Evidence map›Paper›PMID 32171287›Full record

Observational studyBMC pulmonary medicine2020

Circulating matrix metalloproteinases and tissue metalloproteinase inhibitors in patients with idiopathic pulmonary fibrosis in the multicenter IPF-PRO Registry cohort.

Jamie L Todd, Richard Vinisko, Yi Liu, Megan L Neely, Robert Overton, Kevin R Flaherty, Imre Noth, L Kristin Newby, Joseph A Lasky, Mitchell A Olman and 5 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC pulmonary medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
6.8field-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

69 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Article
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  7. Article
  8. Article
  9. Targeting the epithelium in pulmonary fibrosis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
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9 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

15 authors at 9 institutions in 2 countries.

Jamie L ToddDuke Clinical Research Institute, Durham, NC, USA. jamie.todd@duke.edu.ORCID http://orcid.org/0000-0003-4247-3693
Richard ViniskoBoehringer Ingelheim Pharmaceuticals Inc., Ridgefield, CT, USA.
Yi LiuBoehringer Ingelheim Pharmaceuticals Inc., Ridgefield, CT, USA.
Megan L NeelyDuke Clinical Research Institute, Durham, NC, USA.
Robert OvertonDuke Clinical Research Institute, Durham, NC, USA.
Kevin R FlahertyDivision of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA.
Imre NothUniversity of Virginia, Charlottesville, VA, USA.
L Kristin NewbyDuke Clinical Research Institute, Durham, NC, USA.
Joseph A LaskySchool of Medicine, Tulane University, New Orleans, LA, USA.
Mitchell A OlmanDepartment of Inflammation and Immunity and Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA.
Christian HesslingerBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.
Thomas B LeonardBoehringer Ingelheim Pharmaceuticals Inc., Ridgefield, CT, USA.
Scott M PalmerDuke Clinical Research Institute, Durham, NC, USA.
John A BelperioDavid Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
IPF-PRO Registry investigators
Duke Medical Center · USClinical Research Institute · USTulane University · USUniversity of California, Los Angeles · USUniversity of Michigan · USBoehringer Ingelheim (Germany) · DEBoehringer Ingelheim (United States) · USCleveland Clinic · USDuke University · US

Funding

Architectural structure and regulation of TOLLIP in IPFR01HL130796 · NHLBI · UNIVERSITY OF VIRGINIA · PI NOTH, IMRE · 2016 to 2019
$3.1M
TRPV4-PI3K Axis Mediates Pulmonary and Cardiac FibrosisR01HL133721 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI OLMAN, MITCHELL ALAN, PRASAD, SATHYAMANGLA V · 2017 to 2020
$2.2M
NHLBI NIH HHS R01 HL130796NHLBI NIH HHS R01 HL133721
6 · The paper itself

Abstract

backgroundMatrix metalloproteinases (MMPs) and tissue inhibitors of MMPs (TIMPs) play important roles in the turnover of extracellular matrix and in the pathogenesis of idiopathic pulmonary fibrosis (IPF). This study aimed to determine the utility of circulating MMPs and TIMPs in distinguishing patients with IPF from controls and to explore associations between MMPs/TIMPs and measures of disease severity in patients with IPF.

methodsThe IPF cohort (n = 300) came from the IPF-PRO Registry, an observational multicenter registry of patients with IPF that was diagnosed or confirmed at the enrolling center in the past 6 months. Controls (n = 100) without known lung disease came from a population-based registry. Generalized linear models were used to compare circulating concentrations of MMPs 1, 2, 3, 7, 8, 9, 12, and 13 and TIMPs 1, 2, and 4 between patients with IPF and controls, and to investigate associations between circulating levels of these proteins and measures of IPF severity. Multivariable models were fit to identify the MMP/TIMPs that best distinguished patients with IPF from controls.

resultsAll the MMP/TIMPs analyzed were present at significantly higher levels in patients with IPF compared with controls except for TIMP2. Multivariable analyses selected MMP8, MMP9 and TIMP1 as top candidates for distinguishing patients with IPF from controls. Higher concentrations of MMP7, MMP12, MMP13 and TIMP4 were significantly associated with lower diffusion capacity of the lung for carbon monoxide (DL

conclusionsCirculating MMPs and TIMPs were broadly elevated among patients with IPF. Select MMP/TIMPs strongly associated with measures of disease severity. Our results identify potential MMP/TIMP targets for further development as disease-related biomarkers.

Indexed as

AgedBiomarkersCase-Control StudiesFemaleHumansIdiopathic Pulmonary FibrosisLinear ModelsLungMaleMatrix Metalloproteinases, SecretedMiddle AgedMultivariate AnalysisPredictive Value of TestsTissue Inhibitor of MetalloproteinasesVital CapacityBiomarkersMatrix Metalloproteinases, SecretedTissue Inhibitor of MetalloproteinasesBiomarkersExtracellular matrixFibrosisInterstitial lung diseasesObservational study

Identifiers

PMID32171287
PMCPMC7071646
OpenAlexW3011623493

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.