Evidence map›Paper›PMID 33723255›Full record

ArticleCell death discovery2021

Human pluripotent stem-cell-derived alveolar organoids for modeling pulmonary fibrosis and drug testing.

Jung-Hyun Kim, Geun Ho An, Ji-Young Kim, Roya Rasaei, Woo Jin Kim, Xiong Jin, Dong-Hun Woo, Choongseong Han, Se-Ran Yang, Jong-Hoon Kim and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cell death discovery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
8.5field-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

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

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  18. Targeting USP11 counteractsTheranostics · 2025
    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

11 authors at 3 institutions in 2 countries.

Jung-Hyun KimDepartment of Internal Medicine, School of Medcine, Kangwon National University, Chuncheon, 24341, South Korea.
Geun Ho AnDepartment of New Drug Development, NEXEL, Co., Ltd, Seoul, South Korea.
Ji-Young KimDepartment of Internal Medicine, School of Medcine, Kangwon National University, Chuncheon, 24341, South Korea.
Roya RasaeiDepartment of Internal Medicine, School of Medcine, Kangwon National University, Chuncheon, 24341, South Korea.
Woo Jin KimDepartment of Internal Medicine, School of Medcine, Kangwon National University, Chuncheon, 24341, South Korea.
Xiong JinDepartment of New Drug Development, NEXEL, Co., Ltd, Seoul, South Korea.
Dong-Hun WooDepartment of New Drug Development, NEXEL, Co., Ltd, Seoul, South Korea.
Choongseong HanDepartment of New Drug Development, NEXEL, Co., Ltd, Seoul, South Korea.
Se-Ran YangDepartment of Thoracic and Cardiology, School of Medicine, Kangwon National University, Chuncheon, 24341, South Korea.
Jong-Hoon KimLaboratory of Stem Cells and Tissue Regeneration, Department of Biotechnology, College of Life Sciences and Biotechnology, Science Campus, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul, 02841, Korea. jhkim@korea.ac.kr.
Seok-Ho HongDepartment of Internal Medicine, School of Medcine, Kangwon National University, Chuncheon, 24341, South Korea. shhong@kangwon.ac.kr.ORCID http://orcid.org/0000-0003-3372-442X
Kangwon National University · KRGS Caltex (South Korea) · KRKorea University · KR

Funding

National Research Foundation of Korea (NRF) 2017M3A9B3061838National Research Foundation of Korea (NRF) 2019R1A2C2005453
6 · The paper itself

Abstract

Detailed understanding of the pathogenesis and development of effective therapies for pulmonary fibrosis (PF) have been hampered by lack of in vitro human models that recapitulate disease pathophysiology. In this study, we generated alveolar organoids (AOs) derived from human pluripotent stem cells (hPSCs) for use as an PF model and for drug efficacy evaluation. Stepwise direct differentiation of hPSCs into alveolar epithelial cells by mimicking developmental cues in a temporally controlled manner was used to generate multicellular AOs. Derived AOs contained the expected spectrum of differentiated cells, including alveolar progenitors, type 1 and 2 alveolar epithelial cells and mesenchymal cells. Treatment with transforming growth factor (TGF-β1) induced fibrotic changes in AOs, offering a PF model for therapeutic evaluation of a structurally truncated form (NP-011) of milk fat globule-EGF factor 8 (MFG-E8) protein. The significant fibrogenic responses and collagen accumulation that were induced by treatment with TGF-β1 in these AOs were effectively ameliorated by treatment with NP-011 via suppression of extracellular signal-regulated kinase (ERK) signaling. Furthermore, administration of NP-011 reversed bleomycin-induced lung fibrosis in mice also via ERK signaling suppression and collagen reduction. This anti-fibrotic effect mirrored that following Pirfenidone and Nintedanib administration. Furthermore, NP-011 interacted with macrophages, which accelerated the collagen uptake for eliminating accumulated collagen in fibrotic lung tissues. This study provides a robust in vitro human organoid system for modeling PF and assessing anti-fibrotic mechanisms of potential drugs and suggests that modified MGF-E8 protein has therapeutic potential for treating PF.

Identifiers

PMID33723255
PMCPMC7961057
OpenAlexW3137262210

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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.