Evidence map›Paper›PMID 29565179›Full record

ArticleAmerican journal of physiology. Lung cellular and molecular physiology2018

The relationship between complement C3 expression and the MUC5B genotype in pulmonary fibrosis.

Tsukasa Okamoto, Susan K Mathai, Corinne E Hennessy, Laura A Hancock, Avram D Walts, Adrianne L Stefanski, Kevin K Brown, David A Lynch, Gregory P Cosgrove, Steve D Groshong and 7 more

Open access · greenAbstract read
In one paragraph

Article in American journal of physiology. Lung cellular and molecular physiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

27 citing papers in PubMed, 41 citations in OpenAlex.

  1. Identification of IPF specific genes expressed by lung tissue-derived fibroblasts using next generation sequencing.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2026
    Article
  2. Article
  3. Emerging roles for complement in lung transplantation.The Journal of clinical investigation · 2025
    Review
  4. IsERJ open research · 2025
    Article
  5. Article
  6. Article
  7. Immunobiology of pulmonary fibrosis.Frontiers in immunology · 2025
    Review
  8. Article
  9. Article
  10. siRNA-MediatedInternational journal of molecular sciences · 2023
    Article
  11. Article
  12. Review
  13. Article
  14. Overexpression of Decay Accelerating Factor Mitigates Fibrotic Responses to Lung Injury.American journal of respiratory cell and molecular biology · 2022
    Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article
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

17 authors at 2 institutions in 1 country.

Tsukasa OkamotoDepartment of Medicine, University of Colorado , Aurora, Colorado.ORCID 0000-0002-5998-9939
Susan K MathaiDepartment of Medicine, University of Colorado , Aurora, Colorado.
Corinne E HennessyDepartment of Medicine, University of Colorado , Aurora, Colorado.
Laura A HancockDepartment of Medicine, University of Colorado , Aurora, Colorado.
Avram D WaltsDepartment of Medicine, University of Colorado , Aurora, Colorado.
Adrianne L StefanskiDepartment of Medicine, University of Colorado , Aurora, Colorado.
Kevin K BrownNational Jewish Health , Denver, Colorado.
David A LynchNational Jewish Health , Denver, Colorado.
Gregory P CosgroveNational Jewish Health , Denver, Colorado.
Steve D GroshongNational Jewish Health , Denver, Colorado.
Carlyne D CoolDepartment of Medicine, University of Colorado , Aurora, Colorado.
Marvin I SchwarzDepartment of Medicine, University of Colorado , Aurora, Colorado.
Nirmal K BandaDepartment of Medicine, University of Colorado , Aurora, Colorado.
Joshua M ThurmanDepartment of Medicine, University of Colorado , Aurora, Colorado.
Ivana V YangDepartment of Medicine, University of Colorado , Aurora, Colorado.
V Michael HolersDepartment of Medicine, University of Colorado , Aurora, Colorado.
David A SchwartzDepartment of Medicine, University of Colorado , Aurora, Colorado.
University of Colorado Anschutz Medical Campus · USNational Jewish Health · US

Funding

Mechanisms of Familial Pulmonary FibrosisP01HL092870 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BLACKWELL, TIMOTHY S. · 2010 to 2020
$21.6M
Role of Genetics in Idiopathic Pulmonary Fibrosis (IPF)R01HL097163 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI FINGERLIN, TASHA E., SCHWARTZ, DAVID ALBERT · 2009 to 2018
$16.4M
Complement in the Pathogenesis of Autoimmune ArthritisR01AR051749 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI Vernon Michael Holers · 2004 to 2026
$6.7M
The Complement System and Ischemic Acute Renal FailureR01DK076690 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Joshua M Thurman · 2008 to 2026
$6.6M
MUC5B, a novel therapeutic target for Idiopathic Pulmonary Fibrosis (IPF)UH2HL123442 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI SCHWARTZ, DAVID ALBERT · 2014 to 2015
$3.0M
Mitochondrial Dysfunction and Susceptibility to Atrial Fibrillation in the ElderlR01HL101240 · NHLBI · MAYO CLINIC ARIZONA · PI JAHANGIR, ARSHAD · 2010 to 2013
$2.3M
Functional Genetics in Idiopathic Pulmonary FibrosisR33HL120770 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI SCHWARTZ, DAVID ALBERT · 2016 to 2018
$1.6M
Functional Genetics in Idiopathic Pulmonary FibrosisR21HL120770 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI SCHWARTZ, DAVID ALBERT · 2014 to 2015
$424k
BLRD VA I01 BX001534NHLBI NIH HHS P01 HL092870NHLBI NIH HHS R01 HL097163NHLBI NIH HHS R01 HL101240NHLBI NIH HHS R21 HL120770NHLBI NIH HHS R33 HL120770NHLBI NIH HHS UH2 HL123442NIAMS NIH HHS R01 AR051749NIDDK NIH HHS R01 DK076690
6 · The paper itself

Abstract

The common gain-of-function MUC5B promoter variant ( rs35705950 ) is the strongest risk factor for the development of idiopathic pulmonary fibrosis (IPF). While the role of complement in IPF is controversial, both MUC5B and the complement system play a role in lung host defense. The aim of this study was to evaluate the relationship between complement component 3 (C3) and MUC5B in patients with IPF and in bleomycin-induced lung injury in mice. To do this, we evaluated C3 gene expression in whole lung tissue from 300 subjects with IPF and 175 healthy controls. Expression of C3 was higher in IPF than healthy controls {1.40-fold increase [95% confidence interval (CI) 1.31-1.50]; P < 0.0001} and even greater among IPF subjects with the highest-risk IPF MUC5B promoter genotype [TT vs. GG = 1.59-fold (95% CI 1.15-2.20); P < 0.05; TT vs. GT = 1.66-fold (95% CI 1.20-2.30); P < 0.05]. Among subjects with IPF, C3 expression was significantly higher in the lung tissue without microscopic honeycombing than in the lung tissue with microscopic honeycombing [1.40-fold increase (95% CI 1.23- 1.59); P < 0.01]. In mice, while bleomycin exposure increased Muc5b protein expression, C3-deficient mice were protected from bleomycin-induced lung injury. In aggregate, our findings indicate that the MUC5B promoter variant is associated with higher C3 expression and suggest that the complement system may contribute to the pathogenesis of IPF.

Indexed as

Genetic VariationGenotypeA549 CellsAnimalsBleomycinComplement C3HumansIdiopathic Pulmonary FibrosisLungMiceMice, KnockoutMiddle AgedMucin-5BPromoter Regions, GeneticBleomycinC3 protein, humanComplement C3MUC5B protein, humanMuc5b protein, mouseMucin-5Bcomplement component 3host defenseidiopathic pulmonary fibrosisMUC5B

Identifiers

PMID29565179
PMCPMC6087895
OpenAlexW2791020074

What OpenQuestion holds

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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.