2018
DOI: 10.3164/jcbn.17-111
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Pirfenidone suppresses polarization to M2 phenotype macrophages and the fibrogenic activity of rat lung fibroblasts

Abstract: Pirfenidone is a representative medication to treat interstitial pulmonary fibrosis. Researchers reported pirfenidone (>100 µg/ml) significantly suppressed fibroblast growth in vitro. However, clinically, the maximum concentration of pirfenidone in the blood is approximately 10 µg/ml. We hypothesized there might be an additional mechanism of pirfenidone to fibroblasts indirectly. Macrophages are known to control the activation of fibroblasts via the regulation of inflammatory M1 and suppressive M2 polarization… Show more

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Cited by 37 publications
(36 citation statements)
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“…We con rmed that macrophages cultured with IL-4 and IL-13 secreted high levels of TGF-β1, while PFD could signi cantly inhibit the expression of TGF-β1 by M2 macrophages, which was consistent with the ndings of Toda M et al [50] . AECs can activate broblasts through epithelial-mesenchymal transition (EMT) and then differentiate into myo broblasts, which form characteristic broblast foci and secrete ECM, leading to brosis.…”
Section: Discussionsupporting
confidence: 90%
“…We con rmed that macrophages cultured with IL-4 and IL-13 secreted high levels of TGF-β1, while PFD could signi cantly inhibit the expression of TGF-β1 by M2 macrophages, which was consistent with the ndings of Toda M et al [50] . AECs can activate broblasts through epithelial-mesenchymal transition (EMT) and then differentiate into myo broblasts, which form characteristic broblast foci and secrete ECM, leading to brosis.…”
Section: Discussionsupporting
confidence: 90%
“…Note that macrophages are ubiquitous innate immune cells and can be polarized in two distinct functional phenotypes, either in pro-inflammatory macrophages called M1 or in M2 macrophages that promote immune suppression and wound healing [88][89][90]. They also suggest a preferential differentiation in M2 macrophages in vivo compared to M1 that were found in vitro and in ALI conditions.…”
Section: Transcriptomic Studymentioning
confidence: 95%
“…To examine the expression of LOX in monocytic THP-1 cell-derived M2-like macrophages, we initially investigated the expression of the M2-like macrophages differentiation markers, arginase-1 and CD206. (20) THP-1 cell-derived M2-like macrophages were prepared by the treatment with TPA for 24 h (M0 macrophages), and a subsequent treatment with IL-4 and IL-13 for the indicated times. As shown in Fig.…”
Section: Confirmation Of Thp 1 Cell Differentiation Into M2 Likementioning
confidence: 99%