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Recent studies have shown that diabetes mellitus (DM), which can cause systemic multisystem damage, specifically targets lungs, and the incidence of RP in patients with a history of diabetes is higher than that in other patients with tumors who have undergone radiotherapy. DM is an important risk factor for RP in tumor patients undergoing RT, and patients with DM should be treated with caution. This article reviews research on the clinical aspects, as well as the mechanism, of the effects of diabetes on RP and suggests future research needed to reduce RP.",{"EN":99},"Effects of diabetes on the development of radiation pneumonitis",{"VOID":101},"[\"17755353964976511399\"]",{"VOID":103},"Unnikrishnan R, Anjana RM, Mohan V. Diabetes mellitus and its complications in India. Nat Rev Endocrinol. 2016;12(6):357–70.\nLutz SZ, Staiger H, Fritsche A, et al. Antihyperglycaemic therapies and cancer risk. Diabetes Vasc Dis Res. 2014;11(6):371–89.\nWu D, Hu D, Chen H, et al. Glucose-regulated phosphorylation of TET2 by AMPK reveals a pathway linking diabetes to cancer. Nature. 2018;559(7715):637–41.\nZaorsky NG, Shaikh T, Ruth K, et al. Prostate cancer patients with unmanaged diabetes or receiving insulin experience inferior outcomes and toxicities after treatment with radiation therapy. Clin Genitourin Cancer. 2017;15(2):326–35, e323.\nAlashkham A, Paterson C, Hubbard S, Nabi G. What is the impact of diabetes mellitus on radiation induced acute proctitis after radical radiotherapy for adenocarcinoma prostate? A prospective longitudinal study. Clin Transl Radiat Oncol. 2019;14:59–63.\nPeairs KS, Barone BB, Snyder CF, et al. Diabetes mellitus and breast cancer outcomes: a systematic review and meta-analysis. J Clin Oncol. 2011;29(1):40–6.\nBledsoe TJ, Nath SK, Decker RH, et al. Radiation pneumonitis. Clin Chest Med. 2017;38(2):201–8.\nChang JY, Senan S, Paul MA, et al. Stereotactic ablative radiotherapy versus lobectomy for operable stage I non-small-cell lung cancer: a pooled analysis of two randomised trials. Lancet Oncol. 2015;16(6):630–7.\nOrton MD, Mukhopadhyay ND, Weiss E. Evaluation of diabetes as a risk factor for the development of clinically symptomatic pneumonitis following Stereotactic Body Radiation Therapy (SBRT). Int J Radiat Oncol Biol Phys. 2013;87(2):S514.\nPopov D, Simionescu M. Alterations of lung structure in ex-perimental diabetes, and diabetes associated with hyperlipidaemia in hamsters. Eur Respir J. 1997;10(18):1850–8.\nLin CC, Chang CT, Li TC, et al. Objective evidence of impair of alveolar integrity in patients with non-insulin-dependent mellitus using radionuclide inhalation lung scan. Lung. 2002;180(3):181–6.\nClore JN, Thurby-Hay L. Glucocorticoid-induced hyperglycemia. Endocr Pract. 2009;15(5):469–74.\nYamashita H, Takahashi W, Haga A, et al. Radiation pneumonitis after stereotactic radiation therapy for lung cancer. 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Exp Clin Endocrinol Diabetes. 2014;122(08):484–90.\nOsborn O, Olefsky JM. The cellular and signaling networks linking the immune system and metabolism in disease. Nat Med. 2012;18(3):363–74.\nGunasekaran MK, Virama-Latchoumy AL, Girard AC, et al. TLR4-dependant pro-inflammatory effects of HMGB1on human adipocyte. Adipocyte. 2016;5(4):384.\nFerrante AW Jr. Macrophages, fat, and the emergence of immunometabolism. J Clin Invest. 2013;123(12):4992–3.\nBeijnum JRV, Buurman WA, Griffioen AW. Convergence and amplification of toll-like receptor (TLR) and receptor for advanced glycation end products (RAGE) signaling pathways via high mobility group B1 (HMGB1). Angiogenesis. 2008;11(1):91–9.\nPark JS, Arcaroli J, Yum HK, et al. Activation of gene expression in human neutrophils by high mobility group BOX 1 protein. Am J Physiol. 2003;284(4):870–9.\nRubinsztajn R, Przybyowski T, Paplińska-Goryca M, et al. 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Inflammation and metabolic disorders. Nature. 2006;444(7121):860–7.\nKim JH, Cho TS, Moon JH, et al. Serial changes in serum eosinophil-associated mediators between atopic and non-atopic children after mycoplasma pneumoniae pneumonia. Allergy Asthma Immunol Res. 2014;6(5):428–33.\nHe T, Tao J, Wang X, et al. Effects of cisatracurium in combination with ventilation on inflammatory factors and immune variations in sepsis rats. Exp Ther Med. 2018;15(5):4414–8.\nChen YH, Lee CH, Hsu TH, et al. Submerged-culture mycelia and broth of the maitake medicinal mushroom grifola frondosa (higher basidiomycetes) alleviate type 2 diabetes-induced alterations in immunocytic function. Int J Med Mushrooms. 2015;17(6):541–56.\nCheekatla SS, Tripathi D, Venkatasubramanian S, et al. NK-CD11c+ cell crosstalk in diabetes enhances IL-6-mediated inflammation during Mycobacterium tuberculosis Infection. PLoS Pathog. 2016;12(10):e1005972.\nPiTkiewicz P, Bernat-Karpińska M, et al. 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Circulation. 2002;105(14):1656–62.\nBasmaeil YS, Al Subayyil AM, Khatlani T, et al. Human chorionic villous mesenchymal stem\u002Fstromal cells protect endothelial cells from injury induced by high level of glucose. Stem Cell Res Ther. 2018;9(1):238–57.\nTonade D, Liu H, Palczewski K, Kern TS. Photoreceptor cells produce inflammatory products that contribute to retinal vascular permeability in a mouse model of diabetes. Diabetologia. 2017;60(10):2111–20.\nIrhimeh MR, Hamed M, Barthelmes D, et al. Identification of novel diabetes impaired miRNA-transcription factor co-regulatory networks in bone marrow-derived Lin-\u002FVEGF-R2+ endothelial progenitor cells. PLoS ONE. 2018;13(7):e0200194.\nFalkevall A, Mehlem A, Palombo I, et al. Reducing VEGF-B signaling ameliorates renal lipotoxicity and protects against diabetic kidney disease. Cell Metab. 2017;25(3):713–26.\nCui X, Chopp M, Zacharek A, et al. Angiopoietin\u002FTie2 pathway mediates type 2 diabetes induced vascular damage after cerebral stroke. Neurobiol Dis. 2011;43(1):285–92.\nAsahara T, Murohara T, Sullivan A, et al. Isolation of putative progenitor endothelial cells for angiogenesis. Science. 1997;275(5302):964–7.\nTepper OM, Galiano RD, Capla JM, et al. Human endothelial progenitor cells from type II diabetics exhibit impaired proliferation, adhesion, and incorporation into vascular structures. Circulation. 2002;106(22):2781–6.\nTomaiuolo G. Biomechanical properties of red blood cells in health and disease towards microfluidics. Biomicrofluidics. 2014;8(5):89–110.\nChan K, Chen S, Chen P. Astaxanthin attenuated thrombotic risk factors in type 2 diabetic patients. J Funct Foods. 2019;53:22–7.\nOpdenakker G, El-Asrar AA. Metalloproteinases mediate diabetes-induced retinal neuropathy and vasculopathy. Cell Mol Life Sci. 2019;76:3157–66.\nSuzanne M. The full spectrum of Alzheimer’s disease is rooted in metabolic derangements that drive type 3 diabetes. Adv Exp Med Biol. 2019;1128:45–83.\nLong J, He CJ, Ding H, et al. Effect of shock wave on vascular lesions in diabetic rats. Pain Phys. 2019;22(5):505–10.\nLee S, Lee MY, Nam JS, Kang S, Park JS, Shin S, Ahn CW, Kim KR. Hemorheological approach for early detection of chronic kidney disease and diabetic nephropathy in type 2 diabetes. Diabetes Technol Ther. 2015;17(11):808–15.\nDomingueti CP, Dusse LM, Carvalho M, et al. Diabetes mellitus: the linkage between oxidative stress, inflammation, hypercoagulability and vascular complications. J Diabetes Complicat. 2016;30(4):738–45.\nSchuyler M, Niewoehner D, Inkley S, et al. Abnormal lung elasticity in juvenile diabetes mellitus. Am Rev Respir Dis. 1976;113(1):37–41.\nALIMO. Pulmonarycomplications in diabetes mellitus. Mymensingh Med J. 2014; 23(3):603–605.\nMekov EV, Slavova YG, Genova MP, et al. Diabetes mellitus type 2 in hospitalized COPD patients: impact on quality of life and lung function. Folia Med. 2016;58(1):36–41.\nMckeever TM, Weston PJ, Hubbard R, et al. Lung function and glucose metabolism: an analysis of data from the Third National Health and Nutrition Examination Survey. Am J Epidemiol. 2005;161(6):546–56.\nFord ES, Mannino DM, National H, et al. Prospective association between lung function and the incidence of diabetes: findings from the National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Diabetes Care. 2004;27(12):2966–70.\nPinnix C, Perkins GH, Strom EA, et al. Topical hyaluronic acid vs standard of care for the prevention of radiation dermatitis after adjuvant radiotherapy for breast cancer: single-blind randomized phase III clinical trial. Int J Radiat Oncol Biol Phys. 2012;83(4):1089–94.\nPlama DA, Senan S, Tsujino K, et al. Predicting radiation pneumonitis after chemoradiation therapy for lung cancer: an international individual patient data meta-analysis. Int J Radiat Oncol Biol Phys. 2013;87(4):690–6.\nMalenica M, Šilar M, Dujic T, et al. Importance of inflammatory markers and IL-6 for diagnosis and follow up of patients with type 2 diabetes mellitus. Med Glas Ljek Komore Zenicko-doboj Kantona. 2017;14(2):169–75.\nWu HP, Chu CM, Lin CY, et al. Liver cirrhosis and diabetes mellitus are risk factors for staphylococcus aureus infection in patients with healthcare-associated or hospital-acquired pneumonia. Pulm Med. 2016;2016:4706150.\nWalter RE, Beiser A, Giveller RJ, et al. Association between glycemic state and hung function. Am Respir Crit Care Med. 2003;167(5):911.\nNiren K, Shah PD, Wasim E, et al. A novel sodiumglucose cotransporter type 2 inhibitor for the treatment of type 2 diabetes mellitus. Pharmacotherapy. 2012;32(1):80–94.\nBernard L, Reix N, Benabu JC, et al. Breast cancer and diabetes mellitus: complex interactions. Gynecol Obstet Fertil. 2016;44(12):701–11.\nHuang YJ, Huang TW, Lin FH, et al. Radiation therapy for invasive breast cancer increases the risk of second primary lung cancer: a nationwide population-based cohort analysis. J Thorac Oncol. 2017;12(5):782–90.",{"VOID":105},"10.1186\u002Fs12931-021-01754-4","PUBLICATION","VERIFIED","2024-05-16T02:24:16.452+00:00","Auto Verify","https:\u002F\u002Frespiratory-research.biomedcentral.com\u002Farticles\u002F10.1186\u002Fs12931-021-01754-4",[112,137,152,166,180,194,208],{"id":113,"sortIndex":19,"researcher":18,"roles":114,"affiliations":116,"properties":134,"displayName":136,"givenName":18,"familyName":18},"1f51efaf-cfca-4b40-87c7-3086fcfcc9fa",[115],"AUTHOR",[117,125],{"id":118,"sortIndex":19,"affiliation":119,"properties":18},"25e365fc-8c08-4ca6-8f05-735d52406258",{"id":118,"createTime":18,"updateTime":18,"relativeEntities":120,"slug":18,"properties":121,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":124,"statistic":18},[],{"title":122},{"VI":123},"Department of Endocrinology, Guang anmen Hospital of China Academy of Chinese Medical Sciences, Beijing, 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Hou","ARTICLE",{"url":110,"publisher":224,"properties":265},{"id":6,"createTime":7,"updateTime":8,"relativeEntities":225,"slug":10,"properties":226,"entityType":16,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":19,"subjectFields":229,"manageAffiliations":234,"indexDatabases":245,"url":77,"thumbnailPath":18,"statistic":260,"gsStatistic":18,"type":84,"analyzePriority":18},[],{"issn":227,"title":228},{"VOID":13},{"EN":15},[230],{"id":22,"createTime":18,"updateTime":18,"relativeEntities":231,"label":232,"description":233,"parentId":18,"standard":18,"scholarHubFieldId":18},[],{"EN":25},{},[235,240],{"id":29,"createTime":18,"updateTime":18,"relativeEntities":236,"slug":18,"properties":237,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":239,"statistic":18},[],{"title":238},{"EN":33},[],{"id":36,"createTime":18,"updateTime":18,"relativeEntities":241,"slug":18,"properties":242,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":244,"statistic":18},[],{"title":243},{"EN":40},[],[246,253],{"id":44,"indexDatabase":247,"url":55,"indexYears":56,"academicFieldIds":252,"indexDatabaseRanking":59},{"id":46,"createTime":18,"updateTime":18,"relativeEntities":248,"label":249,"description":250,"key":52,"publicationTags":251,"standard":18},[],{"EN":49,"VI":49},{"EN":49,"VI":51},[54],[58],{"id":61,"indexDatabase":254,"url":74,"indexYears":18,"academicFieldIds":259,"indexDatabaseRanking":18},{"id":63,"createTime":18,"updateTime":18,"relativeEntities":255,"label":256,"description":257,"key":70,"publicationTags":258,"standard":18},[],{"EN":66,"VI":66},{"EN":68,"VI":69},[72,73],[76],{"impactFactor":19,"impactFactorByYear":261,"i10Index":19,"i10IndexLast5Year":19,"totalPublication":80,"totalPublicationByYear":262,"totalCitation":19,"totalCitationByYear":263,"totalCitationPerPublication":19,"totalCitationPerPublicationByYear":264,"hindexLast5Year":19,"hindex":19},{},{"2004":80},{},{},{"pages":266,"volume":268},{"VOID":267},"1-8",{"VOID":269},"22",24,{"total":270,"publishYear":272,"statisticByYear":273},2021,{"2022":210,"2023":80,"2024":168,"2025":274,"2026":182},10,"2021-05-24","ERROR_IN_ANALYZE_CITATION","2026-08-24T21:20:30.083+00:00",[72,59],false,{"id":281,"createTime":282,"updateTime":283,"relativeEntities":284,"slug":285,"properties":286,"entityType":106,"verifyStatus":107,"verifyTime":297,"verifyNote":109,"languages":18,"translateLanguages":18,"viewCount":19,"primaryUrl":298,"fullTextUrl":18,"authors":299,"publicationType":222,"publisherRelationship":332,"citationCount":19,"citationInfo":378,"publishDate":381,"publishYear":379,"citationAnalyzeStatus":276,"lastCitationAnalyze":382,"indexDatabases":383,"openAccess":18,"references":18,"isForceReanalyzing":279},"10ab5274-ec49-4304-8135-76cf119959f0","2024-01-19T20:00:06.923+00:00","2026-08-20T01:25:04.164+00:00",[],"Idiopathic-pulmonary-fibrosis-an-epithelial-fibroblastic-cross-talk-disorder",{"abstract":287,"title":289,"gsPaper":291,"references":293,"doi":295},{"EN":288},"Idiopathic