Evidence map›Paper›PMID 34520400›Full record

ArticleJCI insight2021

Dysregulated overexpression of Sox9 induces fibroblast activation in pulmonary fibrosis.

Prathibha R Gajjala, Rajesh K Kasam, Divyalakshmi Soundararajan, Debora Sinner, Steven K Huang, Anil G Jegga, Satish K Madala

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
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

41 citing papers in PubMed, 65 citations in OpenAlex.

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  9. Emerging Concepts in Fibroblast Biology and Progressive Pulmonary Fibrosis.Seminars in respiratory and critical care medicine · 2025
    Review
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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

7 authors at 4 institutions in 2 countries.

Prathibha R GajjalaDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Rajesh K KasamDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Divyalakshmi SoundararajanDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Debora SinnerDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Steven K HuangDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Anil G JeggaDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Satish K MadalaDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Pulmonary Associates · USCincinnati Children's Hospital Medical Center · USPerinatal Institute · GBUniversity of Michigan · US

Funding

Pilot and Feasibility ProgramP30DK117467 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Raouf S. Amin · 2018 to 2026
$11.4M
The Role of KCNMB1 and the Large Conductance Potassium (BK) Channel in Myofibroblast Differentiation and Pulmonary FibrosisR01HL127203 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HUANG, STEVEN K · 2015 to 2024
$4.4M
WT1 REGULATION OF PULMONARY FIBROSISR01HL134801 · NHLBI · UNIVERSITY OF CINCINNATI · PI MADALA, SATISH K · 2017 to 2025
$3.9M
Sox9 Regulation of Fibroblast Activation and Pulmonary FibrosisR01HL157176 · NHLBI · UNIVERSITY OF CINCINNATI · PI MADALA, SATISH K · 2021 to 2025
$2.5M
Molecular mechanisms underlying trachea formation and the pathology of tracheomalacia and complete tracheal ringsR01HL144774 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI SINNER, DEBORA · 2019 to 2023
$2.2M
NHLBI NIH HHS R01 HL127203NHLBI NIH HHS R01 HL134801NHLBI NIH HHS R01 HL144774NHLBI NIH HHS R01 HL157176NIDDK NIH HHS P30 DK117467
6 · The paper itself

Abstract

Idiopathic pulmonary fibrosis (IPF) is a fatal fibrotic lung disease associated with unremitting fibroblast activation including fibroblast-to-myofibroblast transformation (FMT), migration, resistance to apoptotic clearance, and excessive deposition of extracellular matrix (ECM) proteins in the distal lung parenchyma. Aberrant activation of lung-developmental pathways is associated with severe fibrotic lung disease; however, the mechanisms through which these pathways activate fibroblasts in IPF remain unclear. Sry-box transcription factor 9 (Sox9) is a member of the high-mobility group box family of DNA-binding transcription factors that are selectively expressed by epithelial cell progenitors to modulate branching morphogenesis during lung development. We demonstrate that Sox9 is upregulated via MAPK/PI3K-dependent signaling and by the transcription factor Wilms' tumor 1 in distal lung-resident fibroblasts in IPF. Mechanistically, using fibroblast activation assays, we demonstrate that Sox9 functions as a positive regulator of FMT, migration, survival, and ECM production. Importantly, our in vivo studies demonstrate that fibroblast-specific deletion of Sox9 is sufficient to attenuate collagen deposition and improve lung function during TGF-α-induced pulmonary fibrosis. Using a mouse model of bleomycin-induced pulmonary fibrosis, we show that myofibroblast-specific Sox9 overexpression augments fibroblast activation and pulmonary fibrosis. Thus, Sox9 functions as a profibrotic transcription factor in activating fibroblasts, illustrating the potential utility of targeting Sox9 in IPF treatment.

Indexed as

AnimalsCell ProliferationDisease Models, AnimalFibroblastsMicePulmonary FibrosisSignal TransductionSOX9 Transcription FactorTransfectionSox9 protein, mouseSOX9 Transcription FactorApoptosisCollagensFibrosisPulmonology

Identifiers

PMID34520400
PMCPMC8564901
OpenAlexW3199007722

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.