Evidence map›Paper›PMID 30111332›Full record

ArticleRespiratory research2018

Comprehensive gene expression profiling identifies distinct and overlapping transcriptional profiles in non-specific interstitial pneumonia and idiopathic pulmonary fibrosis.

Matthew J Cecchini, Karishma Hosein, Christopher J Howlett, Mariamma Joseph, Marco Mura

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Respiratory research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03836417 (Molecular Diagnosis of Idiopathic Interstitial Pneumonias), which is not on this map. Cited by 72 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 3 pooled it
5.3field-weighted citation impact, top 4% 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.

NCT03836417 completednot on this mapstarted 2019, after this paper: background citation

Molecular Diagnosis of Idiopathic Interstitial Pneumonias: a Prospective Study

TypeobservationalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2019 to 2024Enrolled55ConditionsIdiopathic Interstitial Pneumonia, Idiopathic Pulmonary Fibrosis, Nonspecific Interstitial PneumoniaArmsMicroarray analysis
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 3 syntheses or guidelines pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Advances in idiopathic pulmonary fibrosis diagnosis and treatment.Chinese medical journal pulmonary and critical care medicine · 2025
    Review
  19. Article
  20. Article

12 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

5 authors at 1 institution in 1 country.

Matthew J CecchiniDepartment of Pathology, Western University, London, Canada.
Karishma HoseinDivision of Respirology, London Health Science Centre, Victoria Hospital, Western University, 800 Commissioners Road East Room E6-203, London, ON, N6A 5W9, Canada.
Christopher J HowlettDepartment of Pathology, Western University, London, Canada.
Mariamma JosephDepartment of Pathology, Western University, London, Canada.
Marco MuraDivision of Respirology, London Health Science Centre, Victoria Hospital, Western University, 800 Commissioners Road East Room E6-203, London, ON, N6A 5W9, Canada. marco.mura@lhsc.on.ca.ORCID http://orcid.org/0000-0002-2159-7083
Western University · CA

Funding

F. Hoffmann-La Roche Roche Multi Organ Transplant Academic Enrichment FundLawson Health Research Institute Lawson Research Institute Internal Research FundSchulich School of Medicine and Dentistry Western Strategic Support for CIHR Success, Seed Grant
6 · The paper itself

Abstract

backgroundThe clinical-radiographic distinction between idiopathic pulmonary fibrosis (IPF) and non-specific interstitial pneumonia (NSIP) is challenging. We sought to investigate the gene expression profiles of IPF and NSIP vs. normal controls.

methodsGene expression from explanted lungs of patients with IPF (n = 22), NSIP (n = 10) and from normal controls (n = 11) was assessed. Microarray analysis included Significance Analysis of Microarray (SAM), Ingenuity Pathway, Gene-Set Enrichment and unsupervised hierarchical clustering analyses. Immunohistochemistry and serology of proteins of interest were conducted.

resultsNSIP cases were significantly enriched for genes related to mechanisms of immune reaction, such as T-cell response and recruitment of leukocytes into the lung compartment. In IPF, in contrast, these involved senescence, epithelial-to-mesenchymal transition, myofibroblast differentiation and collagen deposition. Unlike the IPF group, NSIP cases exhibited a strikingly homogenous gene signature. Clustering analysis identified a subgroup of IPF patients with intermediate and ambiguous expression of SAM-selected genes, with the interesting upregulation of both NSIP-specific and senescence-related genes. Immunohistochemistry for p16, a senescence marker, on fibroblasts differentiated most IPF cases from NSIP. Serial serum levels of periostin, a senescence effector, predicted clinical progression in a cohort of patients with IPF.

conclusionsComprehensive gene expression profiling in explanted lungs identifies distinct transcriptional profiles and differentially expressed genes in IPF and NSIP, supporting the notion of NSIP as a standalone condition. Potential gene and protein markers to discriminate IPF from NSIP were identified, with a prominent role of senescence in IPF. The finding of a subgroup of IPF patients with transcriptional features of both NSIP and senescence raises the hypothesis that "senescent" NSIP may represent a risk factor to develop superimposed IPF.

Indexed as

AdultAgedFemaleGene Expression ProfilingHumansIdiopathic Interstitial PneumoniasIdiopathic Pulmonary FibrosisLungMaleMiddle AgedTranscription, GeneticIdiopathic pulmonary fibrosisMicroarrayNon-specific interstitial pneumoniaUsual interstitial pneumonia

Identifiers

PMID30111332
PMCPMC6094889
OpenAlexW2886616492

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.