Evidence map›Paper›PMID 34899603›Full record

ReviewFrontiers in endocrinology2021

Diabetic Pneumopathy-A New Diabetes-Associated Complication: Mechanisms, Consequences and Treatment Considerations.

Stefan Kopf, Varun Kumar, Zoltan Kender, Zhe Han, Thomas Fleming, Stephan Herzig, Peter P Nawroth

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.7field-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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Diabetes-inducing effects of bronchial asthma.World journal of diabetes · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Cellular Senescence: A Troy Horse in Pulmonary Fibrosis.International journal of molecular sciences · 2023
    Review
  18. Article
  19. Article
  20. Review
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 5 institutions in 1 country.

Stefan KopfDepartment of Medicine I and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.
Varun KumarDepartment of Medicine I and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.
Zoltan KenderDepartment of Medicine I and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.
Zhe HanDepartment of Medicine I and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.
Thomas FlemingDepartment of Medicine I and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.
Stephan HerzigGerman Center for Diabetes Research (DZD), Munich-Neuherberg, Germany.
Peter P NawrothDepartment of Medicine I and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.
Heidelberg University · DEUniversity Hospital Heidelberg · DEDeutsches Diabetes-Zentrum e.V. · DEHeinrich Heine University Düsseldorf · DEHelmholtz Zentrum München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with diabetes are over-represented among the total cases reported with "idiopathic" pulmonary fibrosis (IPF). This raises the question, whether this is an association only or whether diabetes itself can cause pulmonary fibrosis. Recent studies in mouse models of type 1 and type 2 diabetes demonstrated that diabetes causes pulmonary fibrosis. Both types of diabetes trigger a cascade, starting with increased DNA damage, an impaired DNA repair, and leading to persistent DNA damage signaling. This response, in turn, induces senescence, a senescence-associated-secretory phenotype (SASP), marked by the release of pro-inflammatory cytokines and growth factors, finally resulting in fibrosis. Restoring DNA repair drives fibrosis into remission, thus proving causality. These data can be translated clinically to patients with type 2 diabetes, characterized by long-term diabetes and albuminuria. Hence there are several arguments, to substitute the term "idiopathic" pulmonary fibrosis (IPF) in patients with diabetes (and exclusion of other causes of lung diseases) by the term "diabetes-induced pulmonary fibrosis" (DiPF). However, future studies are required to establish this term and to study whether patients with diabetes respond to the established therapies similar to non-diabetic patients.

Indexed as

AnimalsDiabetes ComplicationsDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2DNA DamageHumansPulmonary Fibrosisdiabeteshyperglycemiapersistent DNA damage signalingpulmonary fibrosissenescence

Identifiers

PMID34899603
PMCPMC8655305
OpenAlexW3217556743

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.