Evidence map›Paper›PMID 31461627›Full record

ArticleAmerican journal of respiratory cell and molecular biology2019

Palmitic Acid-Rich High-Fat Diet Exacerbates Experimental Pulmonary Fibrosis by Modulating Endoplasmic Reticulum Stress.

Sarah G Chu, Julian A Villalba, Xiaoliang Liang, Kevin Xiong, Konstantin Tsoyi, Bonna Ith, Ehab A Ayaub, Raju V Tatituri, Derek E Byers, Fong-Fu Hsu and 4 more

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory cell and molecular biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% 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

76 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.

  1. Pooled it
  2. Advances in metabolic reprogramming of pulmonary fibrosis.Chinese medical journal pulmonary and critical care medicine · 2026
    Review
  3. Article
  4. Metabolomic profiling reveals distinct and shared biology in COPD and IPF.Metabolomics : Official journal of the Metabolomic Society · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Altered Metabolism in Idiopathic Pulmonary Fibrosis.Journal of cellular physiology · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Sarah G ChuDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital.
Julian A VillalbaDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital.
Xiaoliang LiangDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital.
Kevin XiongDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital.
Konstantin TsoyiDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital.
Bonna IthDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital.
Ehab A AyaubDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital.
Raju V TatituriDivision of Rheumatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Derek E ByersDivision of Pulmonary and Critical Care Medicine, and.
Fong-Fu HsuDivision of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, Missouri.
Souheil El-ChemalyDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital.
Edy Y KimDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital.
Yuanyuan ShiPulmonary Fibrosis Program, Lovelace Respiratory Research Institute, Albuquerque, New Mexico; and.
Ivan O RosasDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital.
Brigham and Women's Hospital · USLovelace Respiratory Research Institute · USPulmonary and Critical Care Associates · USWashington University in St. Louis · US

Funding

Respiratory Computational Discovery CoreP01HL114501 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI CHOI, MARY E · 2013 to 2025
$24.9M
Lymphatics and Lung Allograft RejectionR01HL130275 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI EL-CHEMALY, SOUHEIL · 2016 to 2020
$2.2M
NHLBI NIH HHS P01 HL114501NHLBI NIH HHS R01 HL130275
6 · The paper itself

Abstract

The impact of lipotoxicity on the development of lung fibrosis is unclear. Saturated fatty acids, such as palmitic acid (PA), activate endoplasmic reticulum (ER) stress, a cellular stress response associated with the development of idiopathic pulmonary fibrosis (IPF). We tested the hypothesis that PA increases susceptibility to lung epithelial cell death and experimental fibrosis by modulating ER stress. Total liquid chromatography and mass spectrometry were used to measure fatty acid content in IPF lungs. Wild-type mice were fed a high-fat diet (HFD) rich in PA or a standard diet and subjected to bleomycin-induced lung injury. Lung fibrosis was determined by hydroxyproline content. Mouse lung epithelial cells were treated with PA. ER stress and cell death were assessed by Western blotting, TUNEL staining, and cell viability assays. IPF lungs had a higher level of PA compared with controls. Bleomycin-exposed mice fed an HFD had significantly increased pulmonary fibrosis associated with increased cell death and ER stress compared with those fed a standard diet. PA increased apoptosis and activation of the unfolded protein response in lung epithelial cells. This was attenuated by genetic deletion and chemical inhibition of CD36, a fatty acid transporter. In conclusion, consumption of an HFD rich in saturated fat increases susceptibility to lung fibrosis and ER stress, and PA mediates lung epithelial cell death and ER stress via CD36. These findings demonstrate that lipotoxicity may have a significant impact on the development of lung injury and fibrosis by enhancing pro-death ER stress pathways.

Indexed as

AnimalsApoptosisCD36 AntigensDiet, High-FatEndoplasmic Reticulum StressEpithelial CellsLungMaleMiceMice, Inbred C57BLPalmitic AcidPulmonary FibrosisCD36 AntigensPalmitic AcidCD36endoplasmic reticulum stresshigh-fat dietlung epitheliumpulmonary fibrosis

Identifiers

PMID31461627
PMCPMC6890409
OpenAlexW2971352226

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.