Investigator

David J. Nagel

Assistant Professor · University of Rochester Medical Center, Pulmonary and Critical Care Medicine

About

DJNDavid J. Nagel
Papers(1)
Cell-Type-Specific Ef…
Institutions(1)
University Of Rochest…

Papers

Cell-Type-Specific Effects of the Ovarian Cancer G-Protein Coupled Receptor (OGR1) on Inflammation and Fibrosis; Potential Implications for Idiopathic Pulmonary Fibrosis

Idiopathic pulmonary fibrosis (IPF) is a disease characterized by irreversible lung scarring. The pathophysiology is not fully understood, but the working hypothesis postulates that a combination of epithelial injury and myofibroblast differentiation drives progressive pulmonary fibrosis. We previously demonstrated that a reduction in extracellular pH activates latent TGF-β1, and that TGF-β1 then drives its own activation, creating a feed-forward mechanism that propagates myofibroblast differentiation. Given the important roles of extracellular pH in the progression of pulmonary fibrosis, we sought to identify whether pH mediates other cellular phenotypes independent of TGF-β1. Proton-sensing G-protein coupled receptors are activated by acidic environments, but their role in fibrosis has not been studied. Here, we report that the Ovarian Cancer G-Protein Coupled Receptor1 (OGR1 or GPR68) has dual roles in both promoting and mitigating pulmonary fibrosis. We demonstrate that OGR1 protein expression is significantly reduced in lung tissue from patients with IPF and that TGF-β1 decreases OGR1 expression. In fibroblasts, OGR1 inhibits myofibroblast differentiation and does not contribute to inflammation. However, in epithelial cells, OGR1 promotes epithelial to mesenchymal transition (EMT) and inflammation. We then demonstrate that sub-cellular localization and alternative signaling pathways may be responsible for the differential effect of OGR1 in each cell type. Our results suggest that strategies to selectively target OGR1 expression may represent a novel therapeutic strategy for pulmonary fibrosis.

5Works
1Papers

Positions

2020–

Assistant Professor

University of Rochester Medical Center · Pulmonary and Critical Care Medicine

2018–

Senior Instructor

University of Rochester Medical Center · Pulmonary and Critical Care Medicine

2015–

Fellow

University of Rochester Medical Center · Division of Pulmonary and Critical Care Medicine

2014–

Chief Resident

Dartmouth-Hitchcock Medical Center · Internal Medicine

2011–

Resident

Dartmouth-Hitchcock Medical Center · Internal Medicine