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  • Interleukin-11 is a therape...
    Ng, Benjamin; Dong, Jinrui; D'Agostino, Giuseppe; Viswanathan, Sivakumar; Widjaja, Anissa A; Lim, Wei-Wen; Ko, Nicole S J; Tan, Jessie; Chothani, Sonia P; Huang, Benjamin; Xie, Chen; Pua, Chee Jian; Chacko, Ann-Marie; Guimarães-Camboa, Nuno; Evans, Sylvia M; Byrne, Adam J; Maher, Toby M; Liang, Jiurong; Jiang, Dianhua; Noble, Paul W; Schafer, Sebastian; Cook, Stuart A

    Science translational medicine, 09/2019, Letnik: 11, Številka: 511
    Journal Article

    Idiopathic pulmonary fibrosis (IPF) is a progressive fibrotic lung disease where invasive pulmonary myofibroblasts secrete collagen and destroy lung integrity. Here, we show that interleukin-11 ( ) is up-regulated in the lung of patients with IPF, associated with disease severity, and IL-11 is secreted from IPF fibroblasts. In vitro, IL-11 stimulates lung fibroblasts to become invasive actin alpha 2, smooth muscle-positive (ACTA2 ), collagen-secreting myofibroblasts in an extracellular signal-regulated kinase (ERK)-dependent, posttranscriptional manner. In mice, fibroblast-specific transgenic expression or administration of murine IL-11 induces lung myofibroblasts and causes lung fibrosis. IL-11 receptor subunit alpha-1 ( )-deleted mice, whose lung fibroblasts are unresponsive to profibrotic stimulation, are protected from fibrosis in the bleomycin mouse model of pulmonary fibrosis. We generated an IL-11-neutralizing antibody that blocks lung fibroblast activation downstream of multiple stimuli and reverses myofibroblast activation. In therapeutic studies, anti-IL-11 treatment diminished lung inflammation and reversed lung fibrosis while inhibiting ERK and SMAD activation in mice. These data prioritize IL-11 as a drug target for lung fibrosis and IPF.