Evidence map›Paper›PMID 32070329›Full record

ArticleRespiratory research2020

TGF-β pathway activation by idiopathic pulmonary fibrosis (IPF) fibroblast derived soluble factors is mediated by IL-6 trans-signaling.

Gali Epstein Shochet, Elizabetha Brook, Becky Bardenstein-Wald, David Shitrit

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed
12.2field-weighted citation impact, top 1% 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

104 citing papers in PubMed, 162 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Identification of IPF specific genes expressed by lung tissue-derived fibroblasts using next generation sequencing.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review of Promising Off-Label Use of Deucravacitinib.International journal of molecular sciences · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Emerging Concepts in Fibroblast Biology and Progressive Pulmonary Fibrosis.Seminars in respiratory and critical care medicine · 2025
    Review
  17. Review
  18. Article
  19. Article
  20. Regulatory roles of PIWI-interacting RNAs in cardiovascular disease.American journal of physiology. Heart and circulatory physiology · 2025
    Review

44 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

4 authors at 1 institution in 1 country.

Gali Epstein ShochetPulmonary Medicine Department, Meir Medical Department, 59 Tchernichovsky St, 44281, Kfar Saba, Israel. gali.epstein@clalit.org.il.ORCID http://orcid.org/0000-0002-3417-9171
Elizabetha BrookSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Becky Bardenstein-WaldSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
David ShitritPulmonary Medicine Department, Meir Medical Department, 59 Tchernichovsky St, 44281, Kfar Saba, Israel.
Tel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF) is a chronic and ultimately fatal disease characterized by a progressive decline in lung function. Fibrotic diseases, such as IPF, are characterized by uncontrolled activation of fibroblasts. Since the microenvironment is known to affect cell behavior, activated fibroblasts can in turn activate healthy neighboring cells. Thus, we investigated IPF paracrine signaling in human lung fibroblasts (HLFs) derived from patients with IPF.

methodsPrimary human fibroblast cultures from IPF (IPF-HLF) and control donor (N-HLF) lung tissues were established and their supernatants were collected. These supernatants were then added to N-HLFs for further culture. Protein and RNA were extracted from IPF/ N-HLFs at baseline. Interleukin-6 (IL-6) and TGF-β-related signaling factors (e.g. STAT3, Smad3) were evaluated by western blot and qPCR. IL-6 levels were measured by ELISA. IL-6 signaling was blocked by Tocilizumab (TCZ) (10 ng/ml).

resultsIPF-HLFs were found to significantly overexpress IL-6 receptor (IL-6R), suppressor of cytokine signaling 3 (SOCS3), phospho-STAT3-Y705 and phospho-Smad3 in comparison to N-HLFs (p < 0.05). In addition, they were found to proliferate faster, secrete more IL-6 and express higher levels of the soluble IL-6R. IPF-HLF increased proliferation was inhibited by TCZ. Moreover, IPF-HLF derived supernatants induced both direct and indirect STAT3 activation that resulted in Smad3 phosphorylation and elevated Gremlin levels in N-HLFs. These effects were also successfully blocked by TCZ.

conclusionsIPF-HLF paracrine signaling leads to IL-6R overexpression, which in turn, affects N-HLF survival. The IL-6/STAT3/Smad3 axis facilitates cellular responses that could potentially promote fibrotic disease. This interplay was successfully blocked by TCZ.

Indexed as

AgedAged, 80 and overAntibodies, Monoclonal, HumanizedCells, CulturedFemaleHumansIdiopathic Pulmonary FibrosisInterleukin-6Interleukin-6 InhibitorsMaleMiddle AgedReceptors, Interleukin-6Signal TransductionSmad3 ProteinSTAT3 Transcription FactorTransforming Growth Factor betaAntibodies, Monoclonal, HumanizedIL6 protein, humanIL6R protein, humanInterleukin-6Interleukin-6 InhibitorsReceptors, Interleukin-6Smad3 ProteinSMAD3 protein, humanSTAT3 protein, humanSTAT3 Transcription FactortocilizumabTransforming Growth Factor betaFibroblastsFibrosisGremlin (GREM1)IL-6sIL-6RSmad3STAT3Tocilizumab

Identifiers

PMID32070329
PMCPMC7029598
OpenAlexW3009759522

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.