Autophagy mediates oral submucous fibrosis

作者:Li, Jiang; Zhao, Ting-Ting; Zhang, Peng; Xu, Chao-Jin; Rong, Zhuo-Xiang; Yan, Zi-Yi; Fang, Chang-Yun*
来源:Experimental and Therapeutic Medicine, 2016, 11(5): 1859-1864.
DOI:10.3892/etm.2016.3145

摘要

Oral submucous fibrosis (OSF) is a chronic insidious disease of the oral mucosa, well-recognized as a premalignant condition and commonly found in Southern China. It is primarily caused by the habit of areca nut or gutkha chewing. OSF is believed to be a homeostatic disorder of the extracellular matrix and fibroblast proliferation. The present study demonstrated a novel link between autophagy and OSF. Tissue samples from human OSF showed an overexpression of the autophagy marker microtubule-associated protein 1 light chain 3 using immunohistochemistry and quantitative polymerase chain reaction. With regard to the crucial role of transforming growth factor (TGF)-beta in OSF disease, western blot analysis demonstrated that TGF-beta signaling was shown to contribute to the activation of autophagy in fibroblasts in vitro; however, a cell apoptosis and MTS assay demonstrated that the suppression of autophagy ameliorated the fibrosis induced by active TGF-beta receptor type I signaling, as well as promoted fibroblast apoptosis and suppressed proliferation. Therefore, the present results suggest that autophagy serves a crucial function in OSF.