Cetaceans, mammalian species that have fully transitioned from land to an aquatic lifestyle, have developed adaptive changes in their respiratory system in response to the low-oxygen environment of the ocean. The lungs, among these adaptations, serve as a crucial interface between the body and the environment during respiration under low-oxygen conditions. Research has demonstrated that the lungs of cetaceans, specifically whale species, have undergone adaptive evolution related to resistance against oxidative stress [25]. Understanding the molecular evolutionary mechanisms that drive diving adaptations in whales is essential for comprehending the treatment of diving-related disorders. Proposals suggest that the lungs of cetaceans have developed specific features, including a notable presence of elastic fibers, to adapt to diving and breath-holding. Our research in this study indicates that genes linked to pulmonary fibrosis have undergone adaptive evolution in marine mammals, such as whales. This adaptation is crucial for their adjustment to hypoxic environments and the mitigation of the risk of DCS.
The adaptation of cetaceans to diving and breath-holding is the result of coevolution of multiple genes
Cetaceans, a group of mammals, have transitioned from land to a fully aquatic lifestyle. Owing to the hypoxic ocean environment, their respiratory system has undergone a series of adaptive changes. Among these adaptations, the lungs serve as a crucial interface between the body and the environment during respiration in a hypoxic environment. Studies have demonstrated that the lungs of cetaceans have undergone a series of adaptations related to resistance against oxidative stress [55]. Suggestions propose that the lungs of cetaceans have developed specific characteristics, including a substantial amount of elastic fibers, to adapt to diving and breath-holding.
Our study results indicate accelerated evolution and specific amino acid substitutions in multiple genes related to lung fibrosis in cetaceans. Functional enrichment analysis revealed their main enrichment in processes such as respiratory gas exchange, cellular response to DNA damage stimuli, pulmonary development, and inflammatory response. This suggests that these genes not only contribute to lung fibrosis in cetaceans but are also closely linked to their adaptation to hypoxic environments, diving, and breath-holding. For example, the RXFP1 gene encodes a receptor protein belonging to the relaxin/insulin-like peptide family receptor. In a mouse experiment, RXFP1 expression alleviated symptoms of lung fibrosis and pulmonary arterial hypertension [56]. The PLAU gene encodes an enzymatic protein known as plasminogen activator. Research has demonstrated the pivotal role of PLAU in hypoxia adaptation for cetaceans [57]. This study primarily employed a genome-wide large-scale screen, determining the association of the PLAU gene with hypoxia adaptation in porpoises and its likely prominent role in hypoxic responses [57, 58]. Similarly, numerous genes play roles in lung development, such as ABCA3. The AP3B1 gene encodes the β3A subunit of the adaptor protein complex 3 (AP-3), and mutations in the AP3B1 gene result in Hermansky-Pudlak syndrome (HPS) subtypes HPS-2 and HPS-10. Pulmonary fibrosis develops in HPS-1, HPS-2, and HPS-4 [59, 60]. Growing evidence suggests that pulmonary fibrosis, as a particular phenotype, may be a crucial protective mechanism in whales against diving-related illnesses. Overall, the adaptive evolution of genes associated with pulmonary fibrosis may be a crucial mechanism for cetaceans to adapt to deep-diving lifestyles.
The high abundance of elastic fibers in the lungs is a common strategy among marine mammals to reduce the risk of DCS in hypoxic environments
The mechanism employed by marine mammals, cetaceans included, to mitigate the risk of DCS during prolonged dives has long been a subject of investigation. While there is ample macroscopic evidence indicating an enrichment of elastic fibers in the lungs of these animals, potentially aiding in adapting to hypoxic environments and reducing the risk of DCS during diving respiration, the majority of supporting evidence is derived from anatomical and physiological ecological studies. There is a notable dearth of molecular evidence from an evolutionary perspective.
By comparing two models (branch model and branch-site model) using PAML, a prevalence of positive selection was found in lung fibrosis-related genes among marine mammals, with the majority of positively selected sites situated in crucial functional protein domains. In humans and other mammals, elastic fibers in the lungs constitute a minimal proportion [61], ensuring optimal elasticity and morphological stability for efficient gas exchange and respiratory function. While an abundance of elastic fibers in the lungs may induce lung fibrosis in typical mammals, resulting in respiratory challenges, marine mammals do not experience such issues. This phenomenon may be attributed to cetaceans' possession of a dual capillary network in the lungs [13, 15], enhancing gas exchange between alveoli and capillary blood, averting respiratory distress despite fibrosis. The elevated fibrosis in cetacean lungs suggests that lung fibrosis-related genes have undergone adaptive evolution in marine mammals to facilitate their diving and respiratory processes. Eight lung fibrosis-related genes were identified: BDKRB1, CHRM3, HLA-DRB1, MMP7, PLAU, SETD2, SFTPB, and SFTPC. BDKRB1 encodes the bradykinin B1 receptor, binding to the peptide hormone bradykinin and engaging in various inflammatory response processes. Studies have demonstrated that the deletion of BDKRB1 in mice inhibits fibrosis [62], suggesting the receptor's role in promoting fibrosis and its potential significance in mammalian lung fibrosis. SFTPB and SFTPC genes encode vital components of pulmonary surfactant, crucial for maintaining alveolar surface tension and lung tissue architecture. Research indicates that mutations in these genes among marine mammals may be linked to adaptations to hypoxic conditions during diving [63]. Mutations in the CHRM3, HLA-DRB1, PLAU, and SETD2 genes are closely linked to the pathogenesis of pulmonary fibrosis [18, 58, 64, 65]. The MMP7 gene, serving as a biomarker for pulmonary fibrosis, has been demonstrated to contribute to the development of lung fibrosis through its elevated expression [21, 50].
