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SMAD 3 expression and regulation of fibroplasia in vocal fold injury
Author(s) -
Hiwatashi Nao,
Benedict Peter A.,
Dion Gregory R.,
Bing Renjie,
Kraja Iv,
Amin Milan R.,
Branski Ryan C.
Publication year - 2017
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.26648
Subject(s) - gene knockdown , downregulation and upregulation , smad , medicine , transforming growth factor , small interfering rna , fibroblast , in vivo , messenger rna , in vitro , gene expression , cancer research , microbiology and biotechnology , andrology , cell culture , biology , transfection , gene , biochemistry , genetics
Objective Recent reports highlight the efficacy of small interfering RNA (siRNA) targeting SMAD3 to regulate transforming growth factor β (TGF‐β)‐mediated fibroplasia in vocal fold fibroblasts. The current study sought to investigate SMAD3 expression during wound healing in vivo and quantify the downstream transcriptional events associated with SMAD3 knockdown in vitro. Study Design In vivo and in vitro. Methods Unilateral vocal fold injury was created in a rabbit model. SMAD3 and SMAD7 mRNA expression was quantified at 1 hour and 1, 3, 7, 14, 30, 60, and 90 days following injury. In vitro, multi‐gene analysis technology was employed in our immortalized human vocal‐fold fibroblast cell line following TGF‐β1 stimulation ± SMAD3 knockdown across time points. Results SMAD3 mRNA expression increased following injury; upregulation was significant at 3 and 7 days compared to control (both P < 0.001). SMAD7 mRNA was also upregulated at 3, 7, and 14 days ( P = 0.02, P < 0.001, and P < 0.001, respectively). In vitro, SMAD3 knockdown reduced the expression of multiple profibrotic, TGF‐β signaling, and extracellular matrix metabolism genes at 6 and 24 hours following TGF‐β1 stimulation. Conclusion Cumulatively, these data support SMAD3 as a potential master regulator of TGF‐β‐mediated fibrosis. SMAD3 transcription peaked 7 days following injury. Multi‐gene analysis indicated that the therapeutic effectiveness of SMAD3 knockdown may be related to regulation of downstream mediators of fibroplasia and altered TGF‐β signaling. Level of Evidence NA. Laryngoscope , 127:E308–E316, 2017