Evidence map›Paper›PMID 34287647›Full record

ArticleThe Journal of experimental medicine2021

Reversal of emphysema by restoration of pulmonary endothelial cells.

Shu Hisata, Alexandra C Racanelli, Pouneh Kermani, Ryan Schreiner, Sean Houghton, Brisa Palikuqi, Balvir Kunar, Aiyuan Zhou, Keith McConn, Allyson Capili and 9 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
4.8field-weighted citation impact, top 3% 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

62 citing papers in PubMed, 84 citations in OpenAlex.

  1. Angiogenesis in Lung Regeneration and Aging.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Research Progress on Animal Models of Chronic Obstructive Pulmonary Disease.International journal of chronic obstructive pulmonary disease · 2026
    Review
  15. Article
  16. Review
  17. The critical role of LRG1 in pathological fibrosis.Journal of molecular medicine (Berlin, Germany) · 2025
    Review
  18. Review
  19. Post-COPD: Can Emphysema Be Repaired?American journal of respiratory and critical care medicine · 2025
    Article
  20. Review

2 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

19 authors at 6 institutions in 4 countries.

Shu Hisata *Division of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0003-2830-755X
Alexandra C Racanelli *Division of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-8414-097X
Pouneh KermaniDivision of Hematology/Oncology, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-3951-6798
Ryan SchreinerAnsary Stem Cell Institute, Division of Regenerative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-7457-6606
Sean HoughtonAnsary Stem Cell Institute, Division of Regenerative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0001-6385-006X
Brisa PalikuqiAnsary Stem Cell Institute, Division of Regenerative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0003-3164-3626
Balvir KunarAnsary Stem Cell Institute, Division of Regenerative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0003-1732-7336
Aiyuan ZhouDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-7437-2419
Keith McConnDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-5802-473X
Allyson CapiliDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0003-0557-273X
David RedmondAnsary Stem Cell Institute, Division of Regenerative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-0983-8606
Daniel J NolanAngiocrine Bioscience, San Diego, CA.ORCID 0000-0002-4913-0813
Michael GinsbergAngiocrine Bioscience, San Diego, CA.ORCID 0000-0002-7058-8976
Bi-Sen DingAnsary Stem Cell Institute, Division of Regenerative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0001-9578-3738
Fernando J MartinezDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-2412-3182
Joseph M ScanduraDivision of Hematology/Oncology, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-9525-143X
Suzanne M CloonanDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0001-5301-9926
Shahin RafiiAnsary Stem Cell Institute, Division of Regenerative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0001-5605-1067
Augustine M K ChoiDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY.ORCID 0000-0002-4836-305X
Cornell University · USAngiocrine Bioscience (United States) · USNewYork–Presbyterian Hospital · USCentral South University · CNJichi Medical University · JPTrinity College Dublin · IE

Funding

Respiratory Computational Discovery CoreP01HL114501 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI CHOI, MARY E · 2013 to 2025
$24.9M
Adaptable tissue-specific endothelial cells for organ regenerationR35HL150809 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Shahin Rafii · 2020 to 2026
$7.1M
Multidisciplinary Approach Training in Respiratory ResearchT32HL134629 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Robert J Kaner, Heather Winona Stout Delgado · 2018 to 2026
$5.2M
Training Program in Developmental BiologyT32HD060600 · NICHD · WEILL MEDICAL COLL OF CORNELL UNIV · PI BAO, ZHIRONG, STUHLMANN, HEIDI · 2010 to 2024
$3.5M
Endothelial cell transplantation for multi-organ repair to counter radiation injuryU01AI138329 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI KIEM, HANS-PETER, RAFII, SHAHIN · 2018 to 2022
$3.3M
Endothelial cell-derived MMP14 in lung alveolar regeneration and fibrosisR01HL130826 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI POWELL, CHARLES A. · 2016 to 2020
$2.4M
Metabolic dysfunction regulates mitophagy-dependent necroptosis in COPDR01HL132198 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI CHOI, AUGUSTINE M, CHOI, MARY E · 2017 to 2020
$2.2M
Mitochondrial Iron metabolism in Chronic Obstructive Pulmonary DiseaseR00HL125899 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI CLOONAN, SUZANNE M · 2017 to 2019
$747k
NHLBI NIH HHS P01 HL114501NHLBI NIH HHS R00 HL125899NHLBI NIH HHS R01 HL130826NHLBI NIH HHS R01 HL132198NHLBI NIH HHS R35 HL150809NHLBI NIH HHS T32 HL134629NIAID NIH HHS U01 AI138329NICHD NIH HHS T32 HD060600NIH HHS R01HL132198
6 · The paper itself

Abstract

Chronic obstructive pulmonary disease (COPD) is marked by airway inflammation and airspace enlargement (emphysema) leading to airflow obstruction and eventual respiratory failure. Microvasculature dysfunction is associated with COPD/emphysema. However, it is not known if abnormal endothelium drives COPD/emphysema pathology and/or if correcting endothelial dysfunction has therapeutic potential. Here, we show the centrality of endothelial cells to the pathogenesis of COPD/emphysema in human tissue and using an elastase-induced murine model of emphysema. Airspace disease showed significant endothelial cell loss, and transcriptional profiling suggested an apoptotic, angiogenic, and inflammatory state. This alveolar destruction was rescued by intravenous delivery of healthy lung endothelial cells. Leucine-rich α-2-glycoprotein-1 (LRG1) was a driver of emphysema, and deletion of Lrg1 from endothelial cells rescued vascular rarefaction and alveolar regression. Hence, targeting endothelial cell biology through regenerative methods and/or inhibition of the LRG1 pathway may represent strategies of immense potential for the treatment of COPD/emphysema.

Indexed as

Administration, IntravenousAnimalsBiomarkersDisease Models, AnimalEndothelial CellsGene Expression ProfilingGene Expression RegulationGlycoproteinsHumansLungMiceMice, Inbred C57BLNeovascularization, PhysiologicPancreatic ElastasePhenotypePulmonary Disease, Chronic ObstructiveBiomarkersGlycoproteinsLRG1 protein, mousePancreatic Elastase

Identifiers

PMID34287647
PMCPMC8298104
OpenAlexW3183893890

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.