Cited by 137Interstitial Lung Diseases and Idiopathic Pulmonary FibrosisPharmacovigilance and Adverse Drug ReactionsPulmonary Hypertension Research and Treatments

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Anxiety caused by a short-life hypnotic.

Open access
Morgan, K, Oswald, I·1982·BMJ

Abstract

A comprehensive understanding of the changes in gene expression in cell types involved in idiopathic pulmonary fibrosis (IPF) will shed light on the mechanisms underlying the loss of alveolar epithelial cells, and development of honeycomb cysts and fibroblastic foci. We sought to understand changes in IPF lung cell transcriptomes and gain insight into innate immune aspects of pathogenesis. We investigated IPF pathogenesis using single cell RNA-sequencing of fresh lung explants, comparing human IPF fibrotic lower lobes reflecting late disease, upper lobes reflecting early disease and normal lungs. IPF lower lobes showed increased fibroblasts, and basal, ciliated, goblet and club cells, but decreased alveolar epithelial cells, and marked alterations in inflammatory cells. We found three discrete macrophage subpopulations in normal and fibrotic lungs, one expressing monocyte markers, one highly expressing FABP4 and INHBA (FABP4hi), and one highly expressing SPP1 and MERTK (SPP1hi). SPP1hi macrophages in fibrotic lower lobes showed highly upregulated SPP1 and MERTK expression. Low-level local proliferation of SPP1hi macrophages in normal lungs was strikingly increased in IPF lungs. Co-localisation and causal modelling supported the role for these highly proliferative SPP1hi macrophages in activation of IPF myofibroblasts in lung fibrosis. These data suggest SPP1hi macrophages contribute importantly to lung fibrosis in IPF, and that therapeutic strategies targeting MERTK and macrophage proliferation may show promise for treatment of this disease.

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Metadata

Authors
Morgan, K., & Oswald, I.
Venue
BMJ
Publisher
BMJ
Published
1982-03-27
Volume
284
Issue
6320
Pages
942-942
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W2150408288
Cited by
137
References
5
Citations by year
2023: 1 · 2021: 1 · 2020: 1 · 2016: 1 · 2013: 1
FWCI
26.01
Type
journal article
Language
en
Open access
Locations
  • BMJ (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Pharmacovigilance and Adverse Drug Reactions
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pulmonary Hypertension Research and Treatments
Keywords
idiopathic pulmonary fibrosis, pulmonary fibrosis, MERTK, macrophage proliferation, myofibroblast activation, alveolar epithelial cells, macrophage subpopulations, innate immunity, gene expression, single-cell transcriptomics, honeycomb cysts
MeSH terms
Anxiety Disorders, Benzodiazepines, Benzodiazepinones, Clinical Trials as Topic, Double-Blind Method, Female, Half-Life, Humans, Male, Middle Aged, Substance Withdrawal Syndrome, Anti-Anxiety Agents, Triazolam

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