Cited by 400Interstitial Lung Diseases and Idiopathic Pulmonary FibrosisTelomeres, Telomerase, and SenescenceOccupational and environmental lung diseases

Telomere-related lung fibrosis is diagnostically heterogeneous but uniformly progressive

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Newton, Chad A., Batra, Kiran, Torrealba, Jose, Kozlitina, Julia, Glazer, Craig S., Aravena, Carlos, Meyer, Keith, Raghu, Ganesh +2 more·2016·European Respiratory Journal

Abstract

Heterozygous mutations in four telomere-related genes have been linked to pulmonary fibrosis, but little is known about similarities or differences of affected individuals. 115 patients with mutations in telomerase reverse transcriptase ( TERT ) (n=75), telomerase RNA component ( TERC ) (n=7), regulator of telomere elongation helicase 1 ( RTEL1 ) (n=14) and poly(A)-specific ribonuclease ( PARN ) (n=19) were identified and clinical data were analysed. Approximately one-half (46%) had a multidisciplinary diagnosis of idiopathic pulmonary fibrosis (IPF); others had unclassifiable lung fibrosis (20%), chronic hypersensitivity pneumonitis (12%), pleuroparenchymal fibroelastosis (10%), interstitial pneumonia with autoimmune features (7%), an idiopathic interstitial pneumonia (4%) and connective tissue disease-related interstitial fibrosis (3%). Discordant interstitial lung disease diagnoses were found in affected individuals from 80% of families. Patients with TERC mutations were diagnosed at an earlier age than those with PARN mutations (51±11 years versus 64±8 years; p=0.03) and had a higher incidence of haematological comorbidities. The mean rate of forced vital capacity decline was 300 mL·year −1 and the median time to death or transplant was 2.87 years. There was no significant difference in time to death or transplant for patients across gene mutation groups or for patients with a diagnosis of IPF versus a non-IPF diagnosis. Genetic mutations in telomere related genes lead to a variety of interstitial lung disease (ILD) diagnoses that are universally progressive.

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Crossref · 10.1183/13993003.00308-2016

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  • Some studies have shown no notable effects of anti-fibrotic agents on wounds, anastomosis, or bleeding.

    “some studies have shown no notable effects of anti-fibrotic agents on wounds, anastomosis, or bleeding [51-53].”

    From Indications for Lung Transplantation and Patient Selection (2022) · cites this paper as [51]

    The Discussion says the authors could not assess disease progression in patients taking FDA-approved medications; it does not report effects on wounds, anastomoses, or bleeding. Searches for anti-fibrotic agents and postoperative complications found no passage addressing those outcomes in our copy. (LLM, conf=0.76)

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Authors
Newton, C. A., Batra, K., Torrealba, J., Kozlitina, J., Glazer, C. S., Aravena, C., Meyer, K., Raghu, G., Collard, H. R., & Garcia, C. K.
Affiliations
  • The University of Texas Southwestern Medical Center (US)
  • University of California, San Francisco (US)
  • University of Wisconsin–Madison (US)
  • University of Washington (US)
Venue
European Respiratory Journal
Published
2016-08-18
Volume
48
Issue
6
Pages
1710-1720
ISSN
  • 0903-1936 (ISSN-L)
  • 1399-3003
OpenAlex
W2507219139
Cited by
400
References
37
Citations by year
2026: 40 · 2025: 43 · 2024: 41 · 2023: 41 · 2022: 56 · 2021: 51 · 2020: 37 · 2019: 30 · 2018: 30 · 2017: 27 · 2016: 2
FWCI
26.54
Type
journal article
Language
en
Open access
Locations
  • European Respiratory Journal (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
National Heart, Lung, and Blood Institute (5T32HL098040, R01HL093096, UL1TR001105)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
  • Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Occupational and environmental lung diseases
Keywords
pulmonary fibrosis, TERT mutation, TERC mutations, idiopathic pulmonary fibrosis, interstitial lung disease, disease progression, forced vital capacity decline, pleuroparenchymal fibroelastosis, chronic hypersensitivity pneumonitis, genetic heterogeneity
MeSH terms
Aged, DNA Helicases, Exoribonucleases, Female, Humans, Male, Middle Aged, Mutation, RNA, Texas, Tomography, X-Ray Computed, Linear Models, Lung Transplantation, Telomere, Telomerase, Idiopathic Pulmonary Fibrosis

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