Cited by 1,085Interstitial Lung Diseases and Idiopathic Pulmonary FibrosisCOVID-19 Clinical Research StudiesRespiratory Support and Mechanisms

Pulmonary fibrosis and COVID-19: the potential role for antifibrotic therapy

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George, Peter M, Wells, Athol U, Jenkins, R Gisli·2020·The Lancet Respiratory Medicine

Abstract

In December, 2019, reports emerged from Wuhan, China, of a severe acute respiratory disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). By the end of April, 2020, over 3 million people had been confirmed infected, with over 1 million in the USA alone, and over 215 000 deaths. The symptoms associated with COVID-19 are diverse, ranging from mild upper respiratory tract symptoms to severe acute respiratory distress syndrome. The major risk factors for severe COVID-19 are shared with idiopathic pulmonary fibrosis (IPF), namely increasing age, male sex, and comorbidities such as hypertension and diabetes. However, the role of antifibrotic therapy in patients with IPF who contract SARS-CoV-2 infection, and the scientific rationale for their continuation or cessation, is poorly defined. Furthermore, several licensed and potential antifibrotic compounds have been assessed in models of acute lung injury and viral pneumonia. Data from previous coronavirus infections such as severe acute respiratory syndrome and Middle East respiratory syndrome, as well as emerging data from the COVID-19 pandemic, suggest there could be substantial fibrotic consequences following SARS-CoV-2 infection. Antifibrotic therapies that are available or in development could have value in preventing severe COVID-19 in patients with IPF, have the potential to treat severe COVID-19 in patients without IPF, and might have a role in preventing fibrosis after SARS-CoV-2 infection.

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Authors
George, P. M., Wells, A. U., & Jenkins, R. G.
Affiliations
Royal Brompton & Harefield NHS Foundation Trust (GB)
Venue
The Lancet Respiratory Medicine
Publisher
Elsevier BV
Published
2020-08
Volume
8
Issue
8
Pages
807-815
ISSN
2213-2600 (ISSN-L)
OpenAlex
W3026032531
Cited by
1,085
References
110
Citations by year
2026: 45 · 2025: 86 · 2024: 98 · 2023: 161 · 2022: 233 · 2021: 312 · 2020: 147 · 2012: 1
FWCI
30.26
Type
journal article
Language
en
Open access
Locations
  • The Lancet Respiratory Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Roche Products
  • Canadian Pulmonary Fibrosis Foundation
  • GlaxoSmithKline
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
  • Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
Keywords
pulmonary fibrosis, COVID-19 pandemic, SARS-CoV-2, antifibrotic therapy, idiopathic pulmonary fibrosis, acute lung injury, viral pneumonia, fibrosis prevention, risk factors for severe COVID-19, antifibrotic agents
MeSH terms
Betacoronavirus, COVID-19, SARS-CoV-2, COVID-19 Drug Treatment, Antifibrinolytic Agents, Humans, Pneumonia, Viral, Pulmonary Fibrosis, Coronavirus Infections, Pandemics

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