pulmonary fibrosis is a chronic and usually progressive lung disorder of unknown etiology. A growing body of evidence suggests that, in contrast to other interstitial lung diseases, IPF is a distinct entity in which inflammation is a secondary and non-relevant pathogenic partner. Evidence includes the presence of similar mild\u002Fmoderate inflammation either in early or late disease, and the lack of response to potent anti-inflammatory therapy. Additionally, it is clear from experimental models and some human diseases that it is possible to have fibrosis without inflammation. An evolving hypothesis proposes that IPF may result from epithelial micro-injuries and abnormal wound healing.",{"EN":290},"Idiopathic pulmonary fibrosis: an epithelial\u002Ffibroblastic cross-talk disorder",{"VOID":292},"[\"1439108020782281231\"]",{"VOID":294},"International consensus statement: Idiopathic pulmonary fibrosis: diagnosis and treatment. Am J Respir Crit Care Med. 2000, 161: 646-664.\nPerez-Padilla R, Salas J, Chapela R, Sanchez M, Carrillo G, Perez R, Gaxiola M, Selman M: Mortality in Mexican patients with chronic pigeon breeder's lung compared with those with usual interstitial pneumonia. Am Rev Respir Dis. 1993, 148: 49-53.\nBjoraker JA, Ryu JH, Edwin MK, Myers JL, Tazelaar HD, Schroeder DR, Offord KP: Prognostic significance of histopathologic subsets in idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 1998, 157: 199-203.\nDouglas WW, Ryu JH, Schroeder DR: Idiopathic pulmonary fibrosis. Impact of oxygen and colchicine, prednisone, or no therapy on survival. Am J Respir Crit Care Med. 2000, 161: 1172-1178.\nSelman M, King TE, Pardo A: Idiopathic pulmonary fibrosis: prevaling and evolving hypotheses about its pathogenesis and implications for therapy. Ann Intern Med. 2001, 134: 136-151.\nKatzenstein ALA, Fiorelli RF: Nonspecific interstitial pneumonia\u002Ffibrosis. Histologic features and clinical significance. Am J Surg Pathol. 1994, 18: 136-147.\nBorzone G, Moreno R, Urrea R, Meneses M, Oyarzun M, Lisboa C: Bleomycin-induced chronic lung damage does not resemble human idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 2001, 163: 1648-1653.\nNicholson AG, Colby TV, du Bois RM, Hansell DM, Wells AU: The prognostic significance of the histologic pattern of interstitial pneumonia in patients presenting with the clinical entity of cryptogenic fibrosing alveolitis. Am J Respir Crit Care Med. 2000, 162: 2213-2217.\nKatzenstein ALA, Myers JL: Idiopathic pulmonary fibrosis. Clinical relevance of pathologic classification. Am J Respir Crit Care Med. 1998, 157: 1301-1315.\nKing TE, Sdchwarz MI, Brown K, Tose JA, Colby TV, Waldron JA, Flint A, Thurlbeck W, Cherniack RM: Extent of fibroblastic foci predict mortality in idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 2001, 163: A982-\nAdamson IYR, Young L, Bowden DH: Relationship of alveolar epithelial injury and repair to the induction of pulmonary fibrosis. Am J Pathol. 1988, 130: 377-383.\nRegan W, Wold LE, Coonrad R, Morrey BF: Microscopic histopathology of chronic refractory lateral epicondylitis. Am J Sports Med. 1992, 20: 746-749.\nKraushaar BS, Nirschl RP: Tendinosis of the elbow (tennis elbow): clinical features and findings of histological, immunohistochemical, and electron microscopy studies. J Bone Joint Surg Am. 1999, 81: 259-279. 10.1302\u002F0301-620X.81B2.9154.\nKuhn C, Boldt J, King TE, Crouch E, Vartio T, McDonald JA: An immunohistochemical study of architectural remodeling and connective tissue synthesis in pulmonary fibrosis. Am Rev Respir Dis. 1989, 140: 1693-1703.\nKasper M, Haroske G: Alterations in the alveolar epithelium after injury leading to pulmonary fibrosis. Histol Histopathol. 1996, 11: 463-483.\nKapanci Y, Desmouliere A, Pache JC, Redard M, Gabbiani G: Cytoskeletal protein modulation in pulmonary alveolar myofibroblasts during idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 1995, 152: 2163-2169.\nNash JRG, McLaughlin PJ, Butcher D, Corrin B: Expression of tumour necrosis factor-α in cryptogenic fibrosing alveolitis. Histopathology. 1993, 22: 343-347.\nKhalil N, O'Connor RN, Unruh HW, Warren PW, Flanders KC, Kemp A, Bereznay OH, Greenberg AH: Increased production and immunohistochemical localization of transforming growth factor-β in idiopathic pulmonary fibrosis. Am J Respir Cell Mol Biol. 1991, 5: 155-162.\nKhalil N, O'Connor RN, Flanders KC, Unruh HW: TGF-β1, but not TGF-β2 or TGF-β3, is differentially present in epithelial cells of advanced pulmonary fibrosis: an immunohistochemical study. Am J Respir Cell Mol Biol. 1996, 14: 131-138.\nAntoniades NH, Bravo M, Avila R, Galanopoulus T, Neville J, Selman M: Platelet-derived growth factor in idiopathic pulmonary fibrosis. J Clin Invest. 1990, 86: 1055-1064.\nKuhn C, McDonald JA: The roles of the myofibroblast in idiopathic pulmonary fibrosis. Ultrastructural and immunohistochemical features of sites of active extracellular matrix synthesis. Am J Pathol. 1991, 138: 1257-1265.\nFukuda Y, Basset F, Ferrans VJ, Yamanaka N: Significance of early intra-alveolar fibrotic lesions and integrin expression in lung biopsy specimens from patients with idiopathic pulmonary fibrosis. Hum Pathol. 1995, 26: 53-61.\nUhal BD, Joshi I, True AL, Mundle S, Raza A, Pardo A, Selman M: Fibroblasts isolated after fibrotic lung injury induce apoptosis of alveolar epithelial cells in vitro. Am J Physiol. 1995, 269: L819-828.\nWang R, Ramos C, Joshi I, Zagariya A, Pardo A, Selman M, Uhal B: Human lung myofibroblast-derived inducers of alveolar epithelial apoptosis identified as angiotensin peptides. Am J Physiol. 1999, 277: L1158-L1164.\nUhal BD, Joshi I, Hughes WF, Ramos C, Pardo A, Selman M: Alveolar epithelial cell death adjacent to underlying myofibroblasts in advanced fibrotic human lung. Am J Physiol. 1998, 275: L1192-L1199.\nBarbas-Filho JV, Ferreira MA, Sesso A, Kairalla RA, Carvalho CR, Capelozzi VL: Evidence of type II pneumocyte apoptosis in the pathogenesis of idiopathic pulmonary fibrosis (IFP)\u002Fusual interstitial pneumonia (UIP). J Clin Pathol. 2001, 54: 132-138. 10.1136\u002Fjcp.54.2.132.\nKuwano K, Miyazaki H, Hagimoto N, Kawasaki M, Fujita M, Kuni-take R, Kaneko Y, Hara N: The involvement of Fas-Fas ligand pathway in fibrosing lung diseases. Am J Respir Cell Mol Biol. 1999, 20: 53-60.\nMaeyama T, Kuwano K, Kawasaki M, Kunitake R, Hagimoto N, Matsuba T, Yoshimi M, Inoshima I, Yoshida K, Hara N: Upregulation of Fas-signalling molecules in lung epithelial cells from patients with idiopathic pulmonary fibrosis. Eur Respir J. 2001, 17: 180-189. 10.1183\u002F09031936.01.17201800.\nEhrlich HP, Desmouliere A, Diegelmann RF, Cohen IK, Compton CC, Garner WL, Kapanci Y, Gabbiani G: Morphological and immunochemical differences between keloid and hypertrophic scar. Am J Pathol. 1994, 145: 105-113.\nChodon T, Sugihara T, Igawa HH, Funayama E, Furukawa H: Keloid-derived fibroblasts are refractory to Fas-mediated apoptosis and neutralization of autocrine transforming growth factor-beta 1 can abrogate this resistance. Am J Pathol. 2000, 157: 1661-1669.\nLuo S, Benathan M, Raffoul W, Panizzon RG, Egloff DV: Abnormal balance between proliferation and apoptotic cell death in fibroblasts derived from keloid lesions. Plast Reconstr Surg. 2001, 107: 87-96. 10.1097\u002F00006534-200101000-00014.\nLappi-Blanco E, Soini Y, Paakko P: Apoptotic activity is increased in the newly formed fibromyxoid connective tissue in bronchiolitis obliterans organizing pneumonia. Lung. 1999, 177: 367-376.\nRamos C, Montaño M, García-Alvarez J, Ruiz V, Uhal BD, Selman M, Pardo A: Fibroblasts from idiopathic pulmonary fibrosis and normal lungs differ in growth rate, apoptosis, and TIMPs expresion. Am J Respir Cell Mol Biol. 2001, 24: 591-598.\nJelaska A, Korn JH: Role of apoptosis and transforming growth factor beta1 in fibroblast selection and activation in systemic sclerosis. Arthritis Rheum. 2000, 43: 2230-2239. 10.1002\u002F1529-0131(200010)43:10\u003C2230::AID-ANR10>3.0.CO;2-8.\nJordana M, Schulman J, McSharry C, Irving LB, Newhouse MT, Jordana G, Gauldie J: Heterogeneous proliferative characteristics of human adult lung fibroblast lines and clonally derived fibroblasts from control and fibrotic tissue. Am Rev Respir Dis. 1988, 137: 579-584.\nRaghu G, Chen YY, Rusch V, Rabinovitch PS: Differential proliferation of fibroblasts cultured from normal and fibrotic human Lung. Am Rev Respir Dis. 1988, 138: 703-708.\nLegrand C, Polette M, Tournier JM, de Bentzmann S, Huet E, Monteau M, Birembaut P: UPa\u002Fplasmin system-mediated MMP-9 activation is implicated in bronchial epithelial cell migration. Exp Cell Res. 2001, 264: 326-336. 10.1006\u002Fexcr.2000.5125.\nDavis G, Pintar Allen K, Salazar R, Maxwell S: Matrix metalloproteinase-1 and -9 activation by plasmin regulates a novel endothelial cell-mediated mechanism of collagen gel contraction and capillary tube regression in three-dimensional collagen matrices. J Cell Sci. 2001, 114: 917-930.\nKotani I, Sato A, Hayakawa H, Urano T, Takada Y, Takada A: Increased procoagulant and antifibrinolytic activities in the lungs with idiopathic pulmonary fibrosis. Thromb Res. 1995, 77: 493-504. 10.1016\u002F0049-3848(95)00025-9.\nImokawa S, Sato A, Hayakawa H, Kotani M, Urano T, Takada A: Tissue factor expression and fibrin deposition in the lungs of patients with idiopathic pulmonary fibrosis and systemic sclerosis. Am J Respir Crit Care Med. 1997, 156: 631-636.\nFujii M, Hayakawa H, Urano T: Relevance of tissue factor and tissue factor pathway inhibitor for hypercoagulable state in the lungs of patients with idiopathic pulmonary fibrosis. Thromb Res. 2000, 99: 111-117. 10.1016\u002FS0049-3848(00)00237-1.\nSaito Y, Suzuki E, Moriyama H, Terada M, Hasegawa T, Ooi H, Kobayashi Y, Tsuchiya T, Geivo F: Decreased ability to generate plasmin in lung tissue of usual interstitial pneumonia compared with bronchiolitis obliterans organizing pneumonia. Am J Respir Crit Care Med. 2000, 161: A826-\nHiggins PJ, Slack JK, Diegelmann RF, Staiano-Coico L: Differential regulation of PAI-1 gene expression in human fibroblasts predisposed to a fibrotic phenotype. Exp Cell Res. 1999, 248: 634-642. 10.1006\u002Fexcr.1999.4466.\nHayashi T, Stetler-Stevenson WG, Fleming MV, Fishback N, Koss MN, Liotta LA, Ferrans VJ, Travis WD: Immunohistochemical study of metalloproteinases and their tissue inhibitors in the lungs of patients with diffuse alveolar damage and idiopathic pulmonary fibrosis. Am J Pathol. 1996, 149: 1241-1256.\nFukuda Y, Ishizaki M, Kudoh S, Kitaichi M, Yamanaka N: Localization of matrix metalloproteinases-1, -2, and -9, and tissue inhibitor of metalloproteinase-2 in interstitial lung diseases. Lab Invest. 1998, 78: 687-698.\nSelman M, Ruiz V, Cabrera S, Segura L, Ramírez R, Barrios R, Pardo A: TIMP 1, 2, 3 and 4 in idiopathic pulmonary fibrosis. A prevailing non-degradative lung microenvironment?. Am J Physiol. 2000, 279: L562-L574.\nZhang K, Rekhter MD, Gordon D, Phan SH: Myofibroblasts and their role in lung collagen gene expression during pulmonary fibrosis. Am J Pathol. 1994, 145: 114-125.\nParks WC, Sudbeck BD, Doyle GR, Saariahlo-Kere UK: Matrix metalloproteinases in tissue repair. In Matrix Metalloproteinases. Edited by Parks WC, Mecham RP. San Diego: Academic Press;. 