Key result
Serum MFGE8 levels were significantly reduced in patients with acute respiratory distress syndrome compared to healthy volunteers (60.11 vs 79.36 pg/ml).
Why the study?
The study was conducted to investigate the effects and mechanisms of MFGE8 on LPS-induced endothelial-to-mesenchymal transition and pulmonary fibrosis in HLMECs and a mouse model of acute lung injury.
Does MFGE8 regulate LPS-induced endothelial-to-mesenchymal transition and pulmonary fibrosis in acute lung injury?
Observational (n=88)
No
Does MFGE8 regulate LPS-induced endothelial-to-mesenchymal transition and pulmonary fibrosis in acute lung injury?
Absolute Event Rate: 60.11% vs 79.36%
p-value: p=<0.05
MFGE8 protects against LPS-induced endothelial-to-mesenchymal transition and pulmonary fibrosis in acute lung injury via the BMP/Smad1/5-Smad4 pathway, highlighting its potential as a therapeutic target for ARDS.
May support MFGE8 as protective in ALI fibrosis; hypothesis-generating without randomized evidence.
BACKGROUND: To investigate the effects and mechanisms of MFGE8 on LPS-induced endothelial-to-mesenchymal transition (EndoMT) and pulmonary fibrosis in human lung microvascular endothelial cells (HLMECs) and a mouse model of acute lung injury. METHODS: Serum MFGE8 levels were compared between ARDS patients and controls. In vitro, HLMECs were treated with LPS, siRNA targeting MFGE8, and recombinant human MFGE8 (rhMFGE8).HLMEC morphology, invasion, migration, and EndoMT markers (CD31, ɑ-SMA) were evaluated. BMP/Smad1/5-Smad4 signaling and Snail expression were assessed via immunofluorescence, western blotting, and qRT-PCR. In vivo, rhMFGE8 effects on pulmonary fibrosis and EndoMT were analyzed in a mouse model of acute lung injury. RESULTS: MFGE8 levels were significantly reduced in ARDS patients, with higher levels correlating to better survival. In vitro, rhMFGE8 improved HLMEC morphology, reduced invasion and migration, and attenuated LPS-induced EndoMT by increasing CD31 and decreasing α-SMA. MFGE8 knockdown increased BMP/Smad1/5-Smad4 signaling and Snail expression, while rhMFGE8 inhibited these effects. In vivo, rhMFGE8 ameliorated pulmonary fibrosis and EndoMT in mice. CONCLUSIONS: MFGE8 regulates LPS-induced EndoMT in HLMECs via the BMP/Smad1/5-Smad4 pathway and protects against pulmonary fibrosis in acute lung injury, suggesting it as a therapeutic target for ALI and ARDS.
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Shi et al. (2025) conducted an observational in Acute respiratory distress syndrome (ARDS) (n=88). Acute respiratory distress syndrome vs. Healthy volunteers was evaluated on Serum MFGE8 levels (pg/ml) (p=<0.05). Serum MFGE8 levels were significantly reduced in patients with acute respiratory distress syndrome compared to healthy volunteers (60.11 vs 79.36 pg/ml).
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