[eng] Introduction: Idiopathic pulmonary fibrosis (IPF) is an age-related disease which consists in
several damage in the lung due to an abundant scarring, deposition of extracellular matrix
proteins and inflammation. Mesenchymal stem cells (MSC) play a role in tissue repair, however
the involvement of resident MSC in IPF aetiology remains to be elucidated. Preliminary
microarray analysis revealed that the most altered pathway in IPF MSC is oxidative
phosphorylation. The aim of this study is to analyse mitochondrial function-related features
and the repair activity of IPF lung MSC.
Material and methods: Human lung MSC from non-IPF and IPF patients will be used in cell
culture assays. RT-PCR was used to study COX4, ATP6, PGC1-α and PINK1 expression levels,
and ddPCR to estimate mitochondrial number. Mitochondrial membrane potential assay was
set-up in the present work to evaluate mitochondrial integrity in lung MSC. Scratch assays was
performed to analyse the ability of lung MSCs to repair damage in both direct and indirect coculture with epithelial A549 cells.
Results: Compared to non-IPF cells, IPF MSC presented lower COX4 and PINK1 expression,
similar mitochondrial membrane potential in the presence of TGF-β, and a delayed repair
activity in both direct and indirect coculture systems, which was only evidenced in serumrestricted conditions. TGF-β incubation stimulated the repair activity of both IPF and non-IPF
MSC, but the increase was more pronounced in IPF cells. TGF-β-incubated IPF MSC presented
lower COX4, ATP6 and PINK1 expression, and TGF-β treatment induced the expression of the
migration marker VEGF.
Conclusion: The impaired repair activity of IPF MSC is associated with signs of mitochondrial
dysfunction, and this activity is more sensitive to TGF-β. TGF-β, in turn, induces mitochondrial
dysfunction in IPF MSC. Collectively, these results suggest that the overproduction of TGF-β in
the fibrotic lung may impair the repair activity of resident MSC by inducing mitochondrial
dysfunction, which deserves further investigation.