Small-molecule-mediated OGG1 inhibition attenuates pulmonary inflammation and lung fibrosis in a murine lung fibrosis model

L. Tanner (), A. B. Single, R. K. V. Bhongir, M. Heusel, T. Mohanty, C. A. Q. Karlsson, L. Pan, C-M. Clausson, J. Bergwik, K. Wang, C. K. Andersson, R. M. Oommen, J. S. Erjefält, J. Malmström, O. Wallner, I. Boldogh, T. Helleday, C. Kalderén and A. Egesten
Additional contact information
L. Tanner: Lund University and Skåne University Hospital
A. B. Single: Lund University and Skåne University Hospital
R. K. V. Bhongir: Lund University and Skåne University Hospital
M. Heusel: Lund University
T. Mohanty: Lund University
C. A. Q. Karlsson: Lund University
L. Pan: University of Texas Medical Branch at Galveston
C-M. Clausson: Lund University
J. Bergwik: Lund University and Skåne University Hospital
K. Wang: University of Texas Medical Branch at Galveston
C. K. Andersson: Lund University
R. M. Oommen: Karolinska Institutet
J. S. Erjefält: Lund University
J. Malmström: Lund University
O. Wallner: Karolinska Institutet
I. Boldogh: University of Texas Medical Branch at Galveston
T. Helleday: Karolinska Institutet
C. Kalderén: Karolinska Institutet
A. Egesten: Lund University and Skåne University Hospital

Nature Communications, 2023, vol. 14, issue 1, 1-16

Abstract: Abstract Interstitial lung diseases such as idiopathic pulmonary fibrosis (IPF) are caused by persistent micro-injuries to alveolar epithelial tissues accompanied by aberrant repair processes. IPF is currently treated with pirfenidone and nintedanib, compounds which slow the rate of disease progression but fail to target underlying pathophysiological mechanisms. The DNA repair protein 8-oxoguanine DNA glycosylase-1 (OGG1) has significant roles in the modulation of inflammation and metabolic syndromes. Currently, no pharmaceutical solutions targeting OGG1 have been utilized in the treatment of IPF. In this study we show Ogg1-targeting siRNA mitigates bleomycin-induced pulmonary fibrosis in male mice, highlighting OGG1 as a tractable target in lung fibrosis. The small molecule OGG1 inhibitor, TH5487, decreases myofibroblast transition and associated pro-fibrotic gene expressions in fibroblast cells. In addition, TH5487 decreases levels of pro-inflammatory mediators, inflammatory cell infiltration, and lung remodeling in a murine model of bleomycin-induced pulmonary fibrosis conducted in male C57BL6/J mice. OGG1 and SMAD7 interact to induce fibroblast proliferation and differentiation and display roles in fibrotic murine and IPF patient lung tissue. Taken together, these data suggest that TH5487 is a potentially clinically relevant treatment for IPF but further study in human trials is required.

Date: 2023
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DOI: 10.1038/s41467-023-36314-5

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