1998, 263-297.",{"VOID":296},"10.1186\u002Frr175","2024-06-24T05:06:34.534+00:00","https:\u002F\u002Frespiratory-research.biomedcentral.com\u002Farticles\u002F10.1186\u002Frr175",[300,317],{"id":301,"sortIndex":19,"researcher":18,"roles":302,"affiliations":303,"properties":312,"displayName":314,"givenName":18,"familyName":18},"7caec6f1-c01e-4ee8-802f-4820b6e13526",[115],[304],{"id":305,"sortIndex":19,"affiliation":306,"properties":18},"ab49c8da-a9d4-4e22-89b8-fa5a44ca6619",{"id":305,"createTime":18,"updateTime":18,"relativeEntities":307,"slug":18,"properties":308,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":311,"statistic":18},[],{"title":309},{"VI":310},"Instituto Nacional de Enfermedades Respiratorias & Facultad de Ciencias, UNAM, México DF, México",[],{"title":313,"gsAuthor":315},{"VI":314},"Moisés Selman",{"VOID":316},"[\"2-EDU9gAAAAJ\"]",{"id":318,"sortIndex":80,"researcher":18,"roles":319,"affiliations":320,"properties":327,"displayName":329,"givenName":18,"familyName":18},"df66adef-2963-4ecf-8c51-088f6a334571",[115],[321],{"id":305,"sortIndex":19,"affiliation":322,"properties":18},{"id":305,"createTime":18,"updateTime":18,"relativeEntities":323,"slug":18,"properties":324,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":326,"statistic":18},[],{"title":325},{"VI":310},[],{"title":328,"gsAuthor":330},{"VI":329},"Annie Pardo",{"VOID":331},"[\"snoM8VUAAAAJ\"]",{"url":298,"publisher":333,"properties":374},{"id":6,"createTime":7,"updateTime":8,"relativeEntities":334,"slug":10,"properties":335,"entityType":16,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":19,"subjectFields":338,"manageAffiliations":343,"indexDatabases":354,"url":77,"thumbnailPath":18,"statistic":369,"gsStatistic":18,"type":84,"analyzePriority":18},[],{"issn":336,"title":337},{"VOID":13},{"EN":15},[339],{"id":22,"createTime":18,"updateTime":18,"relativeEntities":340,"label":341,"description":342,"parentId":18,"standard":18,"scholarHubFieldId":18},[],{"EN":25},{},[344,349],{"id":29,"createTime":18,"updateTime":18,"relativeEntities":345,"slug":18,"properties":346,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":348,"statistic":18},[],{"title":347},{"EN":33},[],{"id":36,"createTime":18,"updateTime":18,"relativeEntities":350,"slug":18,"properties":351,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":353,"statistic":18},[],{"title":352},{"EN":40},[],[355,362],{"id":44,"indexDatabase":356,"url":55,"indexYears":56,"academicFieldIds":361,"indexDatabaseRanking":59},{"id":46,"createTime":18,"updateTime":18,"relativeEntities":357,"label":358,"description":359,"key":52,"publicationTags":360,"standard":18},[],{"EN":49,"VI":49},{"EN":49,"VI":51},[54],[58],{"id":61,"indexDatabase":363,"url":74,"indexYears":18,"academicFieldIds":368,"indexDatabaseRanking":18},{"id":63,"createTime":18,"updateTime":18,"relativeEntities":364,"label":365,"description":366,"key":70,"publicationTags":367,"standard":18},[],{"EN":66,"VI":66},{"EN":68,"VI":69},[72,73],[76],{"impactFactor":19,"impactFactorByYear":370,"i10Index":19,"i10IndexLast5Year":19,"totalPublication":80,"totalPublicationByYear":371,"totalCitation":19,"totalCitationByYear":372,"totalCitationPerPublication":19,"totalCitationPerPublicationByYear":373,"hindexLast5Year":19,"hindex":19},{},{"2004":80},{},{},{"pages":375,"volume":376},{"VOID":267},{"VOID":377},"3",{"total":19,"publishYear":379,"statisticByYear":380},2001,{},"2001-10-11","2026-08-20T01:25:04.161+00:00",[72,59],{"id":385,"createTime":386,"updateTime":387,"relativeEntities":388,"slug":389,"properties":390,"entityType":106,"verifyStatus":107,"verifyTime":401,"verifyNote":109,"languages":18,"translateLanguages":18,"viewCount":19,"primaryUrl":402,"fullTextUrl":18,"authors":403,"publicationType":222,"publisherRelationship":543,"citationCount":19,"citationInfo":590,"publishDate":593,"publishYear":591,"citationAnalyzeStatus":276,"lastCitationAnalyze":594,"indexDatabases":595,"openAccess":18,"references":18,"isForceReanalyzing":279},"07874d68-01e8-441f-8142-f79597ac88c9","2024-01-13T08:07:20.024+00:00","2026-08-17T08:34:35.400+00:00",[],"Thoracic-skeletal-muscle-quantification-low-muscle-mass-is-related-with-worse-prognosis-in-idiopathic-pulmonary-fibrosis-patients",{"abstract":391,"title":393,"gsPaper":395,"references":397,"doi":399},{"EN":392},"Sarcopenia can contribute to negative outcomes in patients with various lung diseases. However, whether sarcopenia affects prognosis in patients with idiopathic pulmonary fibrosis (IPF) has not been reported. Simple measures of muscle mass, derived from chest computed tomography (CT), are increasingly being used to identify patients with sarcopenia. We hypothesized that skeletal muscle mass could be a predictor of prognosis in IPF patients. We retrospectively evaluated 180 patients diagnosed with IPF between January 2010 and December 2015 at a tertiary care hospital in South Korea. We measured thoracic muscle volume by using the cross-sectional area (CSA) of the pectoralis, paraspinal, serratus, and latissimus muscles at the 4th vertebral region (T4CSA) and the erector spinae muscle (ESMCSA) at the 12th vertebral region. CT scans at the time of diagnosis were used for analysis and respective CSA were divided by height squared to normalize for stature. Survival times were estimated with the Kaplan–Meier method and compared with the log-rank test. Multivariate Cox proportional hazards models were performed to investigate relationships between clinical parameters and mortality. Male patients in the lowest quartile of T4CSA divided by height squared (m2) (T4MI) and in the lowest quartile of ESMCSA divided by height squared (m2) (T12MI) were more likely to have higher Gender-Age-Physiology Index scores (T4MI, 3.3 ± 1.3 vs 4.0 ± 1.6, P = 0.012; T12MI, 3.2 ± 1.3 vs 4.1 ± 1.6, P = 0.002). Male patients in the lowest quartile of T4MI exhibited a significantly lower survival rate (P = 0.035). After multivariate Cox proportional hazards analysis, T4MI was a significant risk factor for all-cause mortality (HR, 0.955; 95% CI, 0.913–0.998; P = 0.041), whereas T12MI was not (HR, 0.980; 95% CI, 0.856–1.121; P = 0.766). Low skeletal mass normalized for stature at the level of 4th vertebrae which can be acquired by quantifying thoracic skeletal muscle on single-slice axial chest CT, may be a strong risk factor for all-cause mortality in patients with IPF. The research protocol was approved by the Institutional Review Board of Severance Hospital, South Korea (IRB No.4–2018-0454).",{"EN":394},"Thoracic skeletal muscle quantification: low muscle mass is related with worse prognosis in idiopathic pulmonary fibrosis patients",{"VOID":396},"[\"2464847177297338370\"]",{"VOID":398},"Muscaritoli M, Anker SD, Argiles J, Aversa Z, Bauer JM, Biolo G, Boirie Y, Bosaeus I, Cederholm T, Costelli P, et al. Consensus definition of sarcopenia, cachexia and pre-cachexia: joint document elaborated by special interest groups (SIG) \"cachexia-anorexia in chronic wasting diseases\" and \"nutrition in geriatrics\". Clin Nutr (Edinburgh, Scotland). 2010;29(2):154–9.\nOkumura S, Kaido T, Hamaguchi Y, Kobayashi A, Shirai H, Fujimoto Y, Iida T, Yagi S, Taura K, Hatano E, et al. Impact of skeletal muscle mass, muscle quality, and visceral adiposity on outcomes following resection of intrahepatic cholangiocarcinoma. Ann Surg Oncol. 2017;24(4):1037–45.\nDeluche E, Leobon S, Desport JC, Venat-Bouvet L, Usseglio J, Tubiana-Mathieu N. Impact of body composition on outcome in patients with early breast cancer. Support Care Cancer. 2018;26(3):861-68. https:\u002F\u002Fdoi.org\u002F10.1007\u002Fs00520-017-3902-6. Epub 2017 Sep 25.\nKim EY, Kim YS, Park I, Ahn HK, Cho EK, Jeong YM. Prognostic significance of CT-determined sarcopenia in patients with small-cell lung Cancer. J Thorac Oncol. 2015;10(12):1795–9.\nKim EY, Kim YS, Park I, Ahn HK, Cho EK, Jeong YM, Kim JH. Evaluation of sarcopenia in small-cell lung cancer patients by routine chest CT. Support Care Cancer. 2016;24(11):4721–6.\nTsukioka T, Nishiyama N, Izumi N, Mizuguchi S, Komatsu H, Okada S, Toda M, Hara K, Ito R, Shibata T. Sarcopenia is a novel poor prognostic factor in male patients with pathological stage I non-small cell lung cancer. Jpn J Clin Oncol. 2017;47(4):363–8.\nZuckerman J, Ades M, Mullie L, Trnkus A, Morin JF, Langlois Y, Ma F, Levental M, Morais JA, Afilalo J. Psoas muscle area and length of stay in older adults undergoing cardiac operations. Ann Thorac Surg. 2017;103(5):1498–504.\nFujimoto H, Kobayashi T, Azuma A. Idiopathic pulmonary fibrosis: treatment and prognosis. Clin Med Insights Circ Respir Pulm Med. 2015;9(Suppl 1):179–85.\nHeymsfield SB, Gonzalez MC, Lu J, Jia G, Zheng J. Skeletal muscle mass and quality: evolution of modern measurement concepts in the context of sarcopenia. Proc Nutr Soc. 2015;74(4):355–66.\nJones KI, Doleman B, Scott S, Lund JN, Williams JP. Simple psoas cross-sectional area measurement is a quick and easy method to assess sarcopenia and predicts major surgical complications. Color Dis. 2015;17(1):O20–6.\nRangel EL, Rios-Diaz AJ, Uyeda JW, Castillo-Angeles M, Cooper Z, Olufajo OA, Salim A, Sodickson AD. Sarcopenia increases risk of long-term mortality in elderly patients undergoing emergency abdominal surgery. J Trauma Acute Care Surg. 2017;83(6):1179-1186. https:\u002F\u002Fdoi.org\u002F10.1097\u002FTA.0000000000001657.\nFuseya Y, Hasegawa K, Uemasu K, Sato A, Oguma T, Hirai T, Mishima M, Muro S. Quantitative assessment of erector spinae muscles in patients with chronic obstructive pulmonary disease. Novel chest computed tomography-derived index for prognosis. Ann Am Thorac Soc. 2016;13(3):334-41. https:\u002F\u002Fdoi.org\u002F10.1513\u002FAnnalsATS.201507-446OC.\nMathur S, Rodrigues N, Mendes P, Rozenberg D, Singer LG. Computed tomography–derived thoracic muscle size as an Indicator of sarcopenia in people with advanced lung disease. Cardiopulm Phys Ther J. 2017;28(3):99–105.\nMcDonald ML, Diaz AA, Ross JC, San Jose Estepar R, Zhou L, Regan EA, Eckbo E, Muralidhar N, Come CE, Cho MH, et al. Quantitative computed tomography measures of pectoralis muscle area and disease severity in chronic obstructive pulmonary disease. A cross-sectional study. Ann Am Thorac Soc. 2014;11(3):326–34.\nRozenberg D, Mathur S, Herridge M, Goldstein R, Schmidt H, Chowdhury NA, Mendes P, Singer LG. Thoracic muscle cross-sectional area is associated with hospital length of stay post lung transplantation: a retrospective cohort study. Transplant Int. 2017;30(7):713–24.\nRaghu G, Collard HR, Egan JJ, Martinez FJ, Behr J, Brown KK, Colby TV, Cordier JF, Flaherty KR, Lasky JA, et al. An official ATS\u002FERS\u002FJRS\u002FALAT statement: idiopathic pulmonary fibrosis: evidence-based guidelines for diagnosis and management. Am J Respir Crit Care Med. 2011;183(6):788–824.\nLey B, Ryerson CJ, Vittinghoff E, et al. A multidimensional index and staging system for idiopathic pulmonary fibrosis. Ann Intern Med. 2012;156(10):684–91.\nCampins L, Camps M, Riera A, Pleguezuelos E, Yebenes JC, Serra-Prat M. Oral drugs related with muscle wasting and sarcopenia. A review. Pharmacology. 2017;99(1–2):1–8.\nDi Marco F, Terraneo S, Roggi MA, Repossi AC, Pellegrino GM, Veronelli A, Santus P, Pontiroli AE, Centanni S. Physical activity impairment in depressed COPD subjects. Respir Care. 2014;59(5):726–34.\nVaz Fragoso CA, Beavers DP, Hankinson JL, Flynn G, Berra K, Kritchevsky SB, Liu CK, McDermott MM, Manini TM, Rejeski WJ, et al. Respiratory impairment and dyspnea and their associations with physical inactivity and mobility in sedentary community-dwelling older persons. J Am Geriatr Soc. 2014;62(4):622–8.\nMarquis K, Debigare R, Lacasse Y, LeBlanc P, Jobin J, Carrier G, Maltais F. Midthigh muscle cross-sectional area is a better predictor of mortality than body mass index in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2002;166(6):809–13.\nShen W, Punyanitya M, Wang Z, Gallagher D, St-Onge MP, Albu J, Heymsfield SB, Heshka S. Total body skeletal muscle and adipose tissue volumes: estimation from a single abdominal cross-sectional image. J Applied Physiol (Bethesda, Md : 1985). 2004;97(6):2333–8.\nCollard HR, King TE Jr, Bartelson BB, Vourlekis JS, Schwarz MI, Brown KK. Changes in clinical and physiologic variables predict survival in idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 2003;168(5):538–42.\nLey B, Collard HR, King TE Jr. Clinical course and prediction of survival in idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 2011;183(4):431–40.\nKing TE Jr, Tooze JA, Schwarz MI, Brown KR, Cherniack RM. Predicting survival in idiopathic pulmonary fibrosis: scoring system and survival model. Am J Respir Crit Care Med. 2001;164(7):1171–81.\nEl-Gamal H, Khayat A, Shikora S, Unterborn JN. Relationship of dyspnea to respiratory drive and pulmonary function tests in obese patients before and after weight loss. Chest. 2005;128(6):3870–4.