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Cited by 517

The DOI matches its Crossref record; 214 of the 214 references it cites were found in a registry or an index.

Inflammation and immunity in IPF pathogenesis and treatment

Open access
Heukels, P., Moor, C.C., von der Thüsen, J.H., Wijsenbeek, M.S., Kool, M.·2019·Respiratory Medicine

Abstract

Idiopathic pulmonary fibrosis (IPF) is a progressive, and ultimately fatal, chronic interstitial lung disease characterized by enhanced extracellular matrix deposition. Repetitive alveolar epithelial injury triggers the early development of fibrosis. These injuries, in combination with dysregulated wound repair and fibroblast dysfunction, lead to ongoing tissue remodelling and fibrosis seen in end-stage pulmonary fibrosis. Although the exact etiology in IPF is unknown and probably diverse, all stages of fibrosis are accompanied by innate and adaptive immune responses. The role of inflammation as an important component in IPF etiology is controversial and sometimes seen as an epiphenomenon of fibrosis. This view is partly the result of negative multicenter trials of anti-inflammatory drugs for IPF treatment. However, new insights on the role of macrophages, the loss of T-cell and B-cell tolerance leading auto-immune responses in IPF, and the interaction of immune cells with (myo)fibroblasts have led to a slow change of this opinion. Clearly, more insight is needed to integrate basic immune mechanisms into translational research and finally new IPF therapies. In this concise review, we will focus on the role of our innate and adaptive immune system in the initiation and perpetuation of IPF pathobiology. Next, we will discuss how immune responses are influenced by current anti-fibrotic treatments, such as pirfenidone and nintedanib and end with an overview of recent and upcoming therapeutic trials that target and modulate our immune system in patients with IPF.

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Crossref · 10.1016/j.rmed.2018.12.015

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Metadata

Authors
Heukels, P., Moor, C. C., von der Thüsen, J. H., Wijsenbeek, M. S., & Kool, M.
Venue
Respiratory Medicine
Publisher
Elsevier BV
Published
2019-02
Volume
147
Pages
79-91
ISSN
0954-6111 (ISSN-L)
OpenAlex
W2909223530
Cited by
517
References
214
FWCI
30.64
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Inflammation and immunity in IPF pathogenesis and treatment. https://app.cochat.ai/papers/10.1016/j.rmed.2018.12.015
The paper
Heukels, P., Moor, C. C., von der Thüsen, J. H., Wijsenbeek, M. S., & Kool, M. (2019). Inflammation and immunity in IPF pathogenesis and treatment. Respiratory Medicine. https://doi.org/10.1016/j.rmed.2018.12.015

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.