Evidence map›Paper›PMID 31511015›Full record

ArticleRespiratory research2019

Interferon-γ enhances the antifibrotic effects of pirfenidone by attenuating IPF lung fibroblast activation and differentiation.

Tuong N Vu, Xuesong Chen, Hussein D Foda, Gerald C Smaldone, Nadia A Hasaneen

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
4.5field-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, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
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  16. Biomolecules & biomedicine · 2024
    Article
  17. Understanding myofibroblast origin in the fibrotic lung.Chinese medical journal pulmonary and critical care medicine · 2024
    Review
  18. EphB2 Receptor Promotes Dermal Fibrosis in Systemic Sclerosis.Arthritis & rheumatology (Hoboken, N.J.) · 2024
    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

5 authors at 1 institution in 1 country.

Tuong N VuPulmonary, Critical Care and Sleep Division, Department of Medicine, Stony Brook Medicine, Health Science Center, State University of New York at Stony Brook, HSC T17 Room 040, Stony Brook, NY, 11794-8172, USA.
Xuesong ChenPulmonary, Critical Care and Sleep Division, Department of Medicine, Stony Brook Medicine, Health Science Center, State University of New York at Stony Brook, HSC T17 Room 040, Stony Brook, NY, 11794-8172, USA.
Hussein D FodaPulmonary, Critical Care and Sleep Division, Department of Medicine, Stony Brook Medicine, Health Science Center, State University of New York at Stony Brook, HSC T17 Room 040, Stony Brook, NY, 11794-8172, USA.
Gerald C SmaldonePulmonary, Critical Care and Sleep Division, Department of Medicine, Stony Brook Medicine, Health Science Center, State University of New York at Stony Brook, HSC T17 Room 040, Stony Brook, NY, 11794-8172, USA.
Nadia A HasaneenPulmonary, Critical Care and Sleep Division, Department of Medicine, Stony Brook Medicine, Health Science Center, State University of New York at Stony Brook, HSC T17 Room 040, Stony Brook, NY, 11794-8172, USA. Nadia.Hasaneen@stonybrookmedicine.edu.ORCID http://orcid.org/0000-0001-6327-6029
State University of New York · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF) pathogenesis involves multiple pathways, and combined antifibrotic therapy is needed for future IPF therapy. Inhaled interferon-γ (IFN-γ) was recently shown to be safe and without systemic effects in patients with IPF.

aimTo examine the in vitro effects of individual and combined treatment with IFN-γ and pirfenidone (PFD) on normal and IPF fibroblast activation and extracellular matrix remodeling after TGF-β1 and PDGF-BB stimulation.

methodsIPF and normal human lung fibroblasts (NHLF) were treated with IFN-γ, PFD or a combination of both drugs in the presence of either TGF-β1 or PDGF-BB. The effects of TGF-β1 and PDGF-BB treatment on cell viability, proliferation, differentiation and migration were examined. The expression of collagen 1, matrix metalloproteinases (MMPs) and tissue inhibitors of MMP (TIMPs) was analyzed using qPCR, Western blotting and gelatin zymography. Total collagen content in conditioned media was also measured using a Sircol assay.

resultsCompared to that of PFD, the effect of IFN-γ in downregulating normal and IPF lung fibroblast differentiation to myofibroblasts in response to TGF-β1 was more potent. Importantly, the combination of IFN-γ and PFD had a possibly synergistic/additive effect in inhibiting the TGF-β1- and PDGF-BB-induced proliferation, migration and differentiation of normal and IPF lung fibroblasts. Furthermore, both drugs reversed TGF-β1-induced effects on MMP-1, - 2, - 3, - 7, and - 9, while only PFD promoted TIMP-1 and-2 expression and release.

conclusionsOur findings demonstrate that the antifibrotic effects of IFN-γ and PFD on normal and IPF lung fibroblasts are different and complementary. Combination therapy with inhaled IFN-γ and PFD in IPF is promising and should be further explored in IPF clinical trials.

Indexed as

AdultAgedAnti-Inflammatory Agents, Non-SteroidalCell DifferentiationCells, CulturedDose-Response Relationship, DrugDrug SynergismFemaleFibroblastsHumansIdiopathic Pulmonary FibrosisInterferon-gammaLungMalePyridonesYoung AdultAnti-Inflammatory Agents, Non-SteroidalInterferon-gammapirfenidonePyridonesFibroblast activationIFN-γIPFMMPsPirfenidoneTIMPs

Identifiers

PMID31511015
PMCPMC6737625
OpenAlexW2972941351

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.