RT Journal Article SR Electronic T1 TNAP limits TGF-β-dependent cardiac and skeletal muscle fibrosis by inactivating SMAD2/3 transcription factors JF bioRxiv FD Cold Spring Harbor Laboratory SP 655332 DO 10.1101/655332 A1 Benedetta Arnò A1 Francesco Galli A1 Urmas Roostalu A1 Bashar Aldeiri A1 Tetsuaki Miyake A1 Alessandra Albertini A1 Laricia Bragg A1 Sukhpal Prehar A1 John C. McDermott A1 Elizabeth J. Cartwright A1 Giulio Cossu YR 2019 UL http://biorxiv.org/content/early/2019/05/30/655332.abstract AB Fibrosis is associated with almost all forms of chronic cardiac and skeletal muscle diseases. The accumulation of extracellular matrix impairs the contractility of muscle cells contributing to organ failure. Transforming growth factor beta (TGF-β) plays a pivotal role in fibrosis, activating pro-fibrotic gene programs via phosphorylation of SMAD2/3 transcription factors. However, the mechanisms that control de-phosphorylation of SMAD2/3 have remained poorly characterized. Here we show that tissue non-specific alkaline phosphatase (TNAP) is highly upregulated in hypertrophic hearts and in dystrophic skeletal muscles, and the abrogation of TGF-β signalling in TNAP positive cells reduces vascular and interstitial fibrosis. We show that TNAP co-localizes and interacts with SMAD2. TNAP inhibitor MLS-0038949 increases SMAD2/3 phosphorylation, while TNAP overexpression reduces SMAD2/3 phosphorylation and the expression of downstream fibrotic genes. Overall our data demonstrate that TNAP negatively regulates TGF-β signalling and likely represents a mechanism to limit fibrosis.Summary statement This paper shows that tissue non-specific alkaline phosphatase negatively regulates TGF-β signalling and may represent a mechanism to limit fibrosis through SMAD dephosphorylation.