PMID- 37577522 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231019 DP - 2023 Aug 4 TI - A fibroblast-dependent TGFbeta1/sFRP2 noncanonical Wnt signaling axis underlies epithelial metaplasia in idiopathic pulmonary fibrosis. LID - 2023.08.02.551383 [pii] LID - 10.1101/2023.08.02.551383 [doi] AB - Reciprocal interactions between alveolar fibroblasts and epithelial cells are crucial for lung homeostasis, injury repair, and fibrogenesis, but underlying mechanisms remain unclear. To investigate this, we administered the fibroblast-selective TGFbeta1 signaling inhibitor, epigallocatechin gallate (EGCG), to Interstitial Lung Disease (ILD) patients undergoing diagnostic lung biopsy and conducted single-cell RNA sequencing on spare tissue. Unexposed biopsy samples showed higher fibroblast TGFbeta1 signaling compared to non-disease donor or end-stage ILD tissues. In vivo, EGCG significantly downregulated TGFbeta1 signaling and several pro-inflammatory and stress pathways in biopsy samples. Notably, EGCG reduced fibroblast secreted Frizzle-like Receptor Protein 2 (sFRP2), an unrecognized TGFbeta1 fibroblast target gene induced near type II alveolar epithelial cells (AEC2s). In human AEC2-fibroblast coculture organoids, sFRP2 was essential for AEC2 trans-differentiation to basal cells. Precision cut lung slices (PCLS) from normal donors demonstrated that TGFbeta1 promoted KRT17 expression and AEC2 morphological change, while sFRP2 was necessary for KRT5 expression in AEC2-derived basaloid cells. Wnt-receptor Frizzled 5 (Fzd5) expression and downstream calcineurin-related signaling in AEC2s were required for sFRP2-induced KRT5 expression. These findings highlight stage-specific TGFbeta1 signaling in ILD, the therapeutic potential of EGCG in reducing IPF-related transcriptional changes, and identify the TGFbeta1-non-canonical Wnt pathway crosstalk via sFRP2 as a novel mechanism for dysfunctional epithelial signaling in Idiopathic Pulmonary Fibrosis/ILD. FAU - Cohen, Max L AU - Cohen ML AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine; University of California San Francisco, San Francisco, California. FAU - Brumwell, Alexis N AU - Brumwell AN AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine; University of California San Francisco, San Francisco, California. FAU - Che Ho, Tsung AU - Che Ho T AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine; University of California San Francisco, San Francisco, California. FAU - Montas, Genevieve AU - Montas G AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine; University of California San Francisco, San Francisco, California. FAU - Golden, Jeffrey A AU - Golden JA AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine; University of California San Francisco, San Francisco, California. FAU - Jones, Kirk D AU - Jones KD AD - Department of Pathology; University of California San Francisco, San Francisco, California. FAU - Wolters, Paul J AU - Wolters PJ AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine; University of California San Francisco, San Francisco, California. FAU - Wei, Ying AU - Wei Y AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine; University of California San Francisco, San Francisco, California. FAU - Chapman, Harold A AU - Chapman HA AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine; University of California San Francisco, San Francisco, California. FAU - Le Saux, Claude J AU - Le Saux CJ AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine; University of California San Francisco, San Francisco, California. LA - eng GR - F32 HL156356/HL/NHLBI NIH HHS/United States GR - R35 HL150767/HL/NHLBI NIH HHS/United States GR - T32 HL007185/HL/NHLBI NIH HHS/United States GR - U01 HL134766/HL/NHLBI NIH HHS/United States PT - Preprint DEP - 20230804 PL - United States TA - bioRxiv JT - bioRxiv : the preprint server for biology JID - 101680187 PMC - PMC10418166 EDAT- 2023/08/14 06:41 MHDA- 2023/08/14 06:42 PMCR- 2023/08/11 CRDT- 2023/08/14 05:01 PHST- 2023/08/14 06:41 [pubmed] PHST- 2023/08/14 06:42 [medline] PHST- 2023/08/14 05:01 [entrez] PHST- 2023/08/11 00:00 [pmc-release] AID - 2023.08.02.551383 [pii] AID - 10.1101/2023.08.02.551383 [doi] PST - epublish SO - bioRxiv [Preprint]. 2023 Aug 4:2023.08.02.551383. doi: 10.1101/2023.08.02.551383.