Evidence map›Paper›PMID 19850947›Full record

ArticleAmerican journal of respiratory and critical care medicine2010

Targeted injury of type II alveolar epithelial cells induces pulmonary fibrosis.

Thomas H Sisson, Michael Mendez, Karen Choi, Natalya Subbotina, Anthony Courey, Andrew Cunningham, Aditi Dave, John F Engelhardt, Xiaoming Liu, Eric S White and 4 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in American journal of respiratory and critical care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 277 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
277citing papers in PubMed, 1 pooled it
15.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

277 citing papers in PubMed, 1 synthesis or guideline pooled it, 485 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Antifibrotic Effects ofInternational journal of molecular sciences · 2026
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217 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 2 countries.

Thomas H SissonDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan Medical Center, 1150 West Medical Center Drive, 6301 MSRB III, Ann Arbor, MI 48109-5642, USA. tsisson@umich.edu
Michael Mendez
Karen Choi
Natalya Subbotina
Anthony Courey
Andrew Cunningham
Aditi Dave
John F Engelhardt
Xiaoming Liu
Eric S White
Victor J Thannickal
Bethany B Moore
Paul J Christensen
Richard H Simon
University of Michigan · USUniversity of Iowa · USVeterans Health Administration · US

Funding

Vector Core-Core 2P30DK054759 · NIDDK · UNIVERSITY OF IOWA · PI Alejandro Antonio Pezzulo · 1998 to 2026
$30.5M
The Anti-protease and Vitronectin-binding Functions of PAI-1 in Lung FibrosisR01HL078871 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SISSON, THOMAS H · 2007 to 2018
$4.0M
Biology of submucosal gland stem cells in the airwayR37DK047967 · NIDDK · UNIVERSITY OF IOWA · PI ENGELHARDT, JOHN F · 2005 to 2014
$3.8M
THE ROLE OF PNEUMOCYSTIS IN THE DEVELOPMENT OF COPDR01HL083844 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHRISTENSEN, PAUL · 2006 to 2009
$1.2M
NHLBI NIH HHS R01 HL078871NHLBI NIH HHS R01 HL083844NIDDK NIH HHS P30 DK054759NIDDK NIH HHS R37 DK047967
6 · The paper itself

Abstract

rationaleIneffective repair of a damaged alveolar epithelium has been postulated to cause pulmonary fibrosis. In support of this theory, epithelial cell abnormalities, including hyperplasia, apoptosis, and persistent denudation of the alveolar basement membrane, are found in the lungs of humans with idiopathic pulmonary fibrosis and in animal models of fibrotic lung disease. Furthermore, mutations in genes that affect regenerative capacity or that cause injury/apoptosis of type II alveolar epithelial cells have been identified in familial forms of pulmonary fibrosis. Although these findings are compelling, there are no studies that demonstrate a direct role for the alveolar epithelium or, more specifically, type II cells in the scarring process.

objectivesTo determine if a targeted injury to type II cells would result in pulmonary fibrosis.

methodsA transgenic mouse was generated to express the human diphtheria toxin receptor on type II alveolar epithelial cells. Diphtheria toxin was administered to these animals to specifically target the type II epithelium for injury. Lung fibrosis was assessed by histology and hydroxyproline measurement. MEASUREMENTS AND MAIN

resultsTransgenic mice treated with diphtheria toxin developed an approximately twofold increase in their lung hydroxyproline content on Days 21 and 28 after diphtheria toxin treatment. The fibrosis developed in conjunction with type II cell injury. Histological evaluation revealed diffuse collagen deposition with patchy areas of more confluent scarring and associated alveolar contraction.

conclusionsThe development of lung fibrosis in the setting of type II cell injury in our model provides evidence for a causal link between the epithelial defects seen in idiopathic pulmonary fibrosis and the corresponding areas of scarring.

Indexed as

AnimalsApoptosisCells, CulturedDisease Models, AnimalEpithelial CellsGene Expression RegulationGenotypeHeparin-binding EGF-like Growth FactorIntercellular Signaling Peptides and ProteinsMiceMice, Inbred C57BLMice, TransgenicPeptidesPulmonary AlveoliPulmonary FibrosisPulmonary Surfactant-Associated Protein CHBEGF protein, humanHbegf protein, mouseHeparin-binding EGF-like Growth FactorIntercellular Signaling Peptides and ProteinsPeptidesPulmonary Surfactant-Associated Protein CRNASftpc protein, mouse

Identifiers

PMID19850947
PMCPMC2817814
OpenAlexW1996883499

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.