COPD is a heterogeneous disease in which chronic bronchiolitis and emphysema are the most important phenotypes and continue to be the leading causes of mortality worldwide [1]. Bronchodilators and anti-inflammatory agents provide the main treatment for patients with COPD; however, they have poor treatment results. A better understanding of the pathophysiology of disease development is recognized as increasingly clinically important, and the identification of critical therapeutic targets specifically for COPD is critically important. Liver growth factor (LGF) has demonstrated utility in an experimental emphysema model that is capable of reversing functional and morphometric changes induced by tobacco smoke [12] [13]. What remains unclear is the mechanism through which it exerts its therapeutic effect on the lung.
With the development of sequencing technology and bioinformatic analysis, the mRNA network hypothesis may partially illustrate disease onset and progression. Despite an increasing number of studies on mRNA networks, the molecular mechanisms of COPD are not yet fully understood [24]. RNA therapeutics offer high specificity and represent safer and reversible alternatives to DNA-based gene therapies. RNA drugs may offer unique opportunities to expand the spectrum of therapeutic targets, several of which are approved or currently in clinical trials. In the present study, we utilized transcriptome array analysis of lung tissue from three groups (eight control animals, eight animals with emphysema treated with a growth factor (LGF) and eight untreated animals with emphysema) and identified 1,700 DEmRNAs (90 upregulated and 200 downregulated). We hypothesized that certain dysregulated RNAs could exert their functions either individually or cooperatively, and some of them could be exploited as potential biomarkers. Zscan2 (zinc finger and SCAN domain-containing protein 2) and Bag6 BCL2-associated athanogene 6 appear to have been identified as potential tissue repair players in an experimental model of COPD treated with growth factors based on lung gene expression.
Zinc finger proteins (ZFPs) are a superfamily of transcription factors encoded by over 2% of the human genome sequence. It contains at least one zinc finger domain that could bind specific DNA sequences and thus regulate DNA expression levels. In addition, ZFPs can also interact with RNA, lipids, membranes, and proteins via zinc finger domains or specific structural domains such as the SCAN domain [25]. Recent research shows that transcription factors containing the SCAN domain (SCAND-TFs) contribute to suppressing the stress response in cancer [26]. Meanwhile, the outlier expression of ZFPs causes various pathological processes, such as tumorigenesis and progression, diabetes, skin diseases and neurodegeneration. Particularly in tumours, ZFPs have important effects on cell proliferation, epithelial mesenchymal transition, invasion and metastasis, inflammation and apoptosis. In addition to the cell cycle, drug resistance, cancer stem cells and DNA methylation have been observed in a wide range of cancers [27] [28], including colon [29], breast, lung and gastric cancers and hepatocellular carcinoma [30]. In addition, several studies have demonstrated that myeloid zinc finger 1 (MZF1) has two functions in colon cancer, which may both promote cancer proliferation and inhibit cancer progression by apoptosis [31].
Zscan2 (also called ZFP29 or SCAND2P) is a transcription factor that plays a role in embryonic stem cell maintenance, telomere elongation in a small population of cells during embryonic development and genomic stability. This process helps maintain the integrity of the genome and allows for the preservation of stem cell populations [32]. Because of complex regulatory mechanisms, Zscan transcription factors may exhibit promoting or prohibitive effects on angiogenesis and cellular apoptosis. In addition to cell differentiation and proliferation, cell migration and invasion, the properties of stem cells and susceptibility to chemotherapy [25]. However, the role of Zscan2 in lung tissue repair and COPD is relatively less explored. This is the first study that might have discovered an association between Zscan2 expression and tissue repair processes in the lung affected by COPD. The exact mechanisms through which Zscan2 may contribute to tissue repair in COPD are not clear and require further investigation.
Bag6 (also known as HLA (human leukocyte antigen)-B-associated transcript 3, BAT3 or Scythe) is a chaperone nucleocytoplasmic shuttling protein with several structural patterns. Include an N-terminal ubiquitin homology region, a polyproline region, and a zinc finger-like domain. It is localized in the mitochondria and involved in controlling protein quality and regulating protein degradation pathways [33]. It interacts with various proteins, including misfolded or damaged proteins, to facilitate their proper folding, assembly, or degradation. Bag6 has been implicated in various cellular processes, such as apoptosis (from the formation of a caspase-3- cleaved Scythe C-terminal fragment), autophagy (mitophagy after mitochondrial depolarization), antigen presentation and T-cell response and NK cell activity in immune responses identified as a ligand for NKp30 involved in antitumor immunity of NK cells [34]. Scythe is critical for normal development and viability, probably through regulation of programmed cell death and cell proliferation [35]. The exact role of Bag6 in the lung is not yet fully understood, but there is evidence to suggest that it may play a role in regulating inflammation and immune responses in the lung. Bag6 appears to be a negative regulator in the innate immune system of non-small cell lung cancer patients [36] [37] and a risk factor for lung cancer [38] [39], even in early non-smoker lung adenocarcinoma patients [40]. Germline variants of genes involved in nuclear factor-kappa B (NF-κB) activation are associated with the risk of developing COPD and lung cancer [41].