Idiopathic pulmonary fibrosis (IPF) is a fibroproliferative disorder with limited therapeutic options. An aberrant wound healing process in response to repetitive
lung injury has been suggested for its pathogenesis, and a number of
cytokines including
transforming growth factor β1 play pivotal roles in the induction and progression of
fibrosis. Thus, the regulation of these pro-inflammatory conditions may reduce the progression of IPF and ameliorate its symptoms in patients.
Interleukin-10 (IL-10), a pleiotropic
cytokine, exerts anti-inflammatory and anti-fibrotic effects in numerous biological settings. In the present study, we investigated the preventive effects of
IL-10 on
bleomycin-induced
pulmonary fibrosis in mice with the continuous expression of this
cytokine via an adeno-associated virus serotype 6 vector. Mice were administered the adeno-associated virus serotype 6 vector encoding mouse
IL-10 by intratracheal injection, and osmotic minipumps containing
bleomycin were subcutaneously implanted seven days later. Lung histology and the expression levels of pro-inflammatory
cytokines and fibrogenic
cytokines were then analyzed. In mice exhibiting persistent
IL-10 expression on day 35, the number of infiltrated inflammatory cells and the development of
fibrosis in lung tissues were significantly reduced. Increases in
transforming growth factor β1 and decreases in IFN-γ were also suppressed in treated animals, with changes in these
cytokines playing important roles in the pathogenesis of
pulmonary fibrosis. Furthermore,
IL-10 significantly improved survival
in bleomycin-induced mice. Our results provide insights into the potential benefit of the anti-fibrotic effects of
IL-10 as a novel therapeutic approach for IPF.