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Chinese Journal of Lung Diseases(Electronic Edition) ›› 2025, Vol. 18 ›› Issue (02): 220-225. doi: 10.3877/cma.j.issn.1674-6902.2025.02.003

• Original articles • Previous Articles    

miR-21 promotes radiation-induced pulmonary fibrosis by targeting CREBL2

Jie Li1,2, Yonghong Ran1, Yuhui Hao1,()   

  1. 1. State Key Laboratory of Trauma and Chemical Poisoning,Institute of Combined Injury,Chongqing Engineering Research Center for Nanomedicine,College of Preventive Medicine,Army Medical University,Chongqing 400038,China
    2. Joint Logistics Support Force Xingcheng Special Service Sanatorium Center,Xincheng 125199,China
  • Received:2025-02-08 Online:2025-04-25 Published:2025-05-26
  • Contact: Yuhui Hao

Abstract:

Objective

Dysfunction of type Ⅱalveolar epithelial cells (AT2) is considered one of the key pathological processes underlying the development of radiation-induced pulmonary fibrosis (RIPF). miR-21 regulates epithelial to mesenchymal transition (EMT) during RIPF. However,the target gene through which miR-21 acts upon in the regulation of EMT remains to be confirmed. This study primarily investigates the molecular mechanisms and critical roles of miR-21 and CREBL2 in RIPF.

Methods

The chests of wild type(WT) mice and miR-21-/- mice were irradiated with 15Gy cobalt source γ-rays to establish a RIPF model.Through living lung function examination and lung hydroxyproline detection to evaluate the degree of pulmonary fibrosis in irradiated mice. Establishment of the rat type Ⅱalveolar epithelial cells line (RLE-6TN) irradiation model,the RT-qPCR and WB were used to detect the expression of endoplasmic reticulum stress (ERS) and EMT related markers in irradiated cells. Differentially expressed genes were identified through a microarray screen and validated using a dual-luciferase reporter assay.

Results

After irradiation,WT mice exhibited a 14-fold increase in miR-21 expression at 8 weeks post-irradiation. Additionally,hydroxyproline expression increased by more than 2-fold,while CREBL2 expression decreased by 50%. In contrast,miR-21-/- mice demonstrated an approximately 3-fold increase in CREBL2 expression following irradiation. The miR-21-/- mice exhibited a reduced degree of lung fibrosis compared to WT mice. The markers of ERS and EMT in the lung tissue of miR-21-/- mice were significantly reduced. Dual-luciferase reporter assays confirmed the specific binding of miR-21 to CREBL2.

Conclusion

Radiation-induced increase of miR-21 and decreased expression of its target gene CREBL2 in AT2 cells further activated the ERS signaling pathway,mediated EMT in AT2 cells,and finally led to the formation of RIPF.

Key words: Radiation induced pulmonary fibrosis, Epithelial to mesenchymal transition, miR-21, cAMP responsive element binding protein like 2, Endoplasmic reticulum stress

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