The other studies suggested that complex and direct interactions between Wnt8b, and fibroblast Growth Factor 17 (Fgf17) could regulate Gli3 expression [29]. Above all these results indicate a complex mechanism by which regulating the expression of Wnt8b in myofibroblast differentiation of LR-MSCs that involved in fibrosis progression and further studies are needed to clarify the detailed mechanisms. Moreover, the comparison between Wnt10a blockade and Wnt8b inhibition in terms of antifibrotic efficacy and side effects remains to be clarified in future studies.