학술논문

Molecular programs of fibrotic change in aging human lung
Document Type
article
Source
Nature Communications. 12(1)
Subject
Lung
Genetics
Aging
Underpinning research
1.1 Normal biological development and functioning
2.1 Biological and endogenous factors
Aetiology
Respiratory
Adolescent
Adult
Age Factors
Aged
Cellular Senescence
Cohort Studies
Collagen
Cyclin-Dependent Kinase Inhibitor p16
Epithelial Cells
Female
Fibroblasts
Gene Expression Regulation
Humans
Idiopathic Pulmonary Fibrosis
Male
Middle Aged
Sequence Analysis
RNA
Telomere Shortening
Tumor Suppressor Protein p53
Young Adult
Language
Abstract
Lung fibrosis is increasingly detected with aging and has been associated with poor outcomes in acute lung injury or infection. However, the molecular programs driving this pro-fibrotic evolution are unclear. Here we profile distal lung samples from healthy human donors across the lifespan. Gene expression profiling by bulk RNAseq reveals both increasing cellular senescence and pro-fibrotic pathway activation with age. Quantitation of telomere length shows progressive shortening with age, which is associated with DNA damage foci and cellular senescence. Cell type deconvolution analysis of the RNAseq data indicates a progressive loss of lung epithelial cells and an increasing proportion of fibroblasts with age. Consistent with this pro-fibrotic profile, second harmonic imaging of aged lungs demonstrates increased density of interstitial collagen as well as decreased alveolar expansion and surfactant secretion. In this work, we reveal the transcriptional and structural features of fibrosis and associated functional impairment in normal lung aging.