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invasion. 101 We found that fibroblasts from bleomycin-treated b -arrestin-
deficient mice and human IPF fibroblasts with b -arrestin 2 knockdown
failed to invade extracellular matrix. 131 Furthermore, we showed that loss
of b -arrestin 1 or b -arrestin 2 in primary lung fibroblasts resulted in altered
expression of genes involved in matrix production, basement membrane
degradation, and cell adhesion. 131 Therefore, this study suggests that
inhibiting b -arrestin expression in lung fibroblasts would be a potential ther-
apy for IPF and other types of pulmonary fibrosis.
b -Arrestin 1 expression is increased in T cells from primary biliary cir-
rhosis patients. There is also a positive correlation between the levels of
b -arrestin 1 mRNA in peripheral blood mononuclear cells and progression
of cirrhosis. 59
b -Arrestin 1 was overexpressed in autoreactive T cells from
cirrhotic patients and augmented cell proliferation, increased interferon
release, and regulated autoimmune-related gene expression. 59 The study
suggests that b -arrestin 1 overexpression contributes to the pathogenesis
of primary biliary cirrhosis. Angiotensin II binds the angiotensin II type
1A receptor to mediate inflammatory and fibrotic responses. 83
b -Arrestins
regulate desensitization and sequestration of AGTR1. 85,149 In cirrhosis,
impaired vascular reactivity leads to vasodilation and contributes to portal
hypertension. Vascular hyporesponsiveness to angiotensin II in CCL4-
treated rats is due to enhanced interaction of the AGTR1 with b -arrestin
2 and alterations in receptor function. 150 Silencing b -arrestins might be a
therapeutic strategy for cirrhosis.
6.3. Arthritis
Rheumatoid arthritis is an autoimmune disease characterized by joint
inflammation and destruction. GPCRs, such as chemokine receptors,
G-protein-coupled receptor kinases, and b -arrestin1 and 2 are involved
in the pathogenesis of rheumatoid arthritis. Reduction in GRK activity with
a decreased level of GRK-2 and GRK-6 protein expression was found in
patients with rheumatoid arthritis, while b -arrestin-1 expression was
unchanged between rheumatoid arthritis patients and controls. 151 In a rat
adjuvant arthritis model, the expression of b -arrestin 1 in splenocytes was
increased at the most severe period of the disease. 152 Using collagen-induced
arthritis and human TNF a transgenic mouse models, another group dem-
onstrated that expression of b -arrestin 1 and 2 was elevated in joint tissue. 153
Furthermore, b -arrestins differentially regulated inflammatory cytokine
production by fibroblast-like synoviocytes, in which b -arrestin 1 increased
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