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Pulmonary fibrosis: pathogenesis, etiology and regulation

Open access
Wilson, M S, Wynn, T A·2009·Mucosal Immunology

Abstract

Pulmonary fibrosis and architectural remodeling of tissues can severely disrupt lung function, often with fatal consequences. The etiology of pulmonary fibrotic diseases is varied, with an array of triggers including allergens, chemicals, radiation and environmental particles. However, the cause of one of the most common pulmonary fibrotic conditions, idiopathic pulmonary fibrosis (IPF), is still unclear. This review examines common mechanisms of pulmonary wound-healing responses following lung injury, and highlights the pathogenesis of some of the most widespread pulmonary fibrotic diseases. A three phase model of wound repair is reviewed that includes; (1) injury; (2) inflammation; and (3) repair. In most pulmonary fibrotic conditions dysregulation at one or more of these phases has been reported. Chronic inflammation can lead to an imbalance in the production of chemokines, cytokines, growth factors, and disrupt cellular recruitment. These changes coupled with excessive pro-fibrotic IL-13 and/or TGFβ1 production can turn a well-controlled healing response into a pathogenic fibrotic response. Endogenous regulatory mechanisms are discussed including novel areas of therapeutic intervention. Restoring homeostasis to these dysregulated healing responses, or simply neutralizing the key pro-fibrotic mediators may prevent or slow the progression of pulmonary fibrosis.

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Metadata

Authors
Wilson, M. S., & Wynn, T. A.
Venue
Mucosal Immunology
Publisher
Elsevier BV
Published
2009-03
Volume
2
Issue
2
Pages
103-121
ISSN
1933-0219 (ISSN-L)
OpenAlex
W2064307892
Cited by
822
References
17
FWCI
31.76
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Pulmonary fibrosis: pathogenesis, etiology and regulation. https://app.cochat.ai/papers/10.1038/mi.2008.85
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Wilson, M. S., & Wynn, T. A. (2009). Pulmonary fibrosis: pathogenesis, etiology and regulation. Mucosal Immunology. https://doi.org/10.1038/mi.2008.85

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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.