Science and Research

Mechanosensitive phosphorylation of NFATC4 at S213/S217 drives fibroblast-to-myofibroblast transition and fibrosis

Mechanosensitive feedback between tissue stiffness and cellular contractile forces instructs cell identity. To characterize phosphorylation-mediated mechanosensing, we charted the global phosphoproteome dynamics of primary human lung fibroblasts on fibronectin-coated polydimethylsiloxane substrates of defined stiffness. We identified a key signaling threshold at 2-8 kPa, above which cells activated cytoskeletal remodeling, ECM secretion, and transition to a CTHRC1+/ACTA2+ myofibroblast state, accompanied by stiffness-dependent phosphorylation of the transcription factor NFATC4 at S213/S217. In micro-CT staged pulmonary fibrosis tissues, NFATC4 expression increased progressively, colocalizing with CTHRC1 and ACTA2 in myofibroblasts. Transcription factor regulon inference from a multicohort pulmonary fibrosis atlas confirmed elevated NFATC4 activity in disease fibroblasts, revealing a core 119-gene NFATC4-dependent fibrotic program with CTHRC1 as a top target. Phosphomimetic S213D/S217D mutants drove myofibroblast differentiation on soft substrates independently of TGFB, while phospho-dead S213A/S217A mutants blocked differentiation even on stiff matrix with TGFB, establishing the phospho-switch as both necessary and sufficient. Stiff matrix and TGFB converged on this JNK- and calcineurin-dependent switch to amplify the fibrotic response. This positions NFATC4 S213/S217 as a mechanosensitive checkpoint for CTHRC1+ myofibroblast fate and a candidate therapeutic target in multiorgan fibrosis.

  • Kadri, S.
  • Mattner, L. F.
  • Zeng, Z.
  • Prakki, S. R. S.
  • Verma, A. K.
  • Cetin, U.
  • Mayr, C. H.
  • Ansari, M.
  • Wei, X.
  • Asgharpour, S.
  • Wasik, A. A.
  • Kneidinger, N.
  • Stoleriu, M. G.
  • Behr, J.
  • Polleux, J.
  • Yildirim, A. O.
  • De Sadeleer, L. J.
  • Wuyts, W. A.
  • Burgstaller, G.
  • Mann, M.
  • Muck-Hausl, M.
  • Schiller, H. B.

Keywords

  • Humans
  • *NFATC Transcription Factors/metabolism/genetics
  • *Myofibroblasts/metabolism/pathology
  • Phosphorylation
  • *Mechanotransduction, Cellular
  • *Fibroblasts/metabolism/pathology
  • Cell Differentiation
  • *Pulmonary Fibrosis/metabolism/pathology/genetics
  • Cell biology
  • Fibrosis
  • Proteomics
  • Pulmonology
  • Transcription
Publication details
DOI: 10.1172/JCI195121
Journal: J Clin Invest
Number: 17
Work Type: Original
Location: CPC-M
Disease Area: DPLD
Partner / Member: HMGU, KUM
Access-Number: 42677834
See publication on PubMed


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