Arsenic is a potent toxicant, and long-term exposure to inorganic
arsenic causes lung damage. M2 macrophages play an important role in the pathogenesis of
pulmonary fibrosis. However, the potential connections between
arsenic and M2 macrophages in the development of
pulmonary fibrosis are elusive. C57BL/6 mice were fed with
drinking water containing 0, 10 and 20 ppm
arsenite for 12 months. We have found that, in lung tissues of mice,
arsenite, a biologically active form of
arsenic, elevated H19, c-Myc, and Arg1; decreased let-7a; and caused
pulmonary fibrosis. For THP-1 macrophages (THP-M) and bone-marrow-derived macrophages (BMDMs), 8 μM
arsenite increased H19, c-Myc, and Arg1; decreased let-7a; and induced M2 polarization of macrophages, which caused secretion of the fibrogenic
cytokine, TGF-β1. Down-regulation of H19 or up-regulation of let-7a reversed the
arsenite-induced M2 polarization of macrophages.
Arsenite-treated THP-M and BMDMs co-cultured with MRC-5 cells or primary lung fibroblasts (PLFs) elevated levels of p-SMAD2/3, SMAD4, α-SMA, and
collagen I in lung fibroblasts and resulted in the activation of lung fibroblasts. Knockout of H19 or up-regulation of let-7a in macrophages reversed the effects. The results indicated that H19 functioned as an
miRNA sponge for let-7a, which was involved in
arsenite-induced M2 polarization of macrophages and induced the myofibroblast differentiation phenotype by regulation of c-Myc. In the sera of arseniasis patients, levels of
hydroxyproline and H19 were higher, and levels of let-7a were lower than levels in the controls. These observations elucidate a possible mechanism for
arsenic exposure-induced
pulmonary fibrosis.