\nKruger HS, Micklesfield LK, Wright HH, Havemann-Nel L, Goedecke JH. Ethnic-specific cut-points for sarcopenia: evidence from black south African women. Eur J Clin Nutr. 2015;69(7):843–9.",{"VOID":400},"10.1186\u002Fs12931-019-1001-6","2024-06-26T19:10:47.088+00:00","https:\u002F\u002Frespiratory-research.biomedcentral.com\u002Farticles\u002F10.1186\u002Fs12931-019-1001-6",[404,421,434,447,460,475,488,501,515,529],{"id":405,"sortIndex":19,"researcher":18,"roles":406,"affiliations":407,"properties":416,"displayName":418,"givenName":18,"familyName":18},"6fc5f5c4-56e0-45dc-bca7-53d50eb4ae99",[115],[408],{"id":409,"sortIndex":19,"affiliation":410,"properties":18},"8d31caf4-8947-4c7c-a12a-6e0406c54959",{"id":409,"createTime":18,"updateTime":18,"relativeEntities":411,"slug":18,"properties":412,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":415,"statistic":18},[],{"title":413},{"VI":414},"Division of Pulmonary Medicine Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of 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modulates epithelial morphogenesis in embryonic mouse organs. We previously suggested that epimorphin contributes to repair of bleomycin-induced pulmonary fibrosis in mice via epithelium-mesenchyme interactions. To clarify the role of epimorphin in human lungs, we evaluated epimorphin expression and localization in normal lungs, lungs with nonspecific interstitial pneumonia (NSIP), and lungs with usual interstitial pneumonia (UIP); we also studied the effect of recombinant epimorphin on cultured human alveolar epithelial cells in vitro. Northern and Western blotting analyses revealed that epimorphin expression in NSIP samples were significantly higher than those in control lungs and lungs with UIP. Immunohistochemistry showed strong epimorphin expression in mesenchymal cells of early fibrotic lesions and localization of epimorphin protein on mesenchymal cells and extracellular matrix of early fibrotic lesions in the nonspecific interstitial pneumonia group. Double-labeled fluorescent images revealed expression of matrix metalloproteinase 2 in re-epithelialized cells overlying epimorphin-positive early fibrotic lesions. Immunohistochemistry and metalloproteinase activity assay demonstrated augmented expression of metalloproteinase induced by recombinant epimorphin in human alveolar epithelial cells. These findings suggest that epimorphin contributes to repair of pulmonary fibrosis in nonspecific interstitial pneumonia, perhaps partly by inducing expression of matrix metalloproteinase 2, which is an important proteolytic factor in lung remodeling.",{"EN":606},"Epimorphin expression in interstitial pneumonia",{"VOID":608},"[]",{"VOID":610},"Gumbiner BM: Epithelial morphogenesis. Cell 1992, 69:471–482.\nGoldin GV: Towards a mechanism for morphogenesis in epithelio-mesenchymal organs. Q Rev Biol 1980, 55:251–265.\nMaGowan SE: Extracellular matrix and the regulation of lung development and repair. FASEB J 1992, 6:2895–2904.\nKasper M, Haroske G: Alterations in the alveolar epithelium after leading to pulmonary fibrosis. Histol Histopathol 1996, 11:463–483.\nFukuda Y, Ferrans VJ, Schoenber CI, Rennad SI, Crystal RG: Patterns of pulmonary structural remodeling after experimental paraquat toxicity. Am J Pathol 1985, 118:452–475.\nFukuda Y, Ishizaki M, Masuda Y, Kimura G, Kawanami O, Masugi Y: The role of intraalveolar fibrosis in the process of pulmonary structural remodeling in patients with diffuse alveolar damage. Am J Pathol 1987, 126:171–182.\nFukuda Y, Takemura T, Ferrans VJ: Evolution of metaplastic squamous cells of alveolar walls in pulmonary fibrosis produced by paraquat: an ultrastructural and immunohistochemical study. Virchows Arch [Cell Pathol] 1989, 58:27–43.\nEpler GR, Colby TV, McLoud TC, Carrington CB, Gaensler EA: Bronchiolitis obliterans organizing pneumonia. N Engl J Med 1985, 312:152–158.\nBasset F, Ferrans VJ, Soler P, Takemura T, Fukuda Y, Crystal RG: Intraluminal fibrosis in interstitial lung disorders. Am J Pathol 1986, 122:443–461.\nKuhn CD, Boldt J, King TE Jr, Crouch E, Vartio T, McDonald JA: An immunohistochemical study of architectural remodeling and connective tissue synthesis in pulmonary fibrosis. Am Rev Respir Dis 1989, 140:1693–1703.\nRichard HS: Alveolar epithelial cells in pulmonary fibrosis. In Pulmonary Fibrosis. Lung Biology in Health and Disease. Volume 80. New York: Marcel Dekker; 1989:511–540.\nUsuki J, Fukuda Y: Evolution of three patterns of intra-alveolar fibrosis produced by bleomycin in rats. Pathol Int 1995, 45:552–564.\nFukuda Y, Ishizaki M, Kudoh S, Kitaichi M, Yamanaka N: Localization of matrix metalloproteinases-1,-2, and -9 and tissue inhibitor of metalloproteinase-2 in interstitial lung diseases. Lab Invest 1998, 78:687–698.\nKatzenstein AA, Fiorelli RF: Non-specific interstitial pneumonia\u002Ffibrosis. Histologic pattern and clinical significance. Am J Surg Pathol 1994, 18:136–147.\nHirai Y, Takebe K, Takashina M, Kobayashi S, Takeichi M: Epimorphin: a mesenchymal protein essential for epithelial morphogenesis. Cell 1992, 69:471–481.\nHirose M, Watanabe S, Oide H, Kitamura T, Miyazaki A, Sato N: A new function of Ito cells in liver morphogenesis: evidence using a novel morphogenic protein, epimorphin, in vitro . Biochem Biophys Res Commun 1996, 225:155–160.\nWatanabe S, Hirose M, Wang XE, Ikejima K, Oide H, Kitamura T, Takei Y, Miyazaki A, Sato N: A novel hepatic stellate (Ito) cell-derived protein, epimorphin, plays a key role in the late stages of liver regeneration. Biochem Biophys Res Commun 1998, 250:486–490.\nMori M, Miyazaki K: Factors affecting morphogenesis of rabbit gallbladder epithelial cells cultured in collagen gels. Cell Tissue Res 2000, 300:331–344.\nLehnert L, Lerch MM, Hirai Y, Kruse ML, Schmiegel W, Kalthoff H: Autocrine stimulation of human pancreatic duct-like development by soluble isoforms of epimorphin in vitro . J Cell Biol 2001, 152:911–922.\nGoyal A, Singh R, Swietlicki EA, Levin MS, Rubin DC: Characterization of rat epimorphin\u002Fsyntaxin 2 expression suggests a role in crypt-villus morphogenesis. Am J Physiol 1998, 275:G114-G124.\nHirai Y, Andre L, Sybille G, Koshida S, Niwa S, Bissell JM: Epimorphin functions as a key morphoregulator for mammary epithelial cells. J Cell Biol 1998, 140:159–169.\nHirai Y, Radisky D, Boudreau R, Simian M, Stevens ME, Oka Y, Takebe K, Niwa S, Bissell MJ: Epimorphin mediates mammary luminal morphogenesis through control of C\u002FEBPÎ². J Cell Biol 2001, 153:785–794.\nSimian M, Hirai Y, Navre M, Werb Z, Lochter A, Bissell MJ: The interplay of matrix metalloproteinases, morphogens and growth factors is necessary for branching of mammary epithelial cells. Development 2001, 128:3117–3131. breast cancer. Breast Cancer Res. 2002. 4:113â€“121\nZahnow CA: CCAAT\u002Fenhancer binding proteins in normal mammary development and breast cancer. Breast Cancer Res 2002, 4:113–121.\nFukuda Y, Ishizaki M, Okada Y, Seiki M, Yamanaka N: Matrix metalloproteinases and tissue inhibitor of metalloproteinase-2 in fetal rabbit lung. Am J Physiol Lung Cell Mol Physiol 2000, 279:L555-L561.\nYaguchi T, Fukuda Y, Ishizaki M, Yamanaka N: Immunohistochemical and gelatin zymography studies for matrix metalloproteinases in bleomycin-induced pulmonary fibrosis. Pathol Int 1998, 48:954–963.\nKunugi S, Fukuda Y, Ishizaki M, Yamanaka N: Role of MMP-2 in alveolarepithelial cell repair after bleomycin administration in rabbits. Lab Invest 2001, 81:1309–1318.\nHirai Y: Molecular cloning of human epimorphin. Biochem Biophys Res Commun 1993, 191:1332–1337.\nZah H, Remmers EF, Szpirer C, Szpirer J, Zhang H, Kozak CA, Wilder RL: The epimorphin gene is highly conserved among humans, mice, and rats and maps to human chromosome 7, mouse chromosome 5, and rat chromosome 12. Genomics 1996, 37:386–389.\nAmerican Thoracic Society\u002FEuropean Respiratory Society International Multidisciplinary Consensus Classification of the Idiopathic Interstitial PneumoniasAm J Respir Crit Care Med 2002, 165:277–304.\nZhang L, Ishikawa O, Takeuchi Y, Miyachi Y: Expression of epimorphin in normal and diseased human skin. Immunohistochemical and immunoblot detection. Eur J Dermatol 1996, 6:568–572.\nZhang L, Ishikawa O, Takeuchi Y, Miyachi Y: Immunohistochemical distribution of epimorphin in human and mouse tissues. Histochem J 1998, 30:903–908.\nNagata T, Kumagai F, Hesezawa S: The origin and organization of cortical microtubules during the transition between M and G 1 phases of the cell cycle as observed in highly synchronized cells of tobacco BY-2. Planta 1994, 193:567–572.\nTerasaki Y, Fukuda Y, Ishizaki M, Yamanaka N: Increased expression of epimorphin in bleomycin-induced pulmonary fibrosis in mice. Am J Respir Cell Mol Biol 2000, 23:168–174.\nDrummond HB: Cell turnover in the lung. Am Rev Respir Dis 1983, 128:S46-S48.\nEvans MJ, Shami SG: Lung cell kinetics. In Lung Cell Biology. Lung Biology in Health and Disease. Volume 41. Edited by: Massaro D. Marcel Dekker, New York; 1989:1–36.\nHorikoshi S, Yoshikawa M, Shibata T, Takahashi K, Shirato I, Tomino Y: Protein localization and mRNA expression of epimorphin in mouse and human kidneys. Exp Nephrol 2001, 9:412–419.\nZhang L, Ishikawa O, Takeuchi Y, Yokoyama Y, Miyachi Y: Influences of keratinocyte-fibroblast interaction on the expression of epimorphin by fibroblasts in vitro. J Dermatol Sci 1999, 20:191–196.\nFukuda Y, Basset F, Ferrans VJ, Yamanaka N: Significance of early intraalveolar fibrotic lesions and integrin expression in lung biopsy specimens from patients with idiopathic pulmonary fibrosis. Hum Pathol 1995, 26:53–61.\nPeter DB, Christine HW: The pathogenesis of pulmonary fibrosis. In Pulmonary Diseases and Disorders. Volume 1. third edition. Edited by: Fishman AP. McGraw-Hill, New York; 1997:355.\nLimper AH, Roman J: Fibronectin. A versatile matrix protein with roles in thoracic development, repair and infection. Chest 1992, 101:1663–1673.\nShirasaka T, Iizuka M, Yukawa M, Hirai Y, Horie Y, Itou H, Kon-No S, Fukushima T, Watanabe S: Altered expression of epimorphin in ulcerative colitis. J Gastroenterol Hepatol 2003, 18:570–577.\nAdamson IY, Hedgecock C, Bowden DH: Epithelial cell-fibroblast interactions in lung injury and repair. Am J Pathol 1990, 137:385–392.\nUhal BD, Iravati J, Hughes WF, Ramos C, Pardo A, Selman M: Alveolar epithelial cell death adjacent to underlying myofibroblasts in advanced fibrotic human lung. Am J Physiol 1998, 275:L1192-L1199.\nd' Ortho MP, Clerici C, Yao PM, Delacourt C, Delclaux C, Franco-Montoya ML, Harf A, Lafuma C: Alveolar epithelial cells in vitro produce gelatinases and tissue inhibitor of matrix metalloproteinase-2. Am J Physiol 1997, 273:L663-L675.\nFukuda Y, Nakayama T, Terasaki Y, Kunugi S, Ishizaki M, Itohara S: Retarded alveolar epithelial cell repair after bleomycin treatment in MMP-2 KO mice. Am J Respir Crit Care Med 2002, A482. Abstr\nWoessner JF Jr: Matrix metalloproteinases and their inhibitors in connective tissue remodeling. FASEB J 1991, 5:2145–2154.",{"VOID":612},"10.1186\u002F1465-9921-6-6","2024-05-31T12:07:42.217+00:00","https:\u002F\u002Frespiratory-research.biomedcentral.com\u002Farticles\u002F10.1186\u002F1465-9921-6-6",[616,640,653,668,683],{"id":617,"sortIndex":19,"researcher":18,"roles":618,"affiliations":619,"properties":637,"displayName":639,"givenName":18,"familyName":18},"f645eb30-eb12-43e3-80ec-6b1869382042",[115],[620,628],{"id":621,"sortIndex":19,"affiliation":622,"properties":18},"85165838-b2a5-45a3-8ffb-8527022dd79c",{"id":621,"createTime":18,"updateTime":18,"relativeEntities":623,"slug":18,"properties":624,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":627,"statistic":18},[],{"title":625},{"VI":626},"Department of Cell Pathology, Postgraduate School of Medicine, Kumamoto University, Kumamoto, 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of disease modifying therapies in Chronic Obstructive Pulmonary Disease (COPD) provide challenges for detecting physiological and patient centred outcomes. The purpose of the current study was to monitor decline in health status in Alpha-1 antitrypsin deficiency (AATD) and determine its’ relationship to conventional physiology. Patients recruited to the UK-AATD database with a median follow up of 7 years (IQR 5–10) were studied to determine annual change in St George’s Respiratory Questionnaire (SGRQ), FEV1, gas transfer and their feasibility of use in future trials. Annual decline in SGRQ had a wide range, was greater for patients with established COPD and correlated with decline in FEV1 (p \u003C 0.0001). Total score decline was greater (p \u003C 0.05) for those with accelerated FEV1 decline (median = 1.07 points\u002Fyear) compared to those without (median = 0.51). Power calculations indicated effective intervention would not achieve MCID for the SGRQ unless the timeframe was extended for up to 8 years. More than 5000 patients\u002Farm would be required for a statistically significant modest effect over 3 years even in those with rapid FEV1 decline. Despite AATD being a rapidly declining form of COPD, deterioration in SGRQ was slow consistent with ageing and the chronic nature of disease progression. Power calculations indicate the numbers needed to detect a difference with disease modifying therapies would be prohibitive especially in this rare cause of COPD. These data have important implications for future study design of disease modifying therapies even in COPD not associated with AATD.",{"EN":758},"Health status decline in α-1 antitrypsin deficiency: a feasible outcome for disease modifying therapies?",{"VOID":760},"[\"5931323833330935419\"]",{"VOID":762},"Vestbo J, Edwards LD, Scanlon PD, Yates JC, Agusti A, et al. Changes in forced expiratory volume in 1 second over time in COPD. N Engl J Med. 2011;365(13):1184–92.