Cited by 336Transplantation: Methods and OutcomesCOVID-19 Clinical Research StudiesSARS-CoV-2 and COVID-19 Research

Lung transplantation for patients with severe COVID-19

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Bharat, Ankit, Querrey, Melissa, Markov, Nikolay S., Kim, Samuel, Kurihara, Chitaru, Garza-Castillon, Rafael, Manerikar, Adwaiy, Shilatifard, Ali +7 more·2020·Science Translational Medicine

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Abstract

Some patients with severe COVID-19 develop end-stage pulmonary fibrosis for which lung transplantation may be the only treatment.

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Crossref · 10.1126/scitranslmed.abe4282

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  • In patients with ARDS without underlying lung disease, transplantation may be indicated if the patient is not withdrawn from the ventilator or if there is evidence of irreversible lung injury.

    “In patients with acute respiratory distress syndrome (ARDS) without underlying lung disease, transplantation may be indicated if the patient is not withdrawn from the ventilator or if there is evidence of irreversible lung injury.”

    From Indications for Lung Transplantation and Patient Selection (2022) · cites this paper as [66]

    The Discussion (page unavailable) supports considering transplantation for irreversible lung disease after severe COVID-19, generally only after 4–6 weeks of mechanical ventilation to allow for possible recovery. It does not extend that recommendation to ARDS generally or say that inability to come off a ventilator alone is an indication. (LLM, conf=0.87)

    Experimental — accuracy not yet measured
  • Transplantation has recently become an important option in cases of irreversible fibrotic changes of the lungs in ARDS caused by COVID-19.

    “Transplantation has recently become an important option in cases of irreversible fibrotic changes of the lungs in ARDS caused by coronavirus disease 2019 [66,67].”

    From Indications for Lung Transplantation and Patient Selection (2022) · cites this paper as [66]

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References 44 · Cited by 336

