Evidence map›Paper›PMID 30135315›Full record

ArticleJCI insight2018

Wilms' tumor 1 drives fibroproliferation and myofibroblast transformation in severe fibrotic lung disease.

Vishwaraj Sontake, Rajesh K Kasam, Debora Sinner, Thomas R Korfhagen, Geereddy B Reddy, Eric S White, Anil G Jegga, Satish K Madala

Open access · goldAbstract readVideo-Audio Media
In one paragraph

Article in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

41 citing papers in PubMed, 59 citations in OpenAlex.

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  4. iScience · 2026
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  12. Emerging Concepts in Fibroblast Biology and Progressive Pulmonary Fibrosis.Seminars in respiratory and critical care medicine · 2025
    Review
  13. Article
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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

8 authors at 3 institutions in 2 countries.

Vishwaraj SontakeDivision of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Rajesh K KasamDivision of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Debora SinnerDivision of Neonatology and Pulmonary Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Thomas R KorfhagenDivision of Neonatology and Pulmonary Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Geereddy B ReddyDepartment of Biochemistry, National Institute of Nutrition, Hyderabad, Telangana, India.
Eric S WhiteDepartment of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan, USA.
Anil G JeggaDivision of Biomedical Informatics Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Satish K MadalaDivision of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Cincinnati Children's Hospital Medical Center · USNational Institute of Nutrition · INUniversity of Michigan · US

Funding

WT1 REGULATION OF PULMONARY FIBROSISR01HL134801 · NHLBI · UNIVERSITY OF CINCINNATI · PI MADALA, SATISH K · 2017 to 2025
$3.9M
IL-31 Regulation of Immunopathology in Pulmonary FibrosisR21AG059533 · NIA · CINCINNATI CHILDRENS HOSP MED CTR · PI MADALA, SATISH K · 2018 to 2019
$452k
Integrative analysis of multi-omics data to target fibroblast activation in IPFR21HL133539 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI JEGGA, ANIL, MADALA, SATISH K · 2016 to 2017
$248k
Molecular basis of dorsal-ventral patterning of the conducting airwaysR03HL133420 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI SINNER, DEBORA · 2016 to 2017
$156k
NHLBI NIH HHS R01 HL134801NHLBI NIH HHS R03 HL133420NHLBI NIH HHS R21 HL133539NIA NIH HHS R21 AG059533
6 · The paper itself

Abstract

Wilms' tumor 1 (WT1) is a critical transcriptional regulator of mesothelial cells during lung development but is downregulated in postnatal stages and adult lungs. We recently showed that WT1 is upregulated in both mesothelial cells and mesenchymal cells in the pathogenesis of idiopathic pulmonary fibrosis (IPF), a fatal fibrotic lung disease. Although WT1-positive cell accumulation leading to severe fibrotic lung disease has been studied, the role of WT1 in fibroblast activation and pulmonary fibrosis remains elusive. Here, we show that WT1 functions as a positive regulator of fibroblast activation, including fibroproliferation, myofibroblast transformation, and extracellular matrix (ECM) production. Chromatin immunoprecipitation experiments indicate that WT1 binds directly to the promoter DNA sequence of α-smooth muscle actin (αSMA) to induce myofibroblast transformation. In support, the genetic lineage tracing identifies WT1 as a key driver of mesothelial-to-myofibroblast and fibroblast-to-myofibroblast transformation. Importantly, the partial loss of WT1 was sufficient to attenuate myofibroblast accumulation and pulmonary fibrosis in vivo. Further, our coculture studies show that WT1 upregulation leads to non-cell autonomous effects on neighboring cells. Thus, our data uncovered a pathogenic role of WT1 in IPF by promoting fibroblast activation in the peripheral areas of the lung and as a target for therapeutic intervention.

Indexed as

ActinsAdultAnimalsBleomycinCell DifferentiationCells, CulturedDisease Models, AnimalExtracellular MatrixFibrosisGene Expression RegulationGene Knock-In TechniquesHumansIdiopathic Pulmonary FibrosisLungMaleMice, TransgenicACTA2 protein, humanActa2 protein, mouseActinsBleomycinRepressor ProteinsWT1 protein, humanWT1 protein, mouseWT1 ProteinsExtracellular matrixFibrosisPulmonologyRespiration

Identifiers

PMID30135315
PMCPMC6141179
OpenAlexW2888497093

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.