\nNishimura M, Makita H, Nagai K, Konno S, Nasuhara Y, et al. Annual change in pulmonary function and clinical phenotype in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2012;185(1):44–52.\nPark HY, Churg A, Wright JL, Li Y, Tam S, et al. Club cell protein 16 and disease progression in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2013;188(12):1413–9.\nCarter R, Mumford R, Treonze K, Stockley R. Fibrinopeptide AA-VAL360: a footprint of neutrophil elastase activity. COPD: J Chron Obstruct Pulmon Dis. 2011;8(1):50–1.\nDowson LJ, Guest PJ, Hill SL, Holder RL, Stockley RA. High-resolution computed tomography scanning in alpha1-antitrypsin deficiency: relationship to lung function and health status. Eur Respir J. 2001;17(6):1097–104.\nSeemungal TA, Donaldson GC, Paul EA, Bestall JC, Jeffries DJ, et al. Effect of exacerbation on quality of life in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1998;157(5):1418–22.\nU.S. Food and Drug Administration. Chronic Obstructive Pulmonary Disease: Developing Drugs for Treatment Guidance for Industry (Draft Guidance). 2016 [Available from: http:\u002F\u002Fwww.fda.gov\u002Fdownloads\u002FDrugs\u002FGuidanceComplianceRegulatoryInformation\u002FGuidances\u002FUCM071575.pdf.\nU.S. Food and Drug Administration. In: U.S. Department of Health and Human Services FaDA, Center for Drug Evaluation and Research (CDER), editor. Chronic Obstructive Pulmonary Disease: Use of the St. George’s Respiratory Questionnaire as a PRO Assessment Tool Guidance for Industry; 2018.\nCelli BR, Thomas NE, Anderson JA, Ferguson GT, Jenkins CR, et al. Effect of pharmacotherapy on rate of decline of lung function in chronic obstructive pulmonary disease: results from the TORCH study. Am J Respir Crit Care Med. 2008;178(4):332–8.\nVestbo J, Anderson JA, Brook RD, Calverley PM, Celli BR, et al. Fluticasone furoate and vilanterol and survival in chronic obstructive pulmonary disease with heightened cardiovascular risk (SUMMIT): a double-blind randomised controlled trial. Lancet. 2016;387(10030):1817–26.\nSchluchter MD, Stoller JK, Barker AF, Buist AS, Crystal RG, et al. Feasibility of a clinical trial of augmentation therapy for alpha1- antitrypsin deficiency. Am J Respir Crit Care Med. 2000;161(3 I):796–801.\nPlasma Protein Therapeutics Association. Clinical and Surrogate Endpoints for Evaluating Efficacy of Alpha 1-Proteinase Inhibitor (Human) Augmentation Therapy: FDA Blood Products Advisory Committee; 2009. [Available from: https:\u002F\u002Fwww.pptaglobal.org\u002F...\u002F954-ppta-statement-on-clinical-and-surrogate-endpoints....\nChapman KR, Burdon JG, Piitulainen E, Sandhaus RA, Seersholm N, et al. Intravenous augmentation treatment and lung density in severe alpha1 antitrypsin deficiency (RAPID): a randomised, double-blind, placebo-controlled trial. Lancet. 2015;386(9991):360–8.\nDirksen A, Dijkman JH, Madsen F, Stoel B, Hutchison DCS, et al. A randomized clinical trial of alpha1-antitrypsin augmentation therapy. Am J Respir Crit Care Med. 1999;160(5 I):1468–72.\nDirksen A, Piitulainen E, Parr DG, Deng C, Wencker M, et al. Exploring the role of CT densitometry: a randomised study of augmentation therapy in alpha1-antitrypsin deficiency. Eur Respir J. 2009;33(6):1345–53.\nThe Alpha-1-Antitrypsin Deficiency Registry Study Group. Survival and FEV1 decline in individuals with severe deficiency of alpha1-antitrypsin. A J Respir Crit Care Med. 1998;158(1):49–59.\nDowson LJ, Newall C, Guest PJ, Hill SL, Stockley RA. Exercise capacity predicts health status in alpha1-antitrypsin deficiency. Am J Respir Crit Care Med. 2001;163(4):936–41.\nVogelmeier CF, Criner GJ, Martinez FJ, Anzueto A, Barnes PJ, et al. Global strategy for the diagnosis, management and prevention of chronic obstructive lung disease 2017 report. Respirology. 2017;22(3):575–601.\nStockley RA, Edgar RG, Pillai A, Turner AM. Individualized lung function trends in alpha-1-antitrypsin deficiency: a need for patience in order to provide patient centered management? Int J Chron Obstruct Pulmon Dis. 2016;11:1745.\nQuanjer PH, Tammeling GJ, Cotes JE, Pedersen OF, Peslin R, et al. Lung volumes and forced ventilatory flows. Eur Respir J. 1993;6(Suppl 16):5–40.\nWard H, Turner AM, Stockley RA. Spirometric and gas transfer discordance in a alpha1 -antitrypsin deficiency. Patient characteristics and progression. Chest. 2014;145(6):1316–24.\nFerrer M, Villasante C, Alonso J, Sobradillo V, Gabriel R, et al. Interpretation of quality of life scores from the St George's respiratory questionnaire. Eur Respir J. 2002;19(3):405–13.\nPiitulainen E, Mostafavi B, Tanash HA. Health status and lung function in the swedish alpha 1-antitrypsin deficient cohort, identified by neonatal screening, at the age of 37–40 years. Int J Chron Obstruct Pulmon Dis. 2017;12:495.\nNeedham M, Stockley RA. Exacerbations in alpha1-antitrypsin deficiency. Eur Respir J. 2005;25(6):992–1000.\nStolk J, Ng WH, Bakker ME, Reiber JHC, Rabe KF, et al. Correlation between annual change in health status and computer tomography derived lung density in subjects with alpha1-antitrypsin deficiency. Thorax. 2003;58(12):1027–30.\nBernhard N, Lepper PM, Vogelmeier C, Seibert M, Wagenpfeil S, et al. Deterioration of quality of life is associated with the exacerbation frequency in individuals with alpha-1-antitrypsin deficiency–analysis from the german registry. Int J Chron Obstruct Pulmon Dis. 2017;12:1427.\nVincken W, van Noord JA, Greefhorst AP, Bantje TA, Kesten S, et al. Improved health outcomes in patients with COPD during 1 yr's treatment with tiotropium. Eur Respir J. 2002;19(2):209–16.\nVestbo J, Anderson JA, Calverley PM, Celli B, Ferguson GT, et al. Adherence to inhaled therapy, mortality and hospital admission in COPD. Thorax. 2009;64(11):939–43.\nCalverley P, Pauwels R, Vestbo J, Jones P, Pride N, et al. Combined salmeterol and fluticasone in the treatment of chronic obstructive pulmonary disease: a randomised controlled trial. Lancet. 2003;361(9356):449–56.\nWilkinson TM, Donaldson GC, Hurst JR, Seemungal TA, Wedzicha JA. Early therapy improves outcomes of exacerbations of chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2004;169(12):1298–303.\nGøtzsche PC, Johansen HK. Intravenous alpha-1 antitrypsin augmentation therapy for treating patients with alpha-1 antitrypsin deficiency and lung disease. Cochrane Libr. 2016; https:\u002F\u002Fdoi.org\u002F10.1002\u002F14651858.CD007851.pub3.\nLinden A. Assessing regression to the mean effects in health care initiatives. BMC Med Res Methodol. 2013;13(1):119.\nStolk J, Cooper BG, Stoel B, Rames A, Rutman O, et al. Retinoid treatment of emphysema in patients on the Alpha-1 international registry. The REPAIR study: study design, methodology and quality control of study assessments. Ther Adv Respir Dis. 2010;4(6):319–32.\nDawkins P, Wood A, Nightingale P, Stockley R. Mortality in alpha-1-antitrypsin deficiency in the United Kingdom. Respir Med. 2009;103(10):1540–7.\nParr DG, Stoel BC, Stolk J, Stockley RA. Validation of computed tomographic lung densitometry for monitoring emphysema in alpha1-antitrypsin deficiency. Thorax. 2006;61(6):485–90.",{"VOID":764},"10.1186\u002Fs12931-018-0844-6","2024-05-10T05:14:14.829+00:00","https:\u002F\u002Frespiratory-research.biomedcentral.com\u002Farticles\u002F10.1186\u002Fs12931-018-0844-6",[768,783,808,823],{"id":769,"sortIndex":19,"researcher":18,"roles":770,"affiliations":771,"properties":780,"displayName":782,"givenName":18,"familyName":18},"71411684-91e5-4c24-8f2f-395ccc786904",[115],[772],{"id":773,"sortIndex":19,"affiliation":774,"properties":18},"b75f3655-9e35-41e7-a63b-ff81e0b4a176",{"id":773,"createTime":18,"updateTime":18,"relativeEntities":775,"slug":18,"properties":776,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":779,"statistic":18},[],{"title":777},{"VI":778},"Lung Investigation Unit, University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Edgbaston, UK",[],{"title":781},{"VI":782},"Robert A. 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Turner",{"VOID":845},"[\"PxzfT3MAAAAJ\"]",{"url":766,"publisher":847,"properties":888},{"id":6,"createTime":7,"updateTime":8,"relativeEntities":848,"slug":10,"properties":849,"entityType":16,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":19,"subjectFields":852,"manageAffiliations":857,"indexDatabases":868,"url":77,"thumbnailPath":18,"statistic":883,"gsStatistic":18,"type":84,"analyzePriority":18},[],{"issn":850,"title":851},{"VOID":13},{"EN":15},[853],{"id":22,"createTime":18,"updateTime":18,"relativeEntities":854,"label":855,"description":856,"parentId":18,"standard":18,"scholarHubFieldId":18},[],{"EN":25},{},[858,863],{"id":29,"createTime":18,"updateTime":18,"relativeEntities":859,"slug":18,"properties":860,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":862,"statistic":18},[],{"title":861},{"EN":33},[],{"id":36,"createTime":18,"updateTime":18,"relativeEntities":864,"slug":18,"properties":865,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":867,"statistic":18},[],{"title":866},{"EN":40},[],[869,876],{"id":44,"indexDatabase":870,"url":55,"indexYears":56,"academicFieldIds":875,"indexDatabaseRanking":59},{"id":46,"createTime":18,"updateTime":18,"relativeEntities":871,"label":872,"description":873,"key":52,"publicationTags":874,"standard":18},[],{"EN":49,"VI":49},{"EN":49,"VI":51},[54],[58],{"id":61,"indexDatabase":877,"url":74,"indexYears":18,"academicFieldIds":882,"indexDatabaseRanking":18},{"id":63,"createTime":18,"updateTime":18,"relativeEntities":878,"label":879,"description":880,"key":70,"publicationTags":881,"standard":18},[],{"EN":66,"VI":66},{"EN":68,"VI":69},[72,73],[76],{"impactFactor":19,"impactFactorByYear":884,"i10Index":19,"i10IndexLast5Year":19,"totalPublication":80,"totalPublicationByYear":885,"totalCitation":19,"totalCitationByYear":886,"totalCitationPerPublication":19,"totalCitationPerPublicationByYear":887,"hindexLast5Year":19,"hindex":19},{},{"2004":80},{},{},{"pages":889,"volume":890},{"VOID":587},{"VOID":891},"19",{"total":19,"publishYear":893,"statisticByYear":894},2018,{},"2018-07-20","DONE_ANALYZE_CITATION","2026-07-30T12:14:49.220+00:00",[72,59],{"id":900,"createTime":901,"updateTime":902,"relativeEntities":903,"slug":904,"properties":905,"entityType":106,"verifyStatus":107,"verifyTime":916,"verifyNote":109,"languages":18,"translateLanguages":18,"viewCount":19,"primaryUrl":917,"fullTextUrl":18,"authors":918,"publicationType":222,"publisherRelationship":951,"citationCount":19,"citationInfo":998,"publishDate":1001,"publishYear":999,"citationAnalyzeStatus":896,"lastCitationAnalyze":1002,"indexDatabases":1003,"openAccess":18,"references":18,"isForceReanalyzing":279},"900c43fe-6523-4b38-8166-d2e2e3a89a07","2024-01-24T21:24:46.869+00:00","2026-07-29T06:00:48.046+00:00",[],"Matrix-metalloproteinases-in-lung-biology",{"abstract":906,"title":908,"gsPaper":910,"references":912,"doi":914},{"EN":907},"Despite much information on their catalytic properties and gene regulation, we actually know very little of what matrix metalloproteinases (MMPs) do in tissues. The catalytic activity of these enzymes has been implicated to function in normal lung biology by participating in branching morphogenesis, homeostasis, and repair, among other events. Overexpression of MMPs, however, has also been blamed for much of the tissue destruction associated with lung inflammation and disease. Beyond their role in the turnover and degradation of extracellular matrix proteins, MMPs also process, activate, and deactivate a variety of soluble factors, and seldom is it readily apparent by presence alone if a specific proteinase in an inflammatory setting is contributing to a reparative or disease process. An important goal of MMP research will be to identify the actual substrates upon which specific enzymes act. This information, in turn, will lead to a clearer understanding of how these extracellular proteinases function in lung development, repair, and disease.",{"EN":909},"Matrix metalloproteinases in lung biology",{"VOID":911},"[\"14624124658553993248\"]",{"VOID":913},"Woessner JF Jr: The matrix metalloproteinase family. In Matrix Metalloproteinases. Edited by Parks WC, Mecham RP. New York: Academic Press, Inc., 1998, 1–14.\nNagase H, Woessner JF Jr: Matrix metalloproteinases. J Biol Chem 1999, 274:21491–21494.