Research works printed but not linked: 28

  1. [1]J. Geleris, Y. Sun, J. Platt, J. Zucker, M. Baldwin, G. Hripcsak, A. Labella, D. K. Manson, C. Kubin, R. G. Barr, M. E. Sobieszczyk, N. W. Schluger, Observational study of hydroxychloroquine in hospitalized patients with Covid-19. N. Engl. J. Med. 382, 2411– 2418 (2020). 32379955 PMC7224609
  2. [5]S. C. van der Mark, R. A. S. Hoek, M. E. Hellemons, Developments in lung transplantation over the past decade. Eur. Respir. Rev. 29, 190132 (2020). 32699023 PMC9489139
  3. [6]R. G. Brower, P. N. Lanken, N. M. Intyre, M. A. Matthay, A. Morris, M. Ancukiewicz, D. Schoenfeld, B. T. Thompson; National Heart, Lung, and Blood Institute ARDS Clinical Trials Network, Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N. Engl. J. Med. 351, 327– 336 (2004). 15269312
  4. [7]C. Guérin, J. Reignier, J.-C. Richard, P. Beuret, A. Gacouin, T. Boulain, E. Mercier, M. Badet, A. Mercat, O. Baudin, M. Clavel, D. Chatellier, S. Jaber, S. Rosselli, J. Mancebo, M. Sirodot, G. Hilbert, C. Bengler, J. Richecoeur, M. Gainnier, F. Bayle, G. Bourdin, V. Leray, R. Girard, L. Baboi, L. Ayzac; PROSEVA Study Group, Prone positioning in severe acute respiratory distress syndrome. N. Engl. J. Med. 368, 2159– 2168 (2013). 23688302
  5. [8]C. Kurihara, J. M. Walter, B. D. Singer, H. Cajigas, S. Shayan, A. Al-Qamari, M. M. De Camp, R. Wunderink, G. R. S. Budinger, A. Bharat, Extracorporeal membrane oxygenation can successfully support patients with severe acute respiratory distress syndrome in lieu of mechanical ventilation. Crit. Care Med. 46, e1070– e1073 (2018). 30095500 PMC6185806
  6. [9]A. Bharat, M. M. DeCamp, Veno-arterial extracorporeal membrane oxygenation without therapeutic anticoagulation for intra-operative cardiopulmonary support during lung transplantation. J. Thorac. Dis. 9, E629– E631 (2017). 28840030 PMC5542924
  7. [10]J. Tomasko, S. M. Prasad, D. O. Dell, M. M. DeCamp, A. Bharat, Therapeutic anticoagulation-free extracorporeal membrane oxygenation as a bridge to lung transplantation. J. Heart Lung Transplant. 35, 947– 948 (2016). 27235267
  8. [11]K. L. Wood, B. Ayers, I. Gosev, N. Kumar, A. L. Melvin, B. Barrus, S. Prasad, Venoarterial-extracorporeal membrane oxygenation without routine systemic anticoagulation decreases adverse events. Ann. Thorac. Surg. 109, 1458– 1466 (2020). 31563493
  9. [12]M. Ackermann, S. E. Verleden, M. Kuehnel, A. Haverich, T. Welte, F. Laenger, A. Vanstapel, C. Werlein, H. Stark, A. Tzankov, W. W. Li, V. W. Li, S. J. Mentzer, D. Jonigk, Pulmonary vascular endothelialitis, thrombosis, and angiogenesis in Covid-19. N. Engl. J. Med. 383, 120– 128 (2020). 32437596 PMC7412750
  10. [13]I. Sola, F. Almazán, S. Zúñiga, L. Enjuanes, Continuous and Discontinuous RNA Synthesis in Coronaviruses. Annu. Rev. Virol. 2, 265– 288 (2015). 26958916 PMC6025776
  11. [15]E. Valenzi, M. Bulik, T. Tabib, C. Morse, J. Sembrat, H. T. Bittar, M. Rojas, R. Lafyatis, Single-cell analysis reveals fibroblast heterogeneity and myofibroblasts in systemic sclerosis-associated interstitial lung disease. Ann. Rheum. Dis. 78, 1379– 1387 (2019). 31405848 PMC7255436
  12. [16]A. C. Habermann, A. J. Gutierrez, L. T. Bui, S. L. Yahn, N. I. Winters, C. L. Calvi, L. Peter, M.-I. Chung, C. J. Taylor, C. Jetter, L. Raju, J. Roberson, G. Ding, L. Wood, J. M. S. Sucre, B. W. Richmond, A. P. Serezani, W. J. McDonnell, S. B. Mallal, M. J. Bacchetta, J. E. Loyd, C. M. Shaver, L. B. Ware, R. Bremner, R. Walia, T. S. Blackwell, N. E. Banovich, J. A. Kropski, Single-cell RNA sequencing reveals profibrotic roles of distinct epithelial and mesenchymal lineages in pulmonary fibrosis. Sci. Adv. 6, eaba1972 (2020). 32832598 PMC7439444
  13. [17]T. S. Adams, J. C. Schupp, S. Poli, E. A. Ayaub, N. Neumark, F. Ahangari, S. G. Chu, B. A. Raby, G. De Iuliis, M. Januszyk, Q. Duan, H. A. Arnett, A. Siddiqui, G. R. Washko, R. Homer, X. Yan, I. O. Rosas, N. Kaminski, Single-cell RNA-seq reveals ectopic and aberrant lung-resident cell populations in idiopathic pulmonary fibrosis. Sci. Adv. 6, eaba1983 (2020). 32832599 PMC7439502
  14. [18]M. Lotfollahi, M. Naghipourfar, M. D. Luecken, M. Khajavi, M. Büttner, Z. Avsec, A. V. Misharin, F. J. Theis, Query to reference single-cell integration with transfer learning. bioRxiv 10.1101/2020.07.16.205997. · DOI
