LGMN promotes crosstalk between macrophages and fibroblasts in pulmonary fibrosis: a potential therapeutic target.

Background: Macrophages play a crucial role in the progression of idiopathic pulmonary fibrosis (IPF). This study aims to identify a predictive signature based on macrophage-related genes to forecast patient prognosis and uncover potential therapeutic targets for IPF. Methods: We analyzed single-cell transcriptomic and microarray data from the GEO database, exploring cellular variations in healthy controls, COPD, and IPF patients. CellChat and Monocle were utilized for analyzing cell interactions and pseudotime trajectories, respectively. Bioinformatics was used to identify differentially expressed genes, leading to the development of a gene signature via multivariate Cox regression, which was validated using ROC curves and an external dataset. The biological function of LGMN was investigated through Results: We observed a significant increase in monocyte-derived macrophages (MDMs) in patients with IPF, which negatively correlated with lung function. In IPF patients, interactions between macrophages and fibroblasts, as well as myofibroblasts, were both more frequent and intense compared to those observed in controls. Notably, the TGF-β1 signaling pathway was significantly activated in IPF, particularly within MDMs and myofibroblasts, leading to increased extracellular matrix (ECM) activity. We developed a gene signature associated with MDMs, which serves as an independent prognostic tool for IPF patients. Conclusions: Our research establishes a gene signature associated with MDMs, which may aid clinicians in the personalized management of IPF. Additionally, we identify LGMN as a promoter of interaction between M2 macrophages and fibroblasts, suggesting its potential as a therapeutic target for IPF treatment.