\nVelasco G, Pendas AM, Fueyo A, Knauper V, Murphy G, Lopez-Otin C: Cloning and characterization of human MMP-23, a new matrix metalloproteinase predominantly expressed in reproductive tissues and lacking conserved domains in other family members. J Biol Chem 1999, 274:4570–4576.\nWilson CL, Matrisian LM: Matrilysin. In Matrix Metalloproteinases. Edited by Parks WC, Mecham RP. New York: Academic Press, Inc., 1998, 149–184.\nPark HI, Ni J, Gerkema FE, Liu D, Belozerov VE, Sang QX: Identification and characterization of human endometase (matrix metalloproteinase-26) from endometrial tumor. J Biol Chem 2000, 275:20540–20544.\nUria JA, Lopez-Otin C: Matrilysin-2, a new matrix metalloproteinase expressed in human tumors and showing the minimal domain organization required for secretion, latency, and activity. Cancer Res 2000, 60:4745–4751.\nde Coignac AB, Elson G, Delneste Y, Magistrelli G, Jeannin P, Aubry JP, Berthier O, Schmitt D, Bonnefoy JY, Gauchat JF: Cloning of MMP-26. A novel matrilysin-like proteinase. Eur J Biochem 2000, 267:3323–3329.\nKojima S, Itoh Y, Matsumoto S, Masuho Y, Seiki M: Membrane-type 6 matrix metalloproteinase (MT6-MMP, MMP-25) is the second glycosyl-phosphatidylinositol (GPI)-anchored MMP. FEBS Lett 2000, 480:142–148.\nItoh Y, Kajita M, Kinoh H, Mori H, Okada A, Seiki M: Membrane type 4 matrix metalloproteinase (MT4-MMP, MMP-17) is a glycosylphosphatidylinositol-anchored proteinase. J Biol Chem 1999, 274:34260–34266.\nPei D: CA-MMP: a matrix metalloproteinase with a novel cysteine array, but without the classic cysteine switch. FEBS Lett 1999, 457:262–270.\nShapiro SD: Matrix metalloproteinase degradation of extracellular matrix: biological consequences. Curr Opin Cell Biol 1998, 10:602–608.\nCossins J, Dudgeon TJ, Catlin G, Gearing AJ, Clements JM: Identification of MMP-18, a putative novel human matrix metalloproteinase. Biochem Biophys Res Commun 1996, 228:494–498.\nPei D: Identification and characterization of the fifth membrane-type matrix metalloproteinase MT5-MMP. J Biol Chem 1999, 274:8925–8932.\nPei D: Leukolysin\u002FMMP25\u002FMT6-MMP: a novel matrix metalloproteinase specifically expressed in the leukocyte lineage. Cell Res 1999, 9:291–303.\nTierney GM, Griffin NR, Stuart RC, Kasem H, Lynch KP, Lury JT, Brown PD, Millar AW, Steele RJ, Parsons SL: A pilot study of the safety and effects of the matrix metalloproteinase inhibitor marimastat in gastric cancer. Eur J Cancer 1999, 35:563–568.\nSteward W: Marimastat (BB2516): current status of development. Cancer Chemother Pharmacol 1999, 43 (suppl):S56-S60.\nMucha A, Cuniasse P, Kannan R, Beau F, Yiotakis A, Basset P, Dive V: Membrane type-1 matrix metalloprotease and stromelysin-3 cleave more efficiently synthetic substrates containing unusual amino acids in their P1' positions. J Biol Chem 1998, 273:2763–2768.\nVu TH, Werb Z: Matrix metalloproteinases: effectors of development and normal physiology. Genes Dev 2000, 14:2123–2133.\nWilson CL, Ouellette AJ, Satchell DP, Ayabe T, López-Boado YS, Stratman JL, Hultgren SJ, Matrisian LM, Parks WC: Regulation of intestinal α-defensin activation by the metalloproteinase matrilysin in innate host defense. Science 1999, 286:113–117.\nSires UI, Murphy G, Baragi VM, Fliszar CJ, Welgus HG, Senior RM: Matrilysin is much more efficient than other metalloproteinases in the proteolytic inactivation of α-1 antitrypsin. Biochem Biophys Res Commun 1994, 204:613–620.\nPei D, Majmudar G, Weiss SJ: Hydrolytic inactivation of a breast carcinoma cell-derived serpin by human stromelysin-3. J Biol Chem 1994, 269:25849–25855.\nLiu Z, Zhou X, Shapiro SD, Shipley JM, Diaz LA, Senior RM, Werb Z: The serpin α1-proteinase inhibitor is a critical substrate for gelatinase B\u002FMMP-9 in vivo . Cell 2000, 102:647–655.\nHaro H, Crawford HC, Fingleton B, Shinomiya K, Spengler DM, Matrisian LM: Matrix metalloproteinase-7-dependent release of tumor necrosis factor-alpha in a model of herniated disc resorption. J Clin Invest 2000, 105:143–150.\nLevi E, Fridman R, Miao HQ, Ma YS, Yayon A, Vlodavsky I: Matrix metalloproteinase 2 releases active soluble ectodomain of fibroblast growth factor receptor 1. Proc Natl Acad Sci USA 1996, 93:7069–7074.\nSuzuki M, Raab G, Moses MA, Fernandez CA, Klagsbrun M: Matrix metalloproteinase-3 releases active heparin-binding EGF-like growth factor by cleavage at a specific juxtamembrane site. J Biol Chem 1997, 272:31730–31737.\nGearing AJH, Beckett P, Christodoulou M, Churchill M, Clements J, Davidson AH, Drummond AH, Galloway WA, Gilbert R, Gordon JL, Leber TM, Mangan M, Miller K, Nayee P, Owen K, Patel S, Thomas W, Wells G, Wood LM, Woolley K: Processing of tumour necrosis factor-alpha precursor by metalloproteinases. Nature 1994, 370:555–557.\nMcGeehan MG, Becherer JD, Bast RCJ, Boyer CM, Champion B, Connolly KM, Conway JG, Furdon P, Karp S, Kidao S: Regulation of tumour necrosis factor-alpha processing by a metalloproteinase inhibitor. Nature 1994, 370:558–560.\nYu Q, Stamenkovic I: Cell surface-localized matrix metalloproteinase-9 proteolytically activates TGF-beta and promotes tumor invasion and angiogenesis. Genes Dev 2000, 14:163–176.\nMcQuibban GA, Gong J-H, Tam EM, McCulloch CAG, Clark-Lewis I, Overall CM: Inflammation dampened by gelatinase A cleavage of monocyte chemoattractant protein-3. Science 2000, 289:1202–1206.\nMackay AR, Hartzler JL, Pelina MD, Thorgeirsson UP: Studies on the ability of 65-kDa and 92-kDa tumor cell gelatinases to degrade type IV collagen. J Biol Chem 1990, 265:21929–21934.\nHalpert I, Roby JD, Sires UI, Potter-Perigo S, Wight TN, Welgus HG, Shapiro SD, Wickline SA, Parks WC: Matrilysin is expressed by lipid-laden macrophages at sites of potential rupture in atherosclerotic lesions and localizes to areas of versican deposition, a proteoglycan substrate for the enzyme. Proc Natl Acad Sci USA 1996, 93:9748–9753.\nShapiro SD: Elastolytic metalloproteinases produced by human mononuclear phagocytes. Potential roles in destructive lung disease. Am J Respir Crit Care Med 1994, 150:S160-S164.\nBrooks PC, Stromblad S, Sanders LC, von Schalscha TL, Aimes RT, Stetler-Stevenson WG, Quigley JP, Cheresh DA: Localization of matrix metalloproteinase MMP-2 to the surface of invasive cells by interaction with integrin alpha v beta 3. Cell 1996, 85:683–693.\nYu WH, Woessner JF Jr: Heparan sulfate proteoglycans as extracellular docking molecules for matrilysin (matrix metalloproteinase 7). J Biol Chem 2000, 275:4183–4191.\nWang Z, Juttermann R, Soloway PD: TIMP-2 is required for efficient activation of proMMP-2 in vivo . J Biol Chem 2000, 275:26411–26415.\nCaterina JJ, Yamada S, Caterina NC, Longenecker G, Holmback K, Shi J, Yermovsky AE, Engler JA, Birkedal-Hansen H: Inactivating mutation of the mouse tissue inhibitor of metalloproteinases-2 (TIMP-2) gene alters proMMP-2 activation. J Biol Chem 2000, 275:26416–26422.\nSaarialho-Kere UK, Kovacs SO, Pentland AP, Olerud J, Welgus HG, Parks WC: Cell-matrix interactions modulate interstitial collagenase expression by human keratinocytes actively involved in wound healing. J Clin Invest 1993, 92:2858–2866.\nPilcher BK, Dumin JA, Sudbeck BD, Krane SM, Welgus HG, Parks WC: The activity of collagenase-1 is required for keratinocyte migration on a type I collagen matrix. J Cell Biol 1997, 137:1445–1457.\nDunsmore SE, Saarialho-Kere UK, Roby JD, Wilson CL, Matrisian LM, Welgus HG, Parks WC: Matrilysin expression and function in airway epithelium. J Clin Invest 1998, 102:1321–1331.\nLópez-Boado YS, Wilson CL, Hooper LV, Gordon JI, Hultgren SJ, Parks WC: Bacterial exposure induces and activates matrilysin in mucosal epithelial cells. J Cell Biol 2000, 148:1305–1315.\nGanz T: Immunology: defensins and host defense. Science 1999, 286:420–421.\nKarelina TV, Goldberg GI, Eisen AZ: Matrilysin (PUMP) correlates with dermal invasion during appendageal development and cutaneous neoplasia. J Invest Dermatol 1994, 103:482–487.\nWilson CL, Heppner KJ, Rudolph LA, Matrisian LM: The metalloproteinase matrilysin is preferentially expressed by epithelial cells in a tissue-restricted pattern in the mouse. Mol Biol Cell 1995, 6:851–869.\nLochter A, Galosy S, Muschler J, Freedman N, Werb Z, Bissell MJ: Matrix metalloproteinase stromelysin-1 triggers a cascade of molecular alterations that leads to stable epithelial-to-mesenchymal conversion and a premalignant phenotype in mammary epithelial cells. J Cell Biol 1997, 139:1861–1872.\nBetsuyaku T, Fukuda Y, Parks WC, Shipley JM, Senior RM: Gelatinase B is required for alveolar bronchiolization after intratracheal bleomycin. Am J Pathol 2000, 157:525–535.\nLegrand C, Gilles C, Zahm J-M, Polette M, Buisson A-C, Kaplan H, Birembaut P, Tournier J-M: Airway epithelial cell migration dynamics: MMP-9 role in cell-extracellular matrix remodeling. J Cell Biol 1999, 146:517–529.\nShapiro SD, Endicott SK, Province MA, Pierce JA, Campbell EJ: Marked longevity of human lung parenchymal elastic fibers deduced from prevalence of D-aspartate and nuclear weaponsrelated radiocarbon. J Clin Invest 1991, 87:1828–1834.\nMercer RR, Crapo JD: Spatial distribution of collagen and elastin fibers in the lungs. J Appl Physiol 1990, 69:756–765.\nD'Armiento J, Dalal SS, Okada Y, Berg RA, Chada K: Collagenase expression in the lungs of transgenic mice causes pulmonary emphysema. Cell 1992, 71:955–961.\nFinlay GA, O'Driscoll LR, Russell KJ, D'Arcy EM, Masterson JB, FitzGerald MX, O'Connor CM: Matrix metalloproteinase expression and production by alveolar macrophages in emphysema. Am J Respir Crit Care Med 1997, 156:240–247.\nOhnishi K, Takagi M, Kurokawa Y, Satomi S, Konttinen YT: Matrix metalloproteinase-mediated extracellular matrix protein degradation in human pulmonary emphysema. Lab Invest 1998, 78:1077–1087.\nZheng T, Zhu Z, Wang Z, Homer RJ, Ma B, Riese RJ, Chapman HA, Shapiro SD, Elias JA: Inducible targeting of IL-13 to the adult lung causes matrix metalloproteinase- and cathepsin-dependent emphysema. J Clin Invest 2000, 106:1081–1093.\nShipley JM, Wesselschmidt RL, Kobayashi DK, Ley TJ, Shapiro SD: Metalloelastase is required for macrophage-mediated proteolysis and matrix invasion in mice. Proc Natl Acad Sci USA 1996, 93:3942–3946.\nHautamaki RD, Kobayashi DK, Senior RM, Shapiro SD: Requirement for macrophage elastase for cigarette smoke-induced emphysema. Science 1997, 277:2002–2004.\nSenior RM, Griffin GL, Mecham RP: Chemotactic activity of elastin-derived peptides. J Clin Invest 1980, 66:859–862.\nItoh T, Ikeda T, Gomi H, Nakao S, Suzuki T, Itohara S: Unaltered secretion of beta-amyloid precursor protein in gelatinase A (matrix metalloproteinase 2)-deficient mice. J Biol Chem 1997, 272:22389–22392.\nItoh T, Tanioka M, Yoshida H, Yoshioka T, Nishimoto H, Itohara S: Reduced angiogenesis and tumor progression in gelatinase A-deficient mice. Cancer Res 1998, 58:1048–1051.\nMudgett JS, Hutchinson NI, Chartrain NA, Forsyth AJ, McDonnell J, Singer II, Bayne EK, Flanagan J, Kawka D, Shen CF: Susceptibility of stromelysin 1-deficient mice to collagen-induced arthritis and cartilage destruction. Arthritis Rheum 1998, 41:110–121.\nBullard KM, Lund L, Mudgett JS, Mellin TN, Hunt TK, Murphy B, Ronan J, Werb Z, Banda MJ: Impaired wound contraction in stromelysin-1-deficient mice. Ann Surg 1999, 230:260–265.\nWang M, Qin X, Mudgett JS, Ferguson TA, Senior RM, Welgus HG: Matrix metalloproteinase deficiencies affect contact hypersensitivity: stromelysin-1 deficiency prevents the response and gelatinase B deficiency prolongs the response. Proc Natl Acad Sci USA 1999, 96:6885–6889.\nWilson CL, Heppner KJ, Labosky PA, Hogan BLM, Matrisian LM: Intestinal tumorigenesis is suppressed in mice lacking the metalloproteinase matrilysin. Proc Natl Acad Sci USA 1997, 94:1402–1407.\nVu TH, Shipley JM, Bergers G, Berger JE, Helms JA, Hanahan D, Shapiro SD, Senior RM, Werb Z: MMP-9\u002Fgelatinase B is a key regulator of growth plate angiogenesis and apoptosis of hypertrophic chondrocytes. Cell 1998, 93:411–422.\nBetsuyaku T, Shipley JM, Liu Z, Senior RM: Neutrophil emigration in the lungs, peritoneum, and skin does not require gelatinase B. Am J Respir Cell Mol Biol 1999, 20:1303–1309.\nLiu Z, Shipley JM, Vu TH, Zhou X, Diaz LA, Werb Z, Senior RM: Gelatinase B-deficient mice are resistant to experimental bullous pemphigoid. J Exp Med 1998, 188:475–482.\nPyo R, Lee JK, Shipley JM, Curci JA, Mao D, Ziporin SJ, Ennis TL, Shapiro SD, Senior RM, Thompson RW: Targeted gene disruption of matrix metalloproteinase-9 (gelatinase B) suppresses development of experimental abdominal aortic aneurysms. J Clin Invest 2000, 105:1641–1649.\nHeymans S, Luttun A, Nuyens D, Theilmeier G, Creemers E, Moons L, Dyspersin GD, Cleutjens JP, Shipley M, Angellilo A, Levi M, Nube O, Baker A, Keshet E, Lupu F, Herbert JM, Smits JF, Shapiro SD, Baes M, Borgers M, Collen D, Daemen MJ, Carmeliet P: Inhibition of plasminogen activators or matrix metalloproteinases prevents cardiac rupture but impairs therapeutic angiogenesis and causes cardiac failure. Nat Med 1999, 5:1135–1142.