  15. [19]M. Strunz, L. M. Simon, M. Ansari, J. J. Kathiriya, I. Angelidis, C. H. Mayr, G. Tsidiridis, M. Lange, L. F. Mattner, M. Yee, P. Ogar, A. Sengupta, I. Kukhtevich, R. Schneider, Z. Zhao, C. Voss, T. Stoeger, J. H. L. Neumann, A. Hilgendorff, J. Behr, M. O’Reilly, M. Lehmann, G. Burgstaller, M. Königshoff, H. A. Chapman, F. J. Theis, H. B. Schiller, Alveolar regeneration through a Krt8+ transitional stem cell state that persists in human lung fibrosis. Nat. Commun. 11, 3559 (2020). 32678092 PMC7366678
  16. [20]Y. Kobayashi, A. Tata, A. Konkimalla, H. Katsura, R. F. Lee, J. Ou, N. E. Banovich, J. A. Kropski, P. R. Tata, Persistence of a regeneration-associated, transitional alveolar epithelial cell state in pulmonary fibrosis. Nat. Cell Biol. 22, 934– 946 (2020). 32661339 PMC7461628
  17. [21]P. Jiang, R. G. de Rubio, S. M. Hrycaj, S. J. Gurczynski, K. A. Riemondy, B. B. Moore, M. B. Omary, K. M. Ridge, R. L. Zemans, Ineffectual type 2-to-type 1 alveolar epithelial cell differentiation in idiopathic pulmonary fibrosis: Persistence of the KRT8hi transitional state. Am. J. Respir. Crit. Care Med. 201, 1443– 1447 (2020). 32073903 PMC7258651
  18. [22]H. Wu, Y. Yu, H. Huang, Y. Hu, S. Fu, Z. Wang, M. Shi, X. Zhao, J. Yuan, J. Li, X. Yang, E. Bin, D. Wei, H. Zhang, J. Zhang, C. Yang, T. Cai, H. Dai, J. Chen, N. Tang, Progressive pulmonary fibrosis is caused by elevated mechanical tension on alveolar stem cells. Cell 180, 107– 121.e17 (2020). 31866069
  19. [24]N. Joshi, S. Watanabe, R. Verma, R. P. Jablonski, C.-I. Chen, P. Cheresh, N. S. Markov, P. A. Reyfman, A. C. McQuattie-Pimentel, L. Sichizya, Z. Lu, R. Piseaux-Aillon, D. Kirchenbuechler, A. S. Flozak, C. J. Gottardi, C. M. Cuda, H. Perlman, M. Jain, D. W. Kamp, G. R. S. Budinger, A. V. Misharin, A spatially restricted fibrotic niche in pulmonary fibrosis is sustained by M-CSF/M-CSFR signalling in monocyte-derived alveolar macrophages. Eur. Respir. J. 55, 1900646 (2020). 31601718 PMC6962769
  20. [25]X. Zhou, R. A. Franklin, M. Adler, J. B. Jacox, W. Bailis, J. A. Shyer, R. A. Flavell, A. Mayo, U. Alon, R. Medzhitov, Circuit design features of a stable two-cell system. Cell 172, 744– 757.e17 (2018). 29398113 PMC7377352
  21. [27]M. M. Arons, K. M. Hatfield, S. C. Reddy, A. Kimball, A. James, J. R. Jacobs, J. Taylor, K. Spicer, A. C. Bardossy, L. P. Oakley, S. Tanwar, J. W. Dyal, J. Harney, Z. Chisty, J. M. Bell, M. Methner, P. Paul, C. M. Carlson, H. P. McLaughlin, N. Thornburg, S. Tong, A. Tamin, Y. Tao, A. Uehara, J. Harcourt, S. Clark, C. Brostrom-Smith, L. C. Page, M. Kay, J. Lewis, P. Montgomery, N. D. Stone, T. A. Clark, M. A. Honein, J. S. Duchin, J. A. Jernigan; Public Health-Seattle and King County and CDC COVID-19 Investigation Team, Presymptomatic SARS-CoV-2 infections and transmission in a skilled nursing facility. N. Engl. J. Med. 382, 2081– 2090 (2020). 32329971 PMC7200056
  22. [28]J. Bullard, K. Dust, D. Funk, J. E. Strong, D. Alexander, L. Garnett, C. Boodman, A. Bello, A. Hedley, Z. Schiffman, K. Doan, N. Bastien, Y. Li, P. G. Van Caeseele, G. Poliquin, Predicting infectious Severe Acute Respiratory Syndrome Coronavirus 2 from diagnostic samples. Clin. Infect. Dis. 22, ciaa638 (2020). PMC7314198 32442256
  23. [29]N. H. Juul, C. A. Stockman, T. J. Desai, Niche cells and signals that regulate lung alveolar stem cells in vivo. Cold Spring Harb. Perspect. Biol. 12, a040303 (2020). 32179507 PMC7706567
  24. [30]A. N. Nabhan, D. G. Brownfield, P. B. Harbury, M. A. Krasnow, T. J. Desai, Single-cell Wnt signaling niches maintain stemness of alveolar type 2 cells. Science 359, 1118– 1123 (2018). 29420258 PMC5997265
  25. [31]J. A. Zepp, W. J. Zacharias, D. B. Frank, C. A. Cavanaugh, S. Zhou, M. P. Morley, E. E. Morrisey, Distinct mesenchymal lineages and niches promote epithelial self-renewal and myofibrogenesis in the lung. Cell 170, 1134– 1148.e10 (2017). 28886382 PMC5718193
  26. [32]J. Chen, H. Wu, Y. Yu, N. Tang, Pulmonary alveolar regeneration in adult COVID-19 patients. Cell Res. 30, 708– 710 (2020). 32632255 PMC7338112
  27. [33]Y. G. Park, C. H. Sohn, R. Chen, M. M. Cue, D. H. Yun, G. T. Drummond, T. Ku, N. B. Evans, H. C. Oak, W. Trieu, H. Choi, X. Jin, V. Lilascharoen, J. Wang, M. C. Truttmann, H. W. Qi, H. L. Ploegh, T. R. Golub, S.-C. Chen, M. P. Frosch, H. J. Kulik, B. K. Lim, K. Chung, Protection of tissue physicochemical properties using polyfunctional crosslinkers. Nat. Biotechnol., (2018). PMC6579717 30556815
  28. [36]K. Polański, M. D. Young, Z. Miao, K. B. Meyer, S. A. Teichmann, J.-E. Park, BBKNN: fast batch alignment of single cell transcriptomes. Bioinformatics 36, 964– 965 (2020). 31400197 PMC9883685

