RT Journal Article SR Electronic T1 Senescence of alveolar stem cells drives progressive pulmonary fibrosis JF bioRxiv FD Cold Spring Harbor Laboratory SP 820175 DO 10.1101/820175 A1 Changfu Yao A1 Xiangrong Guan A1 Gianni Carraro A1 Tanyalak Parimon A1 Xue Liu A1 Guanling Huang A1 Harmik J. Soukiasian A1 Gregory David A1 Stephen S. Weigt A1 John A. Belperio A1 Peter Chen A1 Dianhua Jiang A1 Paul W. Noble A1 Barry R. Stripp YR 2019 UL http://biorxiv.org/content/early/2019/11/18/820175.abstract AB Tissue fibrosis is a common pathological outcome of chronic disease that markedly impairs organ function leading to morbidity and mortality. In the lung, idiopathic pulmonary fibrosis (IPF) is an insidious and fatal interstitial lung disease associated with declining pulmonary function. Here, we show that alveolar type 2 (AT2) stem cells isolated from IPF lung tissue exhibit characteristic transcriptomic features of cellular senescence. We used conditional loss of Sin3a in adult mouse AT2 cells to initiate a program of p53-dependent cellular senescence, AT2 cell depletion, and spontaneous, progressive pulmonary fibrosis. We establish that senescence rather than loss of epithelial stem cells serves as a proximal driver of Tgfβ activation and progressive fibrosis and show that either genetic or pharmacologic interventions targeting p53 activation, senescence, or downstream Tgfβ activation, block fibrogenesis.