Evidence map›Paper›PMID 33149556›Full record

ArticleDrug design, development and therapy2020

Tranilast Inhibits Pulmonary Fibrosis by Suppressing TGFβ/SMAD2 Pathway.

Motoyasu Kato, Fumiyuki Takahashi, Tadashi Sato, Yoichiro Mitsuishi, Ken Tajima, Hiroaki Ihara, Fariz Nurwidya, Hario Baskoro, Akiko Murakami, Isao Kobayashi and 8 more

Open access · goldAbstract read
In one paragraph

Article in Drug design, development and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. The role of vascularity and the fibrovascular interface in interstitial lung diseases.European respiratory review : an official journal of the European Respiratory Society · 2025
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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

18 authors at 3 institutions in 1 country.

Motoyasu KatoDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-3217-5118
Fumiyuki TakahashiDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Tadashi SatoDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0003-0467-8217
Yoichiro MitsuishiDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Ken TajimaDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Hiroaki IharaDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-1225-6930
Fariz NurwidyaDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0002-8379-9510
Hario BaskoroDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Akiko MurakamiDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Isao KobayashiDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Moulid HidayatDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0001-5526-2700
Naoko ShimadaDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Shinichi SasakiDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Reiko MinekiLaboratory of Proteomics and Biomolecular Science, Research Support Center, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Tsutomu FujimuraLaboratory of Bioanalytical Chemistry, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.
Toshio KumasakaDepartment of Pathology, Japanese Red Cross Medical Center, Tokyo, Japan.
Shin-Ichiro NiwaLink Genomics, Incorporated, Tokyo, Japan.
Kazuhisa TakahashiDepartment of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.ORCID 0000-0001-5749-4118
Juntendo University · JPJapanese Red Cross Medical Center · JPTohoku Medical and Pharmaceutical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIdiopathic pulmonary fibrosis (IPF) is characterized by the accumulation of extracellular matrix (ECM) protein in the lungs. Transforming growth factor (TGF) β-induced ECM protein synthesis contributes to the development of IPF. Tranilast, an anti-allergy drug, suppresses TGFβ expression and inhibits interstitial renal fibrosis in animal models. However, the beneficial effects of tranilast or its mechanism as a therapy for pulmonary fibrosis have not been clarified.

methodsWe investigated the in vitro effect of tranilast on ECM production and TGFβ/SMAD2 pathway in TGFβ2-stimulated A549 human alveolar epithelial cells, using quantitative polymerase chain reaction, Western blotting, and immunofluorescence. In vitro observations were validated in the lungs of a murine pulmonary fibrosis model, which we developed by intravenous injection of bleomycin.

resultsTreatment with tranilast suppressed the expression of ECM proteins, such as fibronectin and type IV collagen, and attenuated SMAD2 phosphorylation in TGFβ2-stimulated A549 cells. In addition, based on a wound healing assay in these cells, tranilast significantly inhibited cell motility, with foci formation that comprised of ECM proteins. Histological analyses revealed that the administration of tranilast significantly attenuated lung fibrosis in mice. Furthermore, tranilast treatment significantly reduced levels of TGFβ, collagen, fibronectin, and phosphorylated SMAD2 in pulmonary fibrotic tissues in mice.

conclusionThese findings suggest that tranilast inhibits pulmonary fibrosis by suppressing TGFβ/SMAD2-mediated ECM protein production, presenting tranilast as a promising and novel anti-fibrotic agent for the treatment of IPF.

Indexed as

BleomycinCell Line, TumorCell ProliferationDose-Response Relationship, DrugHumansIdiopathic Pulmonary FibrosisMolecular Structureortho-AminobenzoatesSmad2 ProteinStructure-Activity RelationshipTransforming Growth Factor betaBleomycinortho-AminobenzoatesSmad2 ProteinSMAD2 protein, humantranilastTransforming Growth Factor betaidiopathic pulmonary fibrosisSMAD2TGFβtranilast

Identifiers

PMID33149556
PMCPMC7605600
OpenAlexW3097490278

What OpenQuestion holds

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LicenceCC BY-NC
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.