Authors
Bharat, A., Querrey, M., Markov, N. S., Kim, S., Kurihara, C., Garza-Castillon, R., Manerikar, A., Shilatifard, A., Tomic, R., Politanska, Y., Abdala-Valencia, H., Yeldandi, A. V., Lomasney, J. W., Misharin, A. V., & Budinger, G. R. S.
Affiliations
  • Northwestern University (US)
  • Division of Thoracic Surgery, Northwestern Memorial Hospital, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
  • Division of Pulmonary and Critical Care Medicine, Northwestern Memorial Hospital, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Corresponding author
Bharat, Ankit
Venue
Science Translational Medicine
Published
2020-12-16
Volume
12
Issue
574
ISSN
  • 1946-6234 (ISSN-L)
  • 1946-6242
OpenAlex
W3110514822
Cited by
336
References
44
Citations by year
2026: 15 · 2025: 29 · 2024: 37 · 2023: 74 · 2022: 99 · 2021: 79 · 2020: 3
FWCI
58.26
Type
journal article
Language
en
Open access
Locations
  • Science Translational Medicine (publishedVersion, cc-by)
  • medRxiv (acceptedVersion)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion)
Funders
  • National Institute on Aging (AG049665)
  • National Heart, Lung, and Blood Institute (HL147290, HL145478, HL147575, HL153312)
  • National Institute of Allergy and Infectious Diseases (AI135964)
  • U.S. Department of Veterans Affairs (I01CX001777)
  • Northwestern University (NUCATS COVID-19 Rapid Response Grant)
  • Chan Zuckerberg Initiative (CZI Seed Networks for the Human Cell Atlas)
Topics
  • Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
  • Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
  • Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
Keywords
lung transplantation, COVID-19 pandemic, SARS-CoV-2, pulmonary fibrosis, ventilator-associated pneumonia, single-cell RNA sequencing, single-molecule fluorescence in situ hybridization, machine learning, gene expression comparison, end-stage lung disease

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