PGC-1α mediates migrasome secretion accelerating macrophage–myofibroblast transition and contributing to sepsis-associated pulmonary fibrosis

Abstract Sepsis-associated pulmonary fibrosis (SAPF) is a critical pathological stage in the progression of sepsis-induced acute respiratory distress syndrome. While the aggregation and activation of lung fibroblasts are central to the initiation of pulmonary fibrosis, the macrophage–myofibroblast t...

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Main Authors: Yawen Peng, Shuya Mei, Xiaohui Qi, Ri Tang, Wenyu Yang, Jinhua Feng, Yang Zhou, Xi Huang, Guojun Qian, Shunpeng Xing, Yuan Gao, Qiaoyi Xu, Zhengyu He
Format: Article
Language:English
Published: Nature Publishing Group 2025-04-01
Series:Experimental and Molecular Medicine
Online Access:https://doi.org/10.1038/s12276-025-01426-z
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author Yawen Peng
Shuya Mei
Xiaohui Qi
Ri Tang
Wenyu Yang
Jinhua Feng
Yang Zhou
Xi Huang
Guojun Qian
Shunpeng Xing
Yuan Gao
Qiaoyi Xu
Zhengyu He
author_facet Yawen Peng
Shuya Mei
Xiaohui Qi
Ri Tang
Wenyu Yang
Jinhua Feng
Yang Zhou
Xi Huang
Guojun Qian
Shunpeng Xing
Yuan Gao
Qiaoyi Xu
Zhengyu He
author_sort Yawen Peng
collection DOAJ
description Abstract Sepsis-associated pulmonary fibrosis (SAPF) is a critical pathological stage in the progression of sepsis-induced acute respiratory distress syndrome. While the aggregation and activation of lung fibroblasts are central to the initiation of pulmonary fibrosis, the macrophage–myofibroblast transition (MMT) has recently been identified as a novel source of fibroblasts in this context. However, the mechanisms driving MMT remain inadequately understood. Given the emerging role of migrasomes (novel extracellular vesicles mediating intercellular communication), we investigated their involvement in pulmonary fibrosis. Here we utilized a lipopolysaccharide-induced SAPF mouse model and an in vitro co-culture system of fibroblasts and macrophages to observe the MMT process during SAPF. We found that lipopolysaccharide exposure suppresses PGC-1α expression in lung fibroblasts, resulting in mitochondrial dysfunction and the accumulation of cytosolic mitochondrial DNA (mtDNA). This dysfunction promotes the secretion of mtDNA-containing migrasomes, which, in turn, initiate the MMT process and contribute to fibrosis progression. Notably, the activation of PGC-1α mitigates mitochondrial dysfunction, reduces mtDNA-migrasome release, inhibits MMT and alleviates SAPF. In conclusion, our study identifies the suppression of PGC-1α in lung fibroblasts and the subsequent release of mtDNA migrasomes as a novel mechanism driving MMT in SAPF. These findings suggest that targeting the crosstalk between fibroblasts and immune cells mediated by migrasomes could represent a promising therapeutic strategy for SAPF.
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spelling doaj-art-72ea7e20dabb481894f7215e09b272b62025-08-20T02:55:31ZengNature Publishing GroupExperimental and Molecular Medicine2092-64132025-04-0157475977410.1038/s12276-025-01426-zPGC-1α mediates migrasome secretion accelerating macrophage–myofibroblast transition and contributing to sepsis-associated pulmonary fibrosisYawen Peng0Shuya Mei1Xiaohui Qi2Ri Tang3Wenyu Yang4Jinhua Feng5Yang Zhou6Xi Huang7Guojun Qian8Shunpeng Xing9Yuan Gao10Qiaoyi Xu11Zhengyu He12Department of Critical Care Medicine, Ren Ji Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Critical Care Medicine, Ren Ji Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Cardiovascular Surgery, Ren Ji Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Critical Care Medicine, Ren Ji Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Critical Care Medicine, Ren Ji Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Critical Care Medicine, Ren Ji Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Critical Care Medicine, Ren Ji Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Critical Care Medicine, Ren Ji Hospital, Shanghai Jiao Tong University School of MedicineKey Laboratory of Anesthesiology (Shanghai Jiao Tong University), Ministry of EducationDepartment of Critical Care Medicine, Ren Ji Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Critical Care Medicine, Ren Ji Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Critical Care Medicine, Ren Ji Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Critical Care Medicine, Ren Ji Hospital, Shanghai Jiao Tong University School of MedicineAbstract Sepsis-associated pulmonary fibrosis (SAPF) is a critical pathological stage in the progression of sepsis-induced acute respiratory distress syndrome. While the aggregation and activation of lung fibroblasts are central to the initiation of pulmonary fibrosis, the macrophage–myofibroblast transition (MMT) has recently been identified as a novel source of fibroblasts in this context. However, the mechanisms driving MMT remain inadequately understood. Given the emerging role of migrasomes (novel extracellular vesicles mediating intercellular communication), we investigated their involvement in pulmonary fibrosis. Here we utilized a lipopolysaccharide-induced SAPF mouse model and an in vitro co-culture system of fibroblasts and macrophages to observe the MMT process during SAPF. We found that lipopolysaccharide exposure suppresses PGC-1α expression in lung fibroblasts, resulting in mitochondrial dysfunction and the accumulation of cytosolic mitochondrial DNA (mtDNA). This dysfunction promotes the secretion of mtDNA-containing migrasomes, which, in turn, initiate the MMT process and contribute to fibrosis progression. Notably, the activation of PGC-1α mitigates mitochondrial dysfunction, reduces mtDNA-migrasome release, inhibits MMT and alleviates SAPF. In conclusion, our study identifies the suppression of PGC-1α in lung fibroblasts and the subsequent release of mtDNA migrasomes as a novel mechanism driving MMT in SAPF. These findings suggest that targeting the crosstalk between fibroblasts and immune cells mediated by migrasomes could represent a promising therapeutic strategy for SAPF.https://doi.org/10.1038/s12276-025-01426-z
spellingShingle Yawen Peng
Shuya Mei
Xiaohui Qi
Ri Tang
Wenyu Yang
Jinhua Feng
Yang Zhou
Xi Huang
Guojun Qian
Shunpeng Xing
Yuan Gao
Qiaoyi Xu
Zhengyu He
PGC-1α mediates migrasome secretion accelerating macrophage–myofibroblast transition and contributing to sepsis-associated pulmonary fibrosis
Experimental and Molecular Medicine
title PGC-1α mediates migrasome secretion accelerating macrophage–myofibroblast transition and contributing to sepsis-associated pulmonary fibrosis
title_full PGC-1α mediates migrasome secretion accelerating macrophage–myofibroblast transition and contributing to sepsis-associated pulmonary fibrosis
title_fullStr PGC-1α mediates migrasome secretion accelerating macrophage–myofibroblast transition and contributing to sepsis-associated pulmonary fibrosis
title_full_unstemmed PGC-1α mediates migrasome secretion accelerating macrophage–myofibroblast transition and contributing to sepsis-associated pulmonary fibrosis
title_short PGC-1α mediates migrasome secretion accelerating macrophage–myofibroblast transition and contributing to sepsis-associated pulmonary fibrosis
title_sort pgc 1α mediates migrasome secretion accelerating macrophage myofibroblast transition and contributing to sepsis associated pulmonary fibrosis
url https://doi.org/10.1038/s12276-025-01426-z
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