Evidence map›Paper›PMID 34217280›Full record

ArticleRespiratory research2021

Inhibition of EZH2 prevents acute respiratory distress syndrome (ARDS)-associated pulmonary fibrosis by regulating the macrophage polarization phenotype.

Xiaowei Bao, Xiandong Liu, Na Liu, Shougang Zhuang, Qian Yang, Huijuan Ren, Dongyang Zhao, Jianwen Bai, Xiaohui Zhou, Lunxian Tang

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.2field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 72 citations in OpenAlex.

  1. Review
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  8. The Immune Microenvironment: New Therapeutic Implications in Organ Fibrosis.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  9. Article
  10. Article
  11. Pulmonary fibrosis: from mechanisms to therapies.Journal of translational medicine · 2025
    Review
  12. Article
  13. Macrophages and Pulmonary Fibrosis.Current molecular medicine · 2025
    Review
  14. Review
  15. Article
  16. 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

10 authors at 2 institutions in 2 countries.

Xiaowei Bao *Department of Internal Emergency Medicine and Critical Care, Shanghai East Hospital, Tong Ji University, 1800, Yuntai Road, Shanghai, 200120, China.
Xiandong Liu *Department of Internal Emergency Medicine and Critical Care, Shanghai East Hospital, Tong Ji University, 1800, Yuntai Road, Shanghai, 200120, China.
Na LiuDepartment of Nephrology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
Shougang ZhuangDepartment of Nephrology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
Qian YangDepartment of Internal Emergency Medicine and Critical Care, Shanghai East Hospital, Tong Ji University, 1800, Yuntai Road, Shanghai, 200120, China.
Huijuan RenDepartment of Internal Emergency Medicine and Critical Care, Shanghai East Hospital, Tong Ji University, 1800, Yuntai Road, Shanghai, 200120, China.
Dongyang ZhaoDepartment of Internal Emergency Medicine and Critical Care, Shanghai East Hospital, Tong Ji University, 1800, Yuntai Road, Shanghai, 200120, China.
Jianwen BaiDepartment of Internal Emergency Medicine and Critical Care, Shanghai East Hospital, Tong Ji University, 1800, Yuntai Road, Shanghai, 200120, China.
Xiaohui ZhouResearch Center for Translational Medicine, Shanghai East Hospital, Tongji University, 150, Jimo Road, Shanghai, 200120, China. xhzhou100@126.com.
Lunxian TangDepartment of Internal Emergency Medicine and Critical Care, Shanghai East Hospital, Tong Ji University, 1800, Yuntai Road, Shanghai, 200120, China. 456tlx@163.com.ORCID http://orcid.org/0000-0002-5726-9380
Shanghai East Hospital · CNBrown University · US

Funding

a grant from the leading medical talent project of Shanghai Pudong heath bureau PWRI2019-05National Natural Science Foundation of China 81970072National Natural Science Foundation of China (CN) 81670690the Key Discipline Construction Project of Pudong Health Bureau of Shanghai (PWZxk2017-05the key programme of Natural Science Foundation of Jiangxi Province 20181ACB 20016the Nature Science grant of Shanghai 20ZR1445800the top-level clinical discipline project of Shanghai Pudong PWYgf2018-05
6 · The paper itself

Abstract

backgroundWe recently reported histone methyltransferase enhancer of zeste homolog 2 (EZH2) as a key epigenetic regulator that contributes to the dysfunction of innate immune responses to sepsis and subsequent lung injury by mediating the imbalance of macrophage polarization. However, the role of EZH2 in acute respiratory distress syndrome (ARDS)-associated fibrosis remains poorly understood.

methodsIn this study, we investigated the role and mechanisms of EZH2 in pulmonary fibrosis in a murine model of LPS-induced ARDS and in ex-vivo cultured alveolar macrophages (MH-S) and mouse lung epithelial cell line (MLE-12) by using 3-deazaneplanocin A (3-DZNeP) and EZH2 the small interfering (si) RNA.

resultsWe found that treatment with 3-DZNeP significantly ameliorated the LPS-induced direct lung injury and fibroproliferation by blocking EMT through TGF-β1/Smad signaling pathway and regulating shift of macrophage phenotypes. In the ex-vivo polarized alveolar macrophages cells, treatment with EZH2 siRNA or 3-DZNeP suppressed the M1 while promoted the M2 macrophage differentiation through modulating the STAT/SOCS signaling pathway and activating PPAR-γ. Moreover, we identified that blockade of EZH2 with 3-DZNeP suppressed the epithelial to mesenchymal transition (EMT) in co-cultured bronchoalveolar lavage fluid (BALF) and mouse lung epithelial cell line through down-regulation of TGF-β1, TGF-βR1, Smad2 while up-regulation of Smad7 expression.

conclusionsThese results indicate that EZH2 is involved in the pathological process of ARDS-associated pulmonary fibrosis. Targeting EZH2 may be a potential therapeutic strategy to prevent and treat pulmonary fibrosis post ARDS.

Indexed as

PhenotypeAnimalsCell PolarityCoculture TechniquesEnhancer of Zeste Homolog 2 ProteinLipopolysaccharidesMacrophagesMaleMiceMice, Inbred C57BLPulmonary FibrosisRespiratory Distress SyndromeRNA, Small InterferingEnhancer of Zeste Homolog 2 ProteinEzh2 protein, mouseLipopolysaccharidesRNA, Small InterferingARDSEMTEZH2FibrosisMacrophage polarizationSepsis

Identifiers

PMID34217280
PMCPMC8255011
OpenAlexW3115739536

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LicenceCC BY
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Registered trials

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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.