PMID- 35927669 OWN - NLM STAT- MEDLINE DCOM- 20220808 LR - 20220808 IS - 1465-993X (Electronic) IS - 1465-9921 (Print) IS - 1465-9921 (Linking) VI - 23 IP - 1 DP - 2022 Aug 4 TI - Nintedanib modulates type III collagen turnover in viable precision-cut lung slices from bleomycin-treated rats and patients with pulmonary fibrosis. PG - 201 LID - 10.1186/s12931-022-02116-4 [doi] LID - 201 AB - BACKGROUND: Aberrant extracellular matrix (ECM) deposition and remodelling is important in the disease pathogenesis of pulmonary fibrosis (PF). We characterised neoepitope biomarkers released by ECM turnover in lung tissue from bleomycin-treated rats and patients with PF and analysed the effects of two antifibrotic drugs: nintedanib and pirfenidone. METHODS: Precision-cut lung slices (PCLS) were prepared from bleomycin-treated rats or patients with PF. PCLS were incubated with nintedanib or pirfenidone for 48 h, and levels of neoepitope biomarkers of type I, III and VI collagen formation or degradation (PRO-C1, PRO-C3, PRO-C6 and C3M) as well as fibronectin (FBN-C) were assessed in the culture supernatants. RESULTS: In rat PCLS, incubation with nintedanib led to a reduction in C3M, reflecting type III collagen degradation. In patient PCLS, incubation with nintedanib reduced the levels of PRO-C3 and C3M, thus showing effects on both formation and degradation of type III collagen. Incubation with pirfenidone had a marginal effect on PRO-C3. There were no other notable effects of either nintedanib or pirfenidone on the other neoepitope biomarkers studied. CONCLUSIONS: This study demonstrated that nintedanib modulates neoepitope biomarkers of type III collagen turnover and indicated that C3M is a promising translational neoepitope biomarker of PF in terms of therapy assessment. CI - (c) 2022. The Author(s). FAU - Hesse, Christina AU - Hesse C AD - Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Member of German Center for Lung Research (DZL), Hannover, Germany. AD - Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of Fraunhofer International Consortium for Anti-Infective Research (iCAIR), Member of Fraunhofer Cluster of Excellence Immune-Mediated Diseases (CIMD), Hannover, Germany. FAU - Beneke, Valerie AU - Beneke V AD - Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Member of German Center for Lung Research (DZL), Hannover, Germany. AD - Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of Fraunhofer International Consortium for Anti-Infective Research (iCAIR), Member of Fraunhofer Cluster of Excellence Immune-Mediated Diseases (CIMD), Hannover, Germany. FAU - Konzok, Sebastian AU - Konzok S AD - Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Member of German Center for Lung Research (DZL), Hannover, Germany. AD - Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of Fraunhofer International Consortium for Anti-Infective Research (iCAIR), Member of Fraunhofer Cluster of Excellence Immune-Mediated Diseases (CIMD), Hannover, Germany. FAU - Diefenbach, Claudia AU - Diefenbach C AD - Translational Medicine + Clinical Pharmacology, Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany. FAU - Bulow Sand, Jannie Marie AU - Bulow Sand JM AD - Nordic Bioscience A/S, Biomarkers & Research, Herlev, Denmark. FAU - Ronnow, Sarah Rank AU - Ronnow SR AD - Nordic Bioscience A/S, Biomarkers & Research, Herlev, Denmark. FAU - Karsdal, Morten Asser AU - Karsdal MA AD - Nordic Bioscience A/S, Biomarkers & Research, Herlev, Denmark. FAU - Jonigk, Danny AU - Jonigk D AD - Institute of Pathology, Hannover Medical School, Hannover, Germany. AD - Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of German Center for Lung Research (DZL), Hannover, Germany. FAU - Sewald, Katherina AU - Sewald K AD - Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Member of German Center for Lung Research (DZL), Hannover, Germany. AD - Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of Fraunhofer International Consortium for Anti-Infective Research (iCAIR), Member of Fraunhofer Cluster of Excellence Immune-Mediated Diseases (CIMD), Hannover, Germany. FAU - Braun, Armin AU - Braun A AD - Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Member of German Center for Lung Research (DZL), Hannover, Germany. AD - Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of Fraunhofer International Consortium for Anti-Infective Research (iCAIR), Member of Fraunhofer Cluster of Excellence Immune-Mediated Diseases (CIMD), Hannover, Germany. FAU - Leeming, Diana Julie AU - Leeming DJ AD - Nordic Bioscience A/S, Biomarkers & Research, Herlev, Denmark. FAU - Wollin, Lutz AU - Wollin L AUID- ORCID: 0000-0002-3617-5772 AD - Translational Medicine + Clinical Pharmacology, Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany. stefan-lutz.wollin@boehringer-ingelheim.com. LA - eng PT - Journal Article DEP - 20220804 PL - England TA - Respir Res JT - Respiratory research JID - 101090633 RN - 0 (Biomarkers) RN - 0 (Collagen Type III) RN - 0 (Complement C3) RN - 0 (Indoles) RN - 11056-06-7 (Bleomycin) RN - G6HRD2P839 (nintedanib) SB - IM MH - Animals MH - Biomarkers MH - Bleomycin/toxicity MH - Collagen Type III/metabolism MH - Complement C3/pharmacology MH - *Idiopathic Pulmonary Fibrosis/chemically induced/drug therapy/pathology MH - Indoles MH - Lung/metabolism MH - *Pulmonary Fibrosis/chemically induced/drug therapy/pathology MH - Rats PMC - PMC9351157 OTO - NOTNLM OT - Antifibrotic therapy OT - Collagen OT - Extracellular matrix OT - Human lung OT - Neoepitope biomarkers OT - Nintedanib OT - Pirfenidone OT - Precision-cut lung slices OT - Pulmonary fibrosis COIS- CH, VB, SK, DJ, KS and AB have nothing to declare. CD and LW are employees of Boehringer Ingelheim, the marketing authorisation holder of nintedanib used in this study. JMBS, SRR, MAK and DJL are full-time employees and stock owners at Nordic Bioscience. JMBS holds patent PRO-C6 assay (US20190309055A1; US20180088129A1). MAK is a patent- holder for assays for C1M (ref. 9359633 [US]), C3M (ref. 9359633 [US]) and PRO-C3 (ref. 9726674 [US]). DJL is a patent- holder for assays for this manuscript. Fraunhofer ITEM is a public, non-profit research organization who perform contract research on behalf of the pharmaceutical and biotech industry. EDAT- 2022/08/05 06:00 MHDA- 2022/08/09 06:00 PMCR- 2022/08/04 CRDT- 2022/08/04 23:45 PHST- 2021/11/26 00:00 [received] PHST- 2022/07/21 00:00 [accepted] PHST- 2022/08/04 23:45 [entrez] PHST- 2022/08/05 06:00 [pubmed] PHST- 2022/08/09 06:00 [medline] PHST- 2022/08/04 00:00 [pmc-release] AID - 10.1186/s12931-022-02116-4 [pii] AID - 2116 [pii] AID - 10.1186/s12931-022-02116-4 [doi] PST - epublish SO - Respir Res. 2022 Aug 4;23(1):201. doi: 10.1186/s12931-022-02116-4.