Control of Tissue Fibrosis by 5-Methoxytryptophan, an Innate Anti-Inflammatory Metabolite

Tissue fibrosis causes debilitating human diseases such as liver cirrhosis, heart failure, chronic kidney disease and pulmonary insufficiency. It is a dynamic process orchestrated by specific subsets of monocyte-macrophages, fibroblasts, pericytes and hepatic stellate cells. Fibrosis is linked to ti...

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Autor principal: Kenneth K Wu
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:bed014173b834a0b8b8103a795a28c8a2021-11-11T08:56:16ZControl of Tissue Fibrosis by 5-Methoxytryptophan, an Innate Anti-Inflammatory Metabolite1663-981210.3389/fphar.2021.759199https://doaj.org/article/bed014173b834a0b8b8103a795a28c8a2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fphar.2021.759199/fullhttps://doaj.org/toc/1663-9812Tissue fibrosis causes debilitating human diseases such as liver cirrhosis, heart failure, chronic kidney disease and pulmonary insufficiency. It is a dynamic process orchestrated by specific subsets of monocyte-macrophages, fibroblasts, pericytes and hepatic stellate cells. Fibrosis is linked to tissue inflammation. Pro-inflammatory macrophages promote fibrosis by driving myofibroblast differentiation and macrophage myofibroblast transition. Myofibroblasts express α-smooth muscle cell actin (α-SMA) and secrete extracellular matrix (ECM) proteins notably collagen I and III. Deposition of ECM proteins at injury sites and interstitial tissues distorts normal structure and impairs vital functions. Despite advances in the mechanisms of fibrosis at cellular, molecular and genetic levels, prevention and treatment of fibrotic diseases remain poorly developed. Recent reports suggest that 5-methoxytryptophan (5-MTP) is effective in attenuating injury-induced liver, kidney, cardiac and pulmonary fibrosis. It inhibits macrophage activation and blocks fibroblast differentiation to myofibroblasts. Furthermore, it inhibits hepatic stellate cell differentiation into myofibroblasts. As 5-MTP is an endogenous molecule derived from tryptophan catabolism via tryptophan hydroxylase pathway, it is well-suited as a lead compound for developing new anti-fibrotic drugs. This article provides an overview of 5-MTP synthesis, and a critical review of its anti-fibrotic activities. Its mechanisms of actions and potential therapeutic value will be discussed.Kenneth K WuKenneth K WuFrontiers Media S.A.articlefibrosis5-methoxytryptophanliver cirrhosisheart failurefibroblastsmyofibroblastsTherapeutics. PharmacologyRM1-950ENFrontiers in Pharmacology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic fibrosis
5-methoxytryptophan
liver cirrhosis
heart failure
fibroblasts
myofibroblasts
Therapeutics. Pharmacology
RM1-950
spellingShingle fibrosis
5-methoxytryptophan
liver cirrhosis
heart failure
fibroblasts
myofibroblasts
Therapeutics. Pharmacology
RM1-950
Kenneth K Wu
Kenneth K Wu
Control of Tissue Fibrosis by 5-Methoxytryptophan, an Innate Anti-Inflammatory Metabolite
description Tissue fibrosis causes debilitating human diseases such as liver cirrhosis, heart failure, chronic kidney disease and pulmonary insufficiency. It is a dynamic process orchestrated by specific subsets of monocyte-macrophages, fibroblasts, pericytes and hepatic stellate cells. Fibrosis is linked to tissue inflammation. Pro-inflammatory macrophages promote fibrosis by driving myofibroblast differentiation and macrophage myofibroblast transition. Myofibroblasts express α-smooth muscle cell actin (α-SMA) and secrete extracellular matrix (ECM) proteins notably collagen I and III. Deposition of ECM proteins at injury sites and interstitial tissues distorts normal structure and impairs vital functions. Despite advances in the mechanisms of fibrosis at cellular, molecular and genetic levels, prevention and treatment of fibrotic diseases remain poorly developed. Recent reports suggest that 5-methoxytryptophan (5-MTP) is effective in attenuating injury-induced liver, kidney, cardiac and pulmonary fibrosis. It inhibits macrophage activation and blocks fibroblast differentiation to myofibroblasts. Furthermore, it inhibits hepatic stellate cell differentiation into myofibroblasts. As 5-MTP is an endogenous molecule derived from tryptophan catabolism via tryptophan hydroxylase pathway, it is well-suited as a lead compound for developing new anti-fibrotic drugs. This article provides an overview of 5-MTP synthesis, and a critical review of its anti-fibrotic activities. Its mechanisms of actions and potential therapeutic value will be discussed.
format article
author Kenneth K Wu
Kenneth K Wu
author_facet Kenneth K Wu
Kenneth K Wu
author_sort Kenneth K Wu
title Control of Tissue Fibrosis by 5-Methoxytryptophan, an Innate Anti-Inflammatory Metabolite
title_short Control of Tissue Fibrosis by 5-Methoxytryptophan, an Innate Anti-Inflammatory Metabolite
title_full Control of Tissue Fibrosis by 5-Methoxytryptophan, an Innate Anti-Inflammatory Metabolite
title_fullStr Control of Tissue Fibrosis by 5-Methoxytryptophan, an Innate Anti-Inflammatory Metabolite
title_full_unstemmed Control of Tissue Fibrosis by 5-Methoxytryptophan, an Innate Anti-Inflammatory Metabolite
title_sort control of tissue fibrosis by 5-methoxytryptophan, an innate anti-inflammatory metabolite
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/bed014173b834a0b8b8103a795a28c8a
work_keys_str_mv AT kennethkwu controloftissuefibrosisby5methoxytryptophananinnateantiinflammatorymetabolite
AT kennethkwu controloftissuefibrosisby5methoxytryptophananinnateantiinflammatorymetabolite
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