Simultaneously, correlation analysis reveals a positive relationship between the evolutionary rates of the BDKRB1, PINK1, and RTEL1 genes and maximum diving depth. The functions of these genes are linked to the formation of pulmonary fibrosis, implying their significant role in the diving respiration process of cetaceans. For example, research has demonstrated that mutations in the RTEL1 gene contribute to an animal's adaptation to hypoxic conditions [66]. In mice, the reduction of PINK1 expression in lung epithelial cells resulted in mitochondrial depolarization and the expression of profibrotic factors. Collectively, these findings illustrate that the adaptive evolution of pulmonary fibrosis-related genes in marine mammals enhances their ability to thrive in diving conditions, reducing the risk of decompression sickness [67].
The evolution of SFTPC may have contributed to pulmonary fibrosis in marine mammals
Pulmonary surfactant, composed of lipids and proteins, is crucial for alveolar stability, surface tension reduction, and gas exchange in the lungs. SFTPC, encoding a hydrophobic protein in type II alveolar epithelial cells, is integral to these functions. The BRICHOS domain (residues 94–197) in SP-C prevents protein aggregation, ensuring proper folding and stabilization [68, 69]. The BRICHOS domain assists in the proper folding and stabilization of SP-C, preventing the formation of toxic aggregates in the alveoli and enabling its normal biological function. Previous research has found that mutations in the SFTPC gene are associated with several familial and sporadic interstitial lung diseases, including pulmonary fibrosis. These mutations can lead to abnormalities in the structure and function of the SFTPC protein, affecting the composition and function of pulmonary surfactant, ultimately resulting in lung tissue damage and fibrosis. Several studies have linked mutations in SFTPC within the BRICHOS domain of the proprotein (proSP-C) to interstitial lung diseases. For example, DNA sequence analyses of the surfactant protein C gene in children with nonspecific interstitial pneumonia and adults with usual interstitial pneumonia have identified a common heterozygous mutation in exon 5. This mutation causes a Leu188 to Gln188 change in the carboxy-terminal region of prosurfactant protein C, potentially impacting peptide processing. These observations suggest that individuals with this specific mutation in the surfactant protein C gene may have an increased risk of various types of interstitial lung diseases [70]. Using SP-CΔexon4 as a model molecule, a study provides evidence supporting the concept that misfolded BRICHOS mutant isoforms could induce cell injury by disrupting two separate but mechanistically linked subcellular systems, the unfolded protein response (UPR) and the ubiquitin-proteasome system (UPS) [69]. In summary, mutations occurring in the BRICHOS domain of surfactant protein C have been associated with interstitial lung diseases, including pulmonary fibrosis. These mutations can lead to abnormal protein structure and function, affecting the composition and function of pulmonary surfactant, and contributing to lung tissue damage and fibrosis [54, 71–74].
Moreover, our investigation demonstrates that a mutation at position 123 of the SFTPC gene, situated within the BRICHOS domain in whales, induces an upregulation of the lung fibrosis marker proteins MMP7 and α-SMA. Comparative analysis reveals heightened MMP7 protein expression in whales compared to wild-type mice. Rescue experiments further indicate increased MMP7 expression in mutant mice compared to their wild-type counterparts, whereas in whale mutants, MMP7 expression is reduced compared to wild-type mice. Similarly, α-SMA protein expression is elevated in whales relative to wild-type mice, with no increase observed in mutant mice compared to wild-type. Consistent with previous research, it is recognized that heightened MMP7 and α-SMA expression contributes to the advancement of pulmonary fibrosis [21, 50, 75]. This fibrotic development may contribute to a reduced risk of DCS in cetaceans during their diving activities [16]. In both wild-type and mutant mice, the expression levels of α-SMA protein vary. We believe that amino acid substitutions may have varying effects on protein stability and function in different organisms, and can also affect interactions with other proteins, thereby leading to differences in protein expression levels [76]. The abnormal excessive apoptosis of alveolar epithelial cells is one of the important characteristics of the development of COPD [77, 78]. Therefore, we further investigate the levels of cell proliferation and apoptosis. The cell proliferation assay indicated that at 24 and 48-hour intervals, the proliferation of cetacean wild-type and mutant A549 cells showed no significant change compared to the blank control and murine wild-type and mutant variants. However, apoptosis assays revealed an increase in Cleaved-caspase 3 expression in both wild-type and mutant groups of cetaceans and mice compared to the control, indicating apoptosis occurred in all experimental groups. Notably, more apoptosis was observed in the murine wild-type cells compared to the cetacean mutant variants. Our findings further corroborate previous discoveries that pulmonary fibrosis-induced damage to alveolar epithelial cells leads to an increase in apoptosis levels, while not affecting proliferation levels [79, 80]. Compared to the wild-type cells of mice, there is a reduced level of apoptosis in the wild-type cells of whales. We hypothesize that this could be attributed to adaptive mechanisms evolved by cetaceans due to their prolonged underwater lifestyle. These mechanisms, occurring alongside pulmonary fibrosis in whales, reduce the damage to alveolar epithelial cells, thereby facilitating their respiratory function during diving activities. These results suggest that marine mammals, including whales, have adapted to their long-term aquatic environment by evolving a distinctive phenotype in their lungs. This phenotype involves a significant thickening of the alveolar walls (the walls of the air sacs) and an abundance of elastic fibers [81]. This adaptation facilitates lung collapse during the diving process, thereby reducing the risk of decompression sickness [18].