Fibroblasts actively respond to changes in extracellular matrix mechanical properties, and positive feedback between matrix stiffness and fibroblast activation may play a pivotal role in fibrosis. Microarray analysis of matrix‐stiffness regulated genes in human lung fibroblasts identified significant overrepresentation of transcriptional targets of YAP (yes‐associated protein) and TAZ (transcriptional coactivator with PDZ‐binding motif), consistent with a prominent role for these factors in fibroblast mechanoresponsiveness. Immunofluorescence imaging demonstrated that YAP and TAZ transitioned from primarily nuclear localization on relatively stiff matrices (25.6 kPa) to cytoplasmic on soft matrices (0.4 kPa). RNAi‐mediated knockdown of YAP/TAZ significantly reduced the cell spreading, focal adhesion length, traction forces, proliferation, pro‐fibrotic gene expression and collagen synthesis observed on stiff matrices, but exerted negligible effects on soft matrices. Conditional overexpression of YAP overcame soft matrix limitations on proliferation, while overexpression of either YAP or TAZ promoted pro‐fibrotic gene expression on both soft and stiff matrices. Taken together, these results support a central role for YAP and TAZ in matrix stiffness‐dependent activation of fibroblasts to a proliferative, contractile and matrix synthetic state implicated in the pathogenesis of fibrosis. Grant Funding Source : Supported by NIH RO1 HL092961
Targeted apoptosis of myofibroblasts with the BH3 mimetic ABT-263 reverses established fibrosis
ABT-263 blocks BCL-X L to induce apoptosis in human dermal fibroblasts from patients with scleroderma and in myofibroblasts in mice, reversing dermal fibrosis.
Mechanosignaling through YAP and TAZ drives fibroblast activation and fibrosis
Pathological fibrosis is driven by a feedback loop in which the fibrotic extracellular matrix is both a cause and consequence of fibroblast activation. However, the molecular mechanisms underlying this process remain poorly understood. Here we identify yes-associated protein (YAP) (homolog of drosophila Yki) and transcriptional coactivator with PDZ-binding motif (TAZ) (also known as Wwtr1), transcriptional effectors of the Hippo pathway, as key matrix stiffness-regulated coordinators of fibroblast activation and matrix synthesis. YAP and TAZ are prominently expressed in fibrotic but not healthy lung tissue, with particularly pronounced nuclear expression of TAZ in spindle-shaped fibroblastic cells. In culture, both YAP and TAZ accumulate in the nuclei of fibroblasts grown on pathologically stiff matrices but not physiologically compliant matrices. Knockdown of YAP and TAZ together in vitro attenuates key fibroblast functions, including matrix synthesis, contraction, and proliferation, and does so exclusively on pathologically stiff matrices. Profibrotic effects of YAP and TAZ operate, in part, through their transcriptional target plasminogen activator inhibitor-1, which is regulated by matrix stiffness independent of transforming growth factor-β signaling. Immortalized fibroblasts conditionally expressing active YAP or TAZ mutant proteins overcome soft matrix limitations on growth and promote fibrosis when adoptively transferred to the murine lung, demonstrating the ability of fibroblast YAP/TAZ activation to drive a profibrotic response in vivo. Together, these results identify YAP and TAZ as mechanoactivated coordinators of the matrix-driven feedback loop that amplifies and sustains fibrosis.
Soft matrix is a natural stimulator for cellular invasiveness
Directional mesenchymal cell invasion in vivo is understood to be a stimulated event and to be regulated by cytokines, chemokines, and types of extracellular matrix (ECM). Instead, by focusing on the cellular response to ECM stiffness, we found that soft ECM (low stiffness) itself is sufficient to prevent stable cell-to-cell adherens junction formation, up-regulate matrix metalloproteinase (MMP) secretion, promote MMP activity, and induce invadosome-like protrusion (ILP) formation. Consistently, similar ILP formation was also detected in a three-dimensional directional invasion assay in soft matrix. Primary human fibroblasts spontaneously form ILPs in a very narrow range of ECM stiffness (0.1–0.4 kPa), and such ILP formation is Src family kinase dependent. In contrast, spontaneous ILP formation in malignant cancer cells and fibrosarcoma cells occurs across a much wider range of ECM stiffness, and these tumor cell ILPs are also more prominent at lower stiffness. These findings suggest that ECM softness is a natural stimulator for cellular invasiveness.