Evidence map›Paper›PMID 24921217›Full record

ArticleAmerican journal of respiratory and critical care medicine2014

Wnt coreceptor Lrp5 is a driver of idiopathic pulmonary fibrosis.

Anna P Lam, Jose D Herazo-Maya, Joseph A Sennello, Annette S Flozak, Susan Russell, Gökhan M Mutlu, G R Scott Budinger, Ramanuj DasGupta, John Varga, Naftali Kaminski and 1 more

Abstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
10.1field-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

66 citing papers in PubMed, 108 citations in OpenAlex.

  1. Article
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  3. Review
  4. Review
  5. Article
  6. A polymorphism in the FAM13A gene confers protection against tuberculosis in Brazilian workers exposed to silica.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Article
  7. Immunobiology of pulmonary fibrosis.Frontiers in immunology · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Plasticity towards Rigidity: A Macrophage Conundrum in Pulmonary Fibrosis.International journal of molecular sciences · 2022
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Noncanonical Wnt Signaling Promotes Myofibroblast Differentiation in Pulmonary Fibrosis.American journal of respiratory cell and molecular biology · 2021
    Article
  20. Endothelial-to-mesenchymal transition in systemic sclerosis.Clinical and experimental immunology · 2021
    Review

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Anna P Lam1 Division of Pulmonary and Critical Care Medicine and.
Jose D Herazo-Maya
Joseph A Sennello
Annette S Flozak
Susan Russell
Gökhan M Mutlu
G R Scott Budinger
Ramanuj DasGupta
John Varga
Naftali Kaminski
Cara J Gottardi
Pulmonary and Critical Care Associates · USYale University · USNorthwestern University · USNYU Langone Health · US

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Daniela E Matei · 1993 to 2026
$153.9M
Role of LUBAC and Na K-ATPase in Acute Lung InjuryP01HL071643 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI RIDGE, KAREN M · 2003 to 2019
$30.8M
Training Program In Lung SciencesT32HL076139 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KAREN M RIDGE, Jacob I Sznajder · 2004 to 2026
$9.6M
Signaling in the lung induced by particulate matter air pollutionR01ES013995 · NIEHS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BUDINGER, GR SCOTT · 2006 to 2015
$3.3M
Molecular Phenotypes within and across disease boundaries in IPF and COPDR01HL095397 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAMINSKI, NAFTALI, SHAPIRO, STEVEN D · 2008 to 2011
$3.0M
Mechanism of nuclear signaling and cell-cell adhesion by cateninsR01GM076561 · NIGMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GOTTARDI, CARA J · 2006 to 2015
$2.8M
Role for Wnt/beta-catenin signaling in alveolar repair and fibrosisR01HL094643 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GOTTARDI, CARA J · 2011 to 2014
$1.5M
Recruitment of New Faculty to Enhance Research in Lung BiologyP30HL101292 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SZNAJDER, JACOB I · 2009 to 2010
$887k
Role of Wnt/b-catenin signaling in pulmonary fibrosisK08HL093216 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LAM, AI P · 2009 to 2013
$639k
The Role of Mitochondrial Reactive Oxygen Species in TGF-Beta SignalingI01BX000201 · VA · JESSE BROWN VA MEDICAL CENTER · PI BUDINGER, GR SCOTT, JAIN, MANU · 2011 to 2017
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BLRD VA I01 BX000201NCI NIH HHS P30 CA060553NHLBI NIH HHS HL094643NHLBI NIH HHS HL095397NHLBI NIH HHS K08 HL093216NHLBI NIH HHS K08HL093216NHLBI NIH HHS P01 HL071643NHLBI NIH HHS P30 HL101292NHLBI NIH HHS P30HL101292NHLBI NIH HHS R01 HL094643NHLBI NIH HHS R01 HL095397NHLBI NIH HHS T32 HL076139NIEHS NIH HHS R01 ES013995NIGMS NIH HHS GM076561NIGMS NIH HHS R01 GM076561
6 · The paper itself

Abstract

rationaleWnt/β-catenin signaling has been implicated in lung fibrosis, but how this occurs and whether expression changes in Wnt pathway components predict disease progression is unknown.

objectivesTo determine whether the Wnt coreceptor Lrp5 drives pulmonary fibrosis in mice and is predictive of disease severity in humans.

methodsWe examined mice with impaired Wnt signaling caused by loss of the Wnt coreceptor Lrp5 in models of lung fibrosis induced by bleomycin or an adenovirus encoding an active form of transforming growth factor (TGF)-β. We also analyzed gene expression in peripheral blood mononuclear cells (PBMC) from patients with idiopathic pulmonary fibrosis (IPF). MEASUREMENTS AND MAIN

resultsIn patients with IPF, analysis of peripheral blood mononuclear cells revealed that elevation of positive regulators, Lrp5 and 6, was independently associated with disease progression. LRP5 was also associated with disease severity at presentation in an additional cohort of patients with IPF. Lrp5 null mice were protected against bleomycin-induced pulmonary fibrosis, an effect that was phenocopied by direct inhibition of β-catenin signaling by the small molecular inhibitor of β-catenin responsive transcription. Transplantation of Lrp5 null bone marrow cells into wild-type mice did not limit fibrosis. Instead, Lrp5 loss was associated with reduced TGF-β production by alveolar type 2 cells and leukocytes. Consistent with a role of Lrp5 in the activation of TGF-β, Lrp5 null mice were not protected against lung fibrosis induced by TGF-β.

conclusionsWe show that the Wnt coreceptor, Lrp5, is a genetic driver of lung fibrosis in mice and a marker of disease progression and severity in humans with IPF. Evidence that TGF-β signaling can override a loss in Lrp5 has implications for patient selection and timing of Wnt pathway inhibitors in lung fibrosis.

Indexed as

AgedAnimalsbeta CateninBiomarkersDisease ProgressionFemaleHumansIdiopathic Pulmonary FibrosisLeukocytes, MononuclearLow Density Lipoprotein Receptor-Related Protein-5Low Density Lipoprotein Receptor-Related Protein-6MaleMiceMice, KnockoutMiddle AgedProspective Studiesbeta CateninBiomarkersCTNNB1 protein, mouseLow Density Lipoprotein Receptor-Related Protein-5Low Density Lipoprotein Receptor-Related Protein-6LRP5 protein, humanLrp5 protein, mouseLRP6 protein, humanTransforming Growth Factor betaWnt Proteinslung fibrosisperipheral blood mononuclear cellWnt/β-catenin signaling

Identifiers

PMID24921217
PMCPMC4226053
OpenAlexW2153408935

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.