Danger signals, or damage-associated molecular patterns (DAMPs), instigate mitochondrial innate immune responses wherein mitochondrial
antiviral signaling
protein (MAVS) functions as a key platform molecule to mediate them. The role of MAVS in the pathogenesis of
idiopathic pulmonary fibrosis (IPF), however, has not yet been identified. Whether MAVS signalling can be modulated by currently existing drugs has also not been explored.We used an established model of
pulmonary fibrosis to demonstrate that MAVS is a critical mediator of multiple DAMP signalling pathways and the consequent lung
fibrosis after
bleomycin-induced injury in vivoAfter
bleomycin injury, MAVS expression was mainly observed in macrophages. Multimeric MAVS aggregation, a key event of MAVS signalling activation, was significantly increased and persisted
in bleomycin-injured lungs. A proapoptotic BH3 mimetic,
ABT-263, attenuated the expression of MAVS and its signalling and, consequently, the development of experimental
pulmonary fibrosis. In contrast, the
therapeutic effects of
nintedanib and
pirfenidone, two drugs approved for IPF treatment, were not related to the modulation of MAVS or its signalling. Multimeric MAVS aggregation was significantly increased in lungs from IPF patients as well.MAVS may play an important role in the development of
pulmonary fibrosis, and targeting MAVS with BH3 mimetics may provide a novel and much needed therapeutic strategy for IPF.