\nDucharme A, Frantz S, Aikawa M, Rabkin E, Lindsey M, Rohde LE, Schoen FJ, Kelly RA, Werb Z, Libby P, Lee RT: Targeted deletion of matrix metalloproteinase-9 attenuates left ventricular enlargement and collagen accumulation after experimental myocardial infarction. J Clin Invest 2000, 106:55–62.\nCoussens LM, Tinkle CL, Hanahan D, Werb Z: MMP-9 supplied by bone marrow-derived cells contributes to skin carcinogenesis. Cell 2000, 103:481–490.\nMasson R, Lefebvre O, Noel A, Fahime ME, Chenard MP, Wendling C, Kebers F, LeMeur M, Dierich A, Foidart JM, Basset P, Rio MC: In vivo evidence that the stromelysin-3 metalloproteinase contributes in a paracrine manner to epithelial cell malignancy. J Cell Biol 1998, 140:1535–1541.\nLijnen HR, Van Hoef B, Vanlinthout I, Verstreken M, Rio MC, Collen D: Accelerated neointima formation after vascular injury in mice with stromelysin-3 (MMP-11) gene inactivation. Arterioscler Thromb Vasc Biol 1999, 19:2863–2870.\nHolmbeck K, Bianco P, Caterina J, Yamada S, Kromer M, Kuznetsov SA, Mankani M, Robey PG, Poole AR, Pidoux I, Ward JM, Birkedal-Hansen H: MT1-MMP-deficient mice develop dwarfism, osteopenia, arthritis, and connective tissue disease due to inadequate collagen turnover. 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Am J Respir Crit Care Med. 2011;184(5):602–15.",{"doi":1499},"10.1164\u002Frccm.9120-11ST",{"id":1501,"createTime":1502,"updateTime":1503,"relativeEntities":1504,"slug":1505,"properties":1506,"entityType":106,"verifyStatus":107,"verifyTime":1517,"verifyNote":109,"languages":18,"translateLanguages":18,"viewCount":19,"primaryUrl":1518,"fullTextUrl":18,"authors":1519,"publicationType":222,"publisherRelationship":1621,"citationCount":19,"citationInfo":1667,"publishDate":1670,"publishYear":1668,"citationAnalyzeStatus":896,"lastCitationAnalyze":1671,"indexDatabases":1672,"openAccess":18,"references":18,"isForceReanalyzing":279},"317d5215-1b93-45d9-813b-8c044296c9e4","2024-01-27T19:49:56.638+00:00","2026-07-26T14:57:03.687+00:00",[],"Cigarette-smoke-differentially-modulates-dendritic-cell-maturation-and-function-in-time",{"abstract":1507,"title":1509,"gsPaper":1511,"references":1513,"doi":1515},{"EN":1508},"Dendritic cells (DCs) as professional antigen presenting cells (APCs) play a critical role in the regulation of host immune responses. DCs evolve from immature, antigen-capturing cells, to mature antigen-presenting cells. The relative contribution of DCs to cigarette smoke-induced inflammation is not well documented. In the current study, we investigated a modulatory effect of cigarette smoke extract (CSE) on differentiation, maturation and function of DCs. Primary murine DCs were grown from bone marrow cells with GM-CSF. Development of DC was analyzed by expression of CD11c, MHCII, CD86, CD40 and CD83 using flow cytometry. Murine DC’s and human L428 cells were co-cultured with CSE for various periods of time. Functional activity was analyzed by measuring FITC-dextran uptake, cytokine production and the ability to stimulate T cell activation in a mixed lymphocyte reaction. Our results show that short-term CSE stimulation (~24 h) influence the maturation status of newly differentiated and immature DCs towards more mature cells as revealed by upregulation of MHCII, CD83, CD86, CD40, reduction in antigen up-take capacity and enhanced secretion of pro-inflammatory (IL-12, IL-6 and TNF-α) cytokines. Interestingly, long-term CSE exposure, time- and concentration-dependently, suppressed the development of functional DCs. This suppression was demonstrated by a decline in CD11c\u002FMHCII, CD83, CD86 and CD40 expression, the production of cytokines and ability to stimulate T lymphocytes. Moreover, CSE significantly suppressed the endocytosis function of mouse DCs which was not due to diminished DC viability. Similar to mouse DCs, long-term co-culturing of the human L428 DC cell line with CSE time-dependently suppressed the expression of CD54. The present study provides evidence that CSE modulates DC-mediated immune responses via affecting both the function and maturation of DCs. The suppressive effects of cigarette smoke on DC function might lead to impaired immune responses to various infections.",{"EN":1510},"Cigarette smoke differentially modulates dendritic cell maturation and function in time",{"VOID":1512},"[\"13481150260193143579\"]",{"VOID":1514},"Gershon AS, Warner L, Cascagnette P, Victor JC, To T. Lifetime risk of developing chronic obstructive pulmonary disease: a longitudinal population study. Lancet. 2011;378:991–6.\nLarsson L, Pehrson C, Dechen T, Crane-Godreau M. Microbiological components in mainstream and sidestream cigarette smoke. Tob Induc Dis. 2012;10:13.\nTanaka H, Demeure CE, Rubio M, Delespesse G, Sarfati M. Human monocyte-derived dendritic cells induce naive T cell differentiation into T helper cell type 2 (Th2) or Th1\u002FTh2 effectors. Role of stimulator\u002Fresponder ratio. 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Thorax. 2008;63:108–14.",{"VOID":1516},"10.1186\u002Fs12931-015-0291-6","2024-08-30T20:31:04.139+00:00","https:\u002F\u002Frespiratory-research.biomedcentral.com\u002Farticles\u002F10.1186\u002Fs12931-015-0291-6",[1520,1545,1560,1575,1590],{"id":1521,"sortIndex":19,"researcher":18,"roles":1522,"affiliations":1523,"properties":1540,"displayName":1542,"givenName":18,"familyName":18},"24e6083f-6752-48ba-876e-954236d4fda1",[115],[1524,1532],{"id":1525,"sortIndex":19,"affiliation":1526,"properties":18},"8869d554-0bbf-46e0-b4ee-c46dcd283844",{"id":1525,"createTime":18,"updateTime":18,"relativeEntities":1527,"slug":18,"properties":1528,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1531,"statistic":18},[],{"title":1529},{"VI":1530},"Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Utrecht, The Netherlands",[],{"id":1533,"sortIndex":80,"affiliation":1534,"properties":18},"e5b1cd77-3037-4f25-8ca9-e9ec8585c109",{"id":1533,"createTime":18,"updateTime":18,"relativeEntities":1535,"slug":18,"properties":1536,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1539,"statistic":18},[],{"title":1537},{"VI":1538},"Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, Shahid Chamran University, Ahvaz, Iran",[],{"title":1541,"gsAuthor":1543},{"VI":1542},"Masoumeh Ezzati Givi",{"VOID":1544},"[\"RefezxEAAAAJ\"]",{"id":1546,"sortIndex":80,"researcher":18,"roles":1547,"affiliations":1548,"properties":1555,"displayName":1557,"givenName":18,"familyName":18},"d891710b-b678-4407-a0df-952798d78604",[115],[1549],{"id":1525,"sortIndex":19,"affiliation":1550,"properties":18},{"id":1525,"createTime":18,"updateTime":18,"relativeEntities":1551,"slug":18,"properties":1552,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1554,"statistic":18},[],{"title":1553},{"VI":1530},[],{"title":1556,"gsAuthor":1558},{"VI":1557},"Gert Folkerts",{"VOID":1559},"[\"SOLIKbIAAAAJ\"]",{"id":1561,"sortIndex":154,"researcher":18,"roles":1562,"affiliations":1563,"properties":1572,"displayName":1574,"givenName":18,"familyName":18},"fa41e66e-7d2f-42a4-8dc5-c023c0001f98",[115],[1564],{"id":1565,"sortIndex":19,"affiliation":1566,"properties":18},"34f53cfb-8631-432b-b679-13e7b92f44a4",{"id":1565,"createTime":18,"updateTime":18,"relativeEntities":1567,"slug":18,"properties":1568,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1571,"statistic":18},[],{"title":1569},{"VI":1570},"Department of Pediatrics, Division of Neonatology, Leiden University Medical Center, Leiden, The Netherlands",[],{"title":1573},{"VI":1574},"Gerry T. M. Wagenaar",{"id":1576,"sortIndex":168,"researcher":18,"roles":1577,"affiliations":1578,"properties":1585,"displayName":1587,"givenName":18,"familyName":18},"1ff4fd22-5068-4c42-b7ba-3af0cb037058",[115],[1579],{"id":1525,"sortIndex":19,"affiliation":1580,"properties":18},{"id":1525,"createTime":18,"updateTime":18,"relativeEntities":1581,"slug":18,"properties":1582,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1584,"statistic":18},[],{"title":1583},{"VI":1530},[],{"title":1586,"gsAuthor":1588},{"VI":1587},"Frank A. Redegeld",{"VOID":1589},"[\"HBbKWqMAAAAJ\"]",{"id":1591,"sortIndex":182,"researcher":18,"roles":1592,"affiliations":1593,"properties":1618,"displayName":1620,"givenName":18,"familyName":18},"8f9153ab-5b1f-4c30-a23e-6deb8b000dfb",[115],[1594,1600,1609],{"id":1525,"sortIndex":19,"affiliation":1595,"properties":18},{"id":1525,"createTime":18,"updateTime":18,"relativeEntities":1596,"slug":18,"properties":1597,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1599,"statistic":18},[],{"title":1598},{"VI":1530},[],{"id":1601,"sortIndex":80,"affiliation":1602,"properties":1608},"e102b103-402a-4995-a3d8-25c2f29599d7",{"id":1601,"createTime":18,"updateTime":18,"relativeEntities":1603,"slug":18,"properties":1604,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1607,"statistic":18},[],{"title":1605},{"VI":1606},"Chronic Respiratory Diseases Research Center and National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Department of Immunology, Shahid Beheshti University of Medical Sciences, Tehran, Iran",[],{},{"id":1610,"sortIndex":154,"affiliation":1611,"properties":1617},"693d3e6d-48c4-49fe-a11c-393f5a9059ce",{"id":1610,"createTime":18,"updateTime":18,"relativeEntities":1612,"slug":18,"properties":1613,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1616,"statistic":18},[],{"title":1614},{"VI":1615},"Airways Disease Section, National Heart and Lung Institute, Imperial College London, London, UK",[],{},{"title":1619},{"VI":1620},"Esmaeil Mortaz",{"url":1518,"publisher":1622,"properties":1663},{"id":6,"createTime":7,"updateTime":8,"relativeEntities":1623,"slug":10,"properties":1624,"entityType":16,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":19,"subjectFields":1627,"manageAffiliations":1632,"indexDatabases":1643,"url":77,"thumbnailPath":18,"statistic":1658,"gsStatistic":18,"type":84,"analyzePriority":18},[],{"issn":1625,"title":1626},{"VOID":13},{"EN":15},[1628],{"id":22,"createTime":18,"updateTime":18,"relativeEntities":1629,"label":1630,"description":1631,"parentId":18,"standard":18,"scholarHubFieldId":18},[],{"EN":25},{},[1633,1638],{"id":29,"createTime":18,"updateTime":18,"relativeEntities":1634,"slug":18,"properties":1635,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1637,"statistic":18},[],{"title":1636},{"EN":33},[],{"id":36,"createTime":18,"updateTime":18,"relativeEntities":1639,"slug":18,"properties":1640,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1642,"statistic":18},[],{"title":1641},{"EN":40},[],[1644,1651],{"id":44,"indexDatabase":1645,"url":55,"indexYears":56,"academicFieldIds":1650,"indexDatabaseRanking":59},{"id":46,"createTime":18,"updateTime":18,"relativeEntities":1646,"label":1647,"description":1648,"key":52,"publicationTags":1649,"standard":18},[],{"EN":49,"VI":49},{"EN":49,"VI":51},[54],[58],{"id":61,"indexDatabase":1652,"url":74,"indexYears":18,"academicFieldIds":1657,"indexDatabaseRanking":18},{"id":63,"createTime":18,"updateTime":18,"relativeEntities":1653,"label":1654,"description":1655,"key":70,"publicationTags":1656,"standard":18},[],{"EN":66,"VI":66},{"EN":68,"VI":69},[72,73],[76],{"impactFactor":19,"impactFactorByYear":1659,"i10Index":19,"i10IndexLast5Year":19,"totalPublication":80,"totalPublicationByYear":1660,"totalCitation":19,"totalCitationByYear":1661,"totalCitationPerPublication":19,"totalCitationPerPublicationByYear":1662,"hindexLast5Year":19,"hindex":19},{},{"2004":80},{},{},{"pages":1664,"volume":1665},{"VOID":995},{"VOID":1666},"16",{"total":19,"publishYear":1668,"statisticByYear":1669},2015,{},"2015-10-24","2026-07-26T14:57:03.686+00:00",[72,59],{"id":1674,"createTime":1675,"updateTime":1676,"relativeEntities":1677,"slug":1678,"properties":1679,"entityType":106,"verifyStatus":107,"verifyTime":1689,"verifyNote":109,"languages":18,"translateLanguages":18,"viewCount":196,"primaryUrl":1690,"fullTextUrl":18,"authors":1691,"publicationType":222,"publisherRelationship":1804,"citationCount":18,"citationInfo":18,"publishDate":1850,"publishYear":272,"citationAnalyzeStatus":745,"lastCitationAnalyze":1851,"indexDatabases":1852,"openAccess":18,"references":18,"isForceReanalyzing":279},"be420b95-dc23-49ee-8159-c7841351d9da","2023-12-01T07:04:03.440+00:00","2026-07-23T17:50:39.340+00:00",[],"Duration-and-determinants-of-delayed-tuberculosis-diagnosis-and-treatment-in-high-burden-countries-a-mixed-methods-systematic-review-and-meta-analysis",{"abstract":1680,"title":1682,"gsPaper":1684,"references":1685,"doi":1687},{"EN":1681},"Thirty countries with the highest tuberculosis (TB) burden bear 87% of the world’s TB cases. Delayed diagnosis and treatment are detrimental to TB prognosis and sustain TB transmission in the community, making TB elimination a great challenge, especially in these countries. Our objective was