journal article·2026-04Open access

Inactivation Rap2a in Endothelial Cell Prevents Pulmonary Fibrosis by Regulating Immune Microenvironment Through MAP4K4‐VCAM1 Signaling

Xiaolan Zheng, Peng Yue, Kaiyu Zhou, Guidong Gong, Yue Zhang, Sha Lin, Xu Liu, Yanjiang Zheng, Siyuan Jing, Junling Guo, Yan Qi, Bi‐Sen Ding, Yimin Hua, Yifei Li

Advanced Science· Volume 13· Issue 22

Abstract

ABSTRACT Idiopathic pulmonary fibrosis (IPF) is characterized by progressive fibrotic remodeling accompanied by persistent endothelial activation and leukocyte infiltration. Although endothelial dysfunction is increasingly recognized as a key contributor to fibrogenesis, the intracellular signaling pathways that couple inflammatory cues to endothelial–immune interactions remain incompletely defined. Ras‐related protein Rap2a (RAP2A), a small GTPase implicated in stress and inflammatory signaling, has not been systematically investigated in pulmonary endothelial cells during fibrotic lung injury. Here, using a bleomycin‐induced experimental lung fibrosis model, we observed that RAP2A expression was markedly upregulated in pulmonary endothelial cells and correlated with disease severity. Endothelium‐enriched knockdown of Rap2a via AAV9‐Cdh5‐shRNA attenuated inflammatory cell adhesion to the pulmonary endothelium, reduced fibrotic remodeling, and improved lung function. Mechanistically, RAP2A promoted endothelial activation by enhancing MAP4K4‐dependent signaling and upregulating vascular cell adhesion molecule 1 (VCAM1) in response to pro‐inflammatory stimulation, thereby facilitating leukocyte–endothelial interactions. In vitro assays further demonstrated that RAP2A deficiency impaired tumor necrosis factor‐α–induced endothelial adhesiveness without affecting basal endothelial integrity. Collectively, our findings identify endothelial RAP2A as a regulator of inflammatory endothelial activation in experimental lung fibrosis and suggest that targeting RAP2A‐mediated signaling may represent a potential strategy to modulate endothelial–immune crosstalk during fibrotic lung injury.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis · Protein Kinase Regulation and GTPase Signaling · Cystic Fibrosis Research Advances

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE Department of Pediatrics West China Second University Hospital Sichuan University Chengdu Sichuan China

Institute of Cardiovascular Surgery The Second Affiliated Hospital Army Medical University Chongqing China

BMI Center for Biomass Materials and Nanointerfaces College of Biomass Science and Engineering Sichuan University Chengdu Sichuan China

State Key Laboratory of Biocatalysis and Enzyme Engineering School of Life Science Hubei University Wuhan Hubei China

Key Lab of Birth Defects and Related Diseases of Women and Children of MOE State Key Lab of Biotherapy State Key Laboratory of Respiratory Health and Multimorbidity West China School of Basic Medical Sciences & Forensic Medicine West China Second University Hospital Sichuan University Chengdu Sichuan China

Department of Pediatric Cardiovascular The Second Hospital & Clinical Medical School Lanzhou University Lanzhou Gansu China

Funding

National Natural Science Foundation of China

References (44)

Show source-provided references
1. 10.1007/s40265‐023‐01950‐010.1007/s40265‐023‐01950‐0 ↗
2. 10.1172/JCI17205810.1172/JCI172058 ↗
3. 10.1007/s10456‐024‐09910‐210.1007/s10456‐024‐09910‐2 ↗
4. 10.1183/09031936.0004491110.1183/09031936.00044911 ↗
5. 10.1136/thx.2004.03150010.1136/thx.2004.031500 ↗
6. 10.1164/rccm.202109‐2174OC10.1164/rccm.202109‐2174OC ↗
7. 10.1074/jbc.C30054220010.1074/jbc.C300542200 ↗
8. 10.1038/s41586‐018‐0444‐010.1038/s41586‐018‐0444‐0 ↗
9. 10.3389/fimmu.2023.120943810.3389/fimmu.2023.1209438 ↗
10. 10.1183/13993003.00407‐202310.1183/13993003.00407‐2023 ↗
11. 10.1164/rccm.202303‐0382ED10.1164/rccm.202303‐0382ED ↗
12. 10.1165/rcmb.2022‐0431TR10.1165/rcmb.2022‐0431TR ↗
13. 10.1038/s41467‐024‐49545‐x10.1038/s41467‐024‐49545‐x ↗
14. 10.1016/j.intimp.2024.11226910.1016/j.intimp.2024.112269 ↗
15. 10.1016/j.it.2023.10.00310.1016/j.it.2023.10.003 ↗
16. 10.3390/cells1217219310.3390/cells12172193 ↗
17. 10.3389/fmicb.2025.147212410.3389/fmicb.2025.1472124 ↗
18. 10.1080/03639045.2025.246881110.1080/03639045.2025.2468811 ↗
19. 10.1016/j.pccm.2025.02.00110.1016/j.pccm.2025.02.001 ↗
20. 10.1186/s12931‐024‐02878‐z10.1186/s12931‐024‐02878‐z ↗
21. 10.1016/j.bmc.2024.11790810.1016/j.bmc.2024.117908 ↗
22. 10.1016/j.jbc.2024.10725710.1016/j.jbc.2024.107257 ↗
23. 10.3892/etm.2022.1140610.3892/etm.2022.11406 ↗
24. 10.1183/13993003.00171‐201810.1183/13993003.00171‐2018 ↗
25. 10.1186/s12933‐024‐02254‐710.1186/s12933‐024‐02254‐7 ↗
26. 10.36416/1806‐3756/e2023008510.36416/1806‐3756/e20230085 ↗
27. 10.1016/j.pharmthera.2023.10856210.1016/j.pharmthera.2023.108562 ↗
28. 10.1016/j.mam.2023.10122710.1016/j.mam.2023.101227 ↗
29. 10.1152/ajpcell.00302.202310.1152/ajpcell.00302.2023 ↗
30. 10.1016/j.molimm.2019.02.01510.1016/j.molimm.2019.02.015 ↗
31. 10.1128/MCB.01453‐1410.1128/MCB.01453‐14 ↗
32. 10.3389/fcvm.2023.118751410.3389/fcvm.2023.1187514 ↗
33. 10.1155/2022/516630210.1155/2022/5166302 ↗
34. 10.1016/j.intimp.2025.11465310.1016/j.intimp.2025.114653 ↗
35. 10.1073/pnas.191970211710.1073/pnas.1919702117 ↗
36. 10.1161/CIRCRESAHA.122.32233210.1161/CIRCRESAHA.122.322332 ↗
37. 10.1183/13993003.01799‐202210.1183/13993003.01799‐2022 ↗
38. 10.1007/s10456‐021‐09795‐510.1007/s10456‐021‐09795‐5 ↗
39. 10.1164/rccm.202303‐0372LE10.1164/rccm.202303‐0372LE ↗
40. 10.1183/13993003.01259‐201510.1183/13993003.01259‐2015 ↗
41. 10.1016/j.pupt.2024.10231910.1016/j.pupt.2024.102319 ↗
42. 10.1038/s41467‐025‐59136‐z10.1038/s41467‐025‐59136‐z ↗
43. 10.1021/acs.nanolett.4c0408910.1021/acs.nanolett.4c04089 ↗
44. 10.1038/nm.403510.1038/nm.4035 ↗