Background: Previous studies show that macrophages, lung fibroblasts, and t
heir soluble mediators are responsible for the onset and development of pul
monary fibrosis. This study was conducted to determine whether airway epith
elial cells are also directly involved in response to fibrogenic agents and
consequently in the pathogenesis of lung fibrosis. To verify the hypothesi
s, we determined whether silica acts directly on human bronchial epithelial
cells by stimulating cytokine and growth factor release and by modifying m
atrix production
Materials and Methods: An SV40 large T antigen-transformed human airway epi
thelial cell line, 16HBE14o (16HBE), was used. The expression profile of so
me proinflammatory interleukins (ILs), such as IL-1 alpha, IL-1 beta and IL
-6 and their modulation by silica, were evaluated by polymerase chain react
ion (PCR) analysis. Transforming growth factor beta (TGF beta) and basic fi
broblast growth factor (bFGF) mRNA levels were tested by Northern blotting
in the presence and in the absence of silica. The silica- and/or bFGF-induc
ed effects on matrix components (total proteins, collagen, and fibronectin)
were also evaluated using radiolabeled precursors.
Results: The results demonstrated 16HBE internalized silica particles. Sili
ca induced a little IL-6 secretion, without affecting IL-1 and TGF beta iso
form production and strongly stimulated bFGF mRNA level and bFGF protein se
cretion. Silica also induced changes in 16HBE production of total proteins,
collagen, and fibronectin production. When added in combination with the g
rowth factor, it strengthened bFGF stimulation of matrix component secretio
n.
Conclusions: These results support the hypothesis that the changes in matri
x components are due to a direct effect of silica on bronchial epithelial c
ells. Silica-induced oversecretion of bFGF suggests that autocrine and para
crine differentiation loops for bFGF may also be operative and that these m
echanisms may be involved in the pathogenesis of pulmonary fibrosis. In the
future, cytokine-directed therapeutic strategies might find a place in cli
nical practice.