Evidence map›Paper›PMID 27400124›Full record

ArticleThe Journal of clinical investigation2016

Transcription factor TBX4 regulates myofibroblast accumulation and lung fibrosis.

Ting Xie, Jiurong Liang, Ningshan Liu, Caijuan Huan, Yanli Zhang, Weijia Liu, Maya Kumar, Rui Xiao, Jeanine D'Armiento, Daniel Metzger and 5 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
10.0field-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

73 citing papers in PubMed, 139 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Emerging Concepts in Fibroblast Biology and Progressive Pulmonary Fibrosis.Seminars in respiratory and critical care medicine · 2025
    Review
  8. Pulmonary fibrosis: from mechanisms to therapies.Journal of translational medicine · 2025
    Review
  9. Review
  10. Article
  11. Mechanisms and Therapeutic Potential of Myofibroblast Transformation in Pulmonary Fibrosis.Journal of respiratory biology and translational medicine · 2025
    Article
  12. Article
  13. Review
  14. Cell-cell interactions and communication dynamics in lung fibrosis.Chinese medical journal pulmonary and critical care medicine · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 2 countries.

Ting Xie
Jiurong Liang
Ningshan Liu
Caijuan Huan
Yanli Zhang
Weijia Liu
Maya Kumar
Rui Xiao
Jeanine D'Armiento
Daniel Metzger
Pierre Chambon
Virginia E Papaioannou
Barry R Stripp
Dianhua Jiang
Paul W Noble
Chinese Academy of Medical Sciences & Peking Union Medical College · CNColumbia University Irving Medical Center · USFirst Affiliated Hospital Zhejiang University · CNGuizhou Provincial People's Hospital · CNHoward Hughes Medical Institute · US

Funding

Role of Surfactant Proteins in Mediating Noninfectious Inflammatory and FibroproP01HL108793 · NHLBI · DUKE UNIVERSITY · PI STRIPP, BARRY R · 2012 to 2022
$21.3M
MECHANISMS OF MACROPHAGE ACTIVATION IN LUNG INFLAMMATIONR01HL060539 · NHLBI · YALE UNIVERSITY · PI NOBLE, PAUL WESLEY · 1997 to 2019
$6.5M
Innate Immune Mechanisms of Non-infectious Lung InflammationR01AI052201 · NIAID · YALE UNIVERSITY · PI NOBLE, PAUL WESLEY · 2002 to 2021
$6.4M
Targeting beta-arrestins in Pulmonary FibrosisR01HL122068 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI JIANG, DIANHUA, NOBLE, PAUL WESLEY · 2015 to 2018
$2.1M
NHLBI NIH HHS P01 HL108793NHLBI NIH HHS R01 HL060539NHLBI NIH HHS R01 HL122068NIAID NIH HHS R01 AI052201
6 · The paper itself

Abstract

Progressive tissue fibrosis is a major cause of the morbidity and mortality associated with repeated epithelial injuries and accumulation of myofibroblasts. Successful treatment options are limited by an incomplete understanding of the molecular mechanisms that regulate myofibroblast accumulation. Here, we employed in vivo lineage tracing and real-time gene expression transgenic reporting methods to analyze the early embryonic transcription factor T-box gene 4 (TBX4), and determined that TBX4-lineage mesenchymal progenitors are the predominant source of myofibroblasts in injured adult lung. In a murine model, ablation of TBX4-expressing cells or disruption of TBX4 signaling attenuated lung fibrosis after bleomycin-induced injury. Furthermore, TBX4 regulated hyaluronan synthase 2 production to enable fibroblast invasion of matrix both in murine models and in fibroblasts from patients with severe pulmonary fibrosis. These data identify TBX4 as a mesenchymal transcription factor that drives accumulation of myofibroblasts and the development of lung fibrosis. Targeting TBX4 and downstream factors that regulate fibroblast invasiveness could lead to therapeutic approaches in lung fibrosis.

Indexed as

Gene Expression RegulationAnimalsBleomycinCell LineageCell ProliferationEndothelial CellsFemaleFibroblastsGlucuronosyltransferaseHumansHyaluronan SynthasesLungMaleMiceMice, Inbred C57BLMicroscopy, ConfocalBleomycinGlucuronosyltransferaseHas2 protein, mouseHyaluronan SynthasesT-Box Domain ProteinsTBX4 protein, human

Identifiers

PMID27400124
PMCPMC4966327
OpenAlexW2473452110

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.