to elucidate the duration and determinants of delayed diagnosis and treatment of pulmonary TB in high TB-burden countries. We conducted a systematic review and meta-analysis of quantitative and qualitative studies by searching four databases for literature published between 2008 and 2018 following PRISMA guidelines. We performed a narrative synthesis of the covariates significantly associated with patient, health system, treatment, and total delays. The pooled median duration of delay and effect sizes of covariates were estimated using random-effects meta-analyses. We identified key qualitative themes using thematic analysis. This review included 124 articles from 14 low- and lower-middle-income countries (LIC and LMIC) and five upper-middle-income countries (UMIC). The pooled median duration of delays (in days) were—patient delay (LIC\u002FLMIC: 28 (95% CI 20–30); UMIC: 10 (95% CI 10–20), health system delay (LIC\u002FLMIC: 14 (95% CI 2–28); UMIC: 4 (95% CI 2–4), and treatment delay (LIC\u002FLMIC: 14 (95% CI 3–84); UMIC: 0 (95% CI 0–1). There was consistent evidence that being female and rural residence was associated with longer patient delay. Patient delay was also associated with other individual, interpersonal, and community risk factors such as poor TB knowledge, long chains of care-seeking through private\u002Fmultiple providers, perceived stigma, financial insecurities, and poor access to healthcare. Organizational and policy factors mediated health system and treatment delays. These factors included the lack of resources and complex administrative procedures and systems at the health facilities. We identified data gaps in 11 high-burden countries. This review presented the duration of delays and detailed the determinants of delayed TB diagnosis and treatment in high-burden countries. The gaps identified could be addressed through tailored approaches, education, and at a higher level, through health system strengthening and provision of universal health coverage to reduce delays and improve access to TB diagnosis and care. PROSPERO registration: CRD42018107237.",{"EN":1683},"Duration and determinants of delayed tuberculosis diagnosis and treatment in high-burden countries: a mixed-methods systematic review and meta-analysis",{"VOID":608},{"VOID":1686},"World Health Organization. TB: a global emergency, WHO report on the TB epidemic [Internet]. Geneva: World Health Organization; 1994. Available from: https:\u002F\u002Fapps.who.int\u002Firis\u002Fhandle\u002F10665\u002F58749.\nWorld Health Organization. Global tuberculosis report 2019. 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Tuberc Res Treat. 2016;2016:1–7.\nAddisu Y, Birhanu Z, Tilahun D, Assefa T. Predictors of treatment seeking intention among people with cough in East Wollega, Ethiopia based on the theory of planned behavior: a community based cross-sectional study. Ethiop J Health Sci. 2014;24:131.\nSaifodine A, Gudo PS, Sidat M, Black J. Patient and health system delay among patients with pulmonary tuberculosis in Beira city, Mozambique. BMC Public Health. 2013. https:\u002F\u002Fdoi.org\u002F10.1186\u002F1471-2458-13-559.\nMfinanga SG, Mutayoba BK, Kahwa A, Kimaro G, Mtandu R, Ngadaya E, et al. The magnitude and factors associated with delays in management of smear positive tuberculosis in Dar es Salaam, Tanzania. BMC Health Serv Res. 2008. https:\u002F\u002Fdoi.org\u002F10.1186\u002F1472-6963-8-158.\nNgadaya ES, Mfinanga GS, Wandwalo ER, Morkve O. Delay in tuberculosis case detection in Pwani region, Tanzania. A cross sectional study. 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Challenges from tuberculosis diagnosis to care in community-based active case finding among the urban poor in Cambodia: a mixed-methods study. PLoS ONE. 2015;10:e0130179.\nPurty A, Chauhan R, Natesan M, Cherian J, Singh Z, Sharma Y. Patient and health system delays among adult smear-positive tuberculosis patients diagnosed at medical colleges of Puducherry in south India. Indian J Public Health. 2016;60:77.\nThakur R, Murhekar M. Delay in diagnosis and treatment among tb patients registered under RNTCP mandi, Himachal Pradesh, India, 2010. Indian J Tuberc. 2013;60:37–45.\nTamhane A, Ambe G, Vermund S, Kohler CL, Karande A, Sathiakumar N. Pulmonary tuberculosis in Mumbai, India: factors responsible for patient and treatment delays. Int J Prev Med. 2012;3:13.\nBasa S, Venkatesh S. Patient and healthcare system delays in the start of pulmonary tuberculosis treatment among tribal patients registered under DOTS, Odisha. 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Prevalence of tuberculosis, HIV and respiratory symptoms in two Zambian communities: implications for tuberculosis control in the era of HIV. PLoS ONE. 2009;4:e5602.\nTurner RD, Bothamley GH. Cough and the transmission of tuberculosis. J Infect Dis. 2015;211:1367–72.\nBisallah CI, Rampal L, Lye M-S, Mohd Sidik S, Ibrahim N, Iliyasu Z, et al. Effectiveness of health education intervention in improving knowledge, attitude, and practices regarding Tuberculosis among HIV patients in General Hospital Minna, Nigeria—a randomized control trial. PLoS ONE. 2018. https:\u002F\u002Fdoi.org\u002F10.1371\u002Fjournal.pone.0192276.\nJaramillo E. The impact of media-based health education on tuberculosis diagnosis in Cali, Colombia. Health Policy Plan. 2001;16:68–73.\nZwarenstein M, Fairall LR, Lombard C, Mayers P, Bheekie A, English RG, et al. Outreach education for integration of HIV\u002FAIDS care, antiretroviral treatment, and tuberculosis care in primary care clinics in South Africa: PALSA PLUS pragmatic cluster randomised trial. BMJ. 2011. https:\u002F\u002Fdoi.org\u002F10.1136\u002Fbmj.d2022.\nGonzalez-Angulo Y, Geldenhuys H, Van As D, Buckerfield N, Shea J, Mahomed H, et al. Knowledge and acceptability of patient-specific infection control measures for pulmonary tuberculosis. Am J Infect Control. 2013;41:717–22.\nCraig GM, Daftary A, Engel N, O’Driscoll S, Ioannaki A. Tuberculosis stigma as a social determinant of health: a systematic mapping review of research in low incidence countries. Int J Infect Dis. 2017;56:90–100.\nMeershoek A, Zwerling A, Daftary A, Citro B, Smyth C, Lewis D, et al. TB stigma measurement guidance. Den Haag: KNCV Tuberculosis Foundation; 2018.\nSommerland N, Wouters E, Mitchell EMH, Ngicho M, Redwood L, Masquillier C, et al. Evidence-based interventions to reduce tuberculosis stigma: a systematic review. Int J Tuberc Lung Dis. 2017;21:S81-86.\nBerendes S, Heywood P, Oliver S, Garner P. Quality of private and public ambulatory health care in low and middle income countries: systematic review of comparative studies. Jenkins R, editor. PLoS Med. 2011;8:e1000433.\nTeo AKJ, Ork C, Eng S, Sok N, Tuot S, Hsu LY, et al. Determinants of delayed diagnosis and treatment of tuberculosis in Cambodia: a mixed-methods study. Infect Dis Poverty. 2020;9:49.\nJohansson E, Winkvist A. Trust and transparency in human encounters in tuberculosis control: lessons learned from Vietnam. Qual Health Res. 2002;12:473–91.\nDeber RB, Kraetschmer N, Irvine J. What role do patients wish to play in treatment decision making? Arch Intern Med. 1996;156:1414–20.\nBodnar O, Link A, Arendacká B, Possolo A, Elster C. Bayesian estimation in random effects meta-analysis using a non-informative prior. Stat Med. 2017;36:378–99.\nHartung J, Knapp G. A refined method for the meta-analysis of controlled clinical trials with binary outcome. Stat Med. 2001;20:3875–89.\nTeo AKJ, Prem K, Tuot S, Ork C, Eng S, Pande T, et al. Mobilising community networks for early identification of tuberculosis and treatment initiation in Cambodia: an evaluation of a seed-and-recruit model. ERJ Open Res. 2020;6:00368–2019.\nDaftary A, Frick M, Venkatesan N, Pai M. Fighting TB stigma: we need to apply lessons learnt from HIV activism. BMJ Global Health. 2017;2:e000515.\nWorld Health Organization. Same-day diagnosis of tuberculosis by microscopy: policy statement. [Internet]. Geneva: World Health Organization; 2011 [cited 2020 Jan 29]. Available from: http:\u002F\u002Fwhqlibdoc.who.int\u002Fpublications\u002F2011\u002F9789241501606_eng.pdf.\nDavis JL, Dowdy DW, den Boon S, Walter ND, Katamba A, Cattamanchi A. Test and treat: a new standard for smear-positive tuberculosis. J Acquir Immune Defic Syndr. 2012;61:e6-8.\nLönnroth K, Glaziou P, Weil D, Floyd K, Uplekar M, Raviglione M. Beyond UHC: monitoring health and social protection coverage in the context of tuberculosis care and prevention. 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and a subsequent hemorrhagic shock (T\u002FHS) result in insufficient oxygen delivery to tissues and multiple organ failure. Extracellular adenosine, which is a product of the extracellular degradation of adenosine 5’ triphosphate (ATP) by the membrane-embedded enzymes CD39 and CD73, is organ protective, as it participates in signaling pathways, which promote cell survival and suppress inflammation through adenosine receptors including the A2BR. The aim of this study was to evaluate the role of CD39 and CD73 delivering adenosine to A2BRs in regulating the host’s response to T\u002FHS. T\u002FHS shock was induced by blood withdrawal from the femoral artery in wild-type, global knockout (CD39, CD73, A2BR) and conditional knockout (intestinal epithelial cell-specific deficient VillinCre-A2BRfl\u002Ffl) mice. At 3 three hours after resuscitation, blood and tissue samples were collected to analyze organ injury. T\u002FHS upregulated the expression of CD39, CD73, and the A2BR in organs. ATP and adenosine levels increased after T\u002FHS in bronchoalveolar lavage fluid. CD39, CD73, and A2BR mimics\u002Fagonists alleviated lung and liver injury. Antagonists or the CD39, CD73, and A2BR knockout (KO) exacerbated lung injury, inflammatory cytokines, and chemokines as well as macrophage and neutrophil infiltration and accumulation in the lung. Agonists reduced the levels of the liver enzymes aspartate transferase and alanine transaminase in the blood, whereas antagonist administration or CD39, CD73, and A2BR KO enhanced enzyme levels. In addition, intestinal epithelial cell-specific deficient VillinCre-A2BRfl\u002Ffl mice showed increased intestinal injury compared to their wild-type VillinCre controls. In conclusion, the CD39-CD73-A2BR axis protects against T\u002FHS-induced multiple organ failure.",{"EN":1863},"Adenosine metabolized from extracellular ATP ameliorates organ injury by triggering A2BR signaling",{"VOID":1865},"[\"4098981668781046780\"]",{"EN":1867},"",{"VOID":1869},"10.1186\u002Fs12931-023-02486-3","2024-05-12T22:44:32.910+00:00",[1027],"https:\u002F\u002Frespiratory-research.biomedcentral.com\u002Farticles\u002F10.1186\u002Fs12931-023-02486-3",[1874,1899,1920,1937,1952,1967,1982],{"id":1875,"sortIndex":19,"researcher":18,"roles":1876,"affiliations":1877,"properties":1894,"displayName":1896,"givenName":18,"familyName":18},"4cec1cb9-e672-4eed-8646-8dd21e578789",[],[1878,1886],{"id":1879,"sortIndex":19,"affiliation":1880,"properties":18},"88c2c809-e48d-4c46-b204-fb2025d19d97",{"id":1879,"createTime":18,"updateTime":18,"relativeEntities":1881,"slug":18,"properties":1882,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1885,"statistic":18},[],{"title":1883},{"EN":1884},"Department of Anesthesiology, Columbia University, New York City, USA",[],{"id":1887,"sortIndex":19,"affiliation":1888,"properties":18},"cb2c4f01-5408-4cd9-8f61-0be43ce21ff0",{"id":1887,"createTime":18,"updateTime":18,"relativeEntities":1889,"slug":18,"properties":1890,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1893,"statistic":18},[],{"title":1891},{"EN":1892},"Department of Physiology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey",[],{"title":1895,"gsAuthor":1897},{"EN":1896},"Taha Kelestemur",{"VOID":1898},"[\"vvHNVFcAAAAJ\"]",{"id":1900,"sortIndex":80,"researcher":18,"roles":1901,"affiliations":1902,"properties":1917,"displayName":1919,"givenName":18,"familyName":18},"7d52c9b8-598e-429d-ae0f-e75104ccad5d",[],[1903,1911],{"id":1904,"sortIndex":19,"affiliation":1905,"properties":18},"9a43021c-1bf5-4e29-85c4-28a13b7b60b9",{"id":1904,"createTime":18,"updateTime":18,"relativeEntities":1906,"slug":18,"properties":1907,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1910,"statistic":18},[],{"title":1908},{"EN":1909},"Department of Surgery, Morristown Medical Center, Morristown, USA",[],{"id":1879,"sortIndex":19,"affiliation":1912,"properties":18},{"id":1879,"createTime":18,"updateTime":18,"relativeEntities":1913,"slug":18,"properties":1914,"entityType":18,"verifyStatus":18,"verifyTime":18,"verifyNote":18,"languages":18,"translateLanguages":18,"viewCount":18,"url":18,"parentIds":1916,"statistic":18},[],{"title":1915},{"EN":1884},[],{"title":1918},{"EN":1919},"Zoltán H. 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