Evidence map›Paper›PMID 31879343›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

The circadian clock protein REVERBα inhibits pulmonary fibrosis development.

Peter S Cunningham, Peter Meijer, Alicja Nazgiewicz, Simon G Anderson, Lee A Borthwick, James Bagnall, Gareth B Kitchen, Monika Lodyga, Nicola Begley, Rajamiyer V Venkateswaran and 14 more

Open access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
6.6field-weighted citation impact, top 3% 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

68 citing papers in PubMed, 89 citations in OpenAlex.

  1. Review
  2. Article
  3. The circadian clock controls hepatic stellate cell activation via a BMAL1/CK1ε/REV-ERBα/transgelin signaling pathway.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. The cGAS-STING pathway in fibroblast microenvironment: from molecular mechanisms to targeted therapies.Apoptosis : an international journal on programmed cell death · 2026
    Review
  11. Observational
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 7 institutions in 3 countries.

Peter S CunninghamFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.
Peter MeijerFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.
Alicja NazgiewiczFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.
Simon G AndersonFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.
Lee A BorthwickFibrosis Research Group, Biosciences Institute, Newcastle University, Newcastle upon Tyne NE2 4HH, United Kingdom.
James BagnallFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.
Gareth B KitchenFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.ORCID 0000-0001-5070-3183
Monika LodygaLaboratory of Tissue Repair and Regeneration, Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1G6, Canada.
Nicola BegleyFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.
Rajamiyer V VenkateswaranManchester University National Health Service Foundation Trust, Manchester Academic Health Science Centre, Manchester M13 9WL, United Kingdom.
Rajesh ShahManchester University National Health Service Foundation Trust, Manchester Academic Health Science Centre, Manchester M13 9WL, United Kingdom.
Paul F MercerCentre for Inflammation and Tissue Repair, Faculty of Medical Sciences, University College London, London WC1E 6JJ, United Kingdom.
Hannah J DurringtonFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.
Neil C HendersonCentre for Inflammation Research, University of Edinburgh, EH16 4TJ Edinburgh, United Kingdom.
Karen Piper-HanleyFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.
Andrew J FisherInstitute of Transplantation, Freeman Hospital, The Newcastle upon Tyne Hospitals National Health Service Foundation Trust, Newcastle upon Tyne NE7 7DN, United Kingdom.
Rachel C ChambersCentre for Inflammation and Tissue Repair, Faculty of Medical Sciences, University College London, London WC1E 6JJ, United Kingdom.
David A BechtoldFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.
Julie E GibbsFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.
Andrew S LoudonFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.
Martin K RutterFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.
Boris HinzLaboratory of Tissue Repair and Regeneration, Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1G6, Canada.
David W RayFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom.ORCID 0000-0002-4739-6773
John F BlaikleyFaculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, United Kingdom; john.blaikley@manchester.ac.uk.ORCID 0000-0001-7651-5682
University of Manchester · GBNational Health Service · GBUniversity College London · GBUniversity of Toronto · CACentre for Inflammation Research · GBJohn Radcliffe Hospital · GBNewcastle University · GB

Funding

CIHRDepartment of HealthMedical Research Council MR/L006499/1Medical Research Council MR/M008908/1Medical Research Council MR/N002024/1Medical Research Council MR/P011853/1Medical Research Council MR/P011853/2Medical Research Council MR/P023541/1Medical Research Council MR/P023576/1Medical Research Council MR/P023576/2Medical Research Council MR/R023026/1Medical Research Council MR/T032529/1Versus Arthritis 20629Wellcome TrustWellcome Trust 103749Wellcome Trust 107849/A/15/ZWellcome Trust 107851/Z/15/Z
6 · The paper itself

Abstract

Pulmonary inflammatory responses lie under circadian control; however, the importance of circadian mechanisms in the underlying fibrotic phenotype is not understood. Here, we identify a striking change to these mechanisms resulting in a gain of amplitude and lack of synchrony within pulmonary fibrotic tissue. These changes result from an infiltration of mesenchymal cells, an important cell type in the pathogenesis of pulmonary fibrosis. Mutation of the core clock protein REVERBα in these cells exacerbated the development of bleomycin-induced fibrosis, whereas mutation of REVERBα in club or myeloid cells had no effect on the bleomycin phenotype. Knockdown of REVERBα revealed regulation of the little-understood transcription factor TBPL1. Both REVERBα and TBPL1 altered integrinβ1 focal-adhesion formation, resulting in increased myofibroblast activation. The translational importance of our findings was established through analysis of 2 human cohorts. In the UK Biobank, circadian strain markers (sleep length, chronotype, and shift work) are associated with pulmonary fibrosis, making them risk factors. In a separate cohort, REVERBα expression was increased in human idiopathic pulmonary fibrosis (IPF) lung tissue. Pharmacological targeting of REVERBα inhibited myofibroblast activation in IPF fibroblasts and collagen secretion in organotypic cultures from IPF patients, thus suggesting that targeting of REVERBα could be a viable therapeutic approach.

Indexed as

AnimalsBleomycinCircadian ClocksCLOCK ProteinsFibroblastsGene Expression RegulationGene Knockdown TechniquesHumansIdiopathic Pulmonary FibrosisIntegrinsLungMaleMesenchymal Stem CellsMiceMice, KnockoutMyofibroblastsBleomycinCLOCK protein, humanClock protein, mouseCLOCK ProteinsIntegrinsTATA Box Binding Protein-Like ProteinsTbpl1 protein, mousecircadianintegrinpulmonary fibrosisReverb alphasleep

Identifiers

PMID31879343
PMCPMC6969503
OpenAlexW2997819432

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.