Evidence map›Paper›PMID 36752201›Full record

ArticleJCI insight2023

Inhibition of antiapoptotic BCL-2 proteins with ABT-263 induces fibroblast apoptosis, reversing persistent pulmonary fibrosis.

Joseph C Cooley, Nomin Javkhlan, Jasmine A Wilson, Daniel G Foster, Benjamin L Edelman, Luis A Ortiz, David A Schwartz, David Wh Riches, Elizabeth F Redente

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
16.3field-weighted citation impact, top 1% 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Beyond slowing decline: leveraging apoptotic synergy to reverse pulmonary fibrosis.American journal of respiratory cell and molecular biology · 2026
    Article
  5. Article
  6. Hallmarks of the ageing lung: 10 years later.The European respiratory journal · 2026
    Review
  7. Review
  8. Regulated Cell Death in Idiopathic Pulmonary Fibrosis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Mechanobiology and Resolution of Lung Fibrosis.Annual review of physiology · 2026
    Review
  15. Review
  16. Article
  17. Article
  18. Pathogenic expansion: fibroblast proliferation fuels fibrosis.The Journal of clinical investigation · 2025
    Article
  19. Article
  20. Article
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

9 authors at 3 institutions in 1 country.

Joseph C CooleyDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, National Jewish Health, Denver, Colorado, USA.
Nomin JavkhlanProgram in Cell Biology, Department of Pediatrics, National Jewish Health, Denver, Colorado, USA.
Jasmine A WilsonProgram in Cell Biology, Department of Pediatrics, National Jewish Health, Denver, Colorado, USA.
Daniel G FosterDepartment of Pharmaceutical Sciences, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Benjamin L EdelmanProgram in Cell Biology, Department of Pediatrics, National Jewish Health, Denver, Colorado, USA.
Luis A OrtizDepartment of Environmental and Occupational Health, Graduate School of Public Health at the University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
David A SchwartzDivision of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
David Wh RichesDivision of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Elizabeth F RedenteDivision of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
National Jewish Health · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Pittsburgh · US

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
MULTIDISCIPLINARY RESPIRATORY DISEASES RESEARCH TRAININGT32HL007085 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ELLEN L BURNHAM, LISA A MAIER · 1985 to 2026
$21.6M
Targeting early events in MUC5B-driven lung injury and fibrosisP01HL162607 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI Anna Peljto · 2023 to 2026
$12.4M
Preclinical Pulmonary Fibrosis, an opportune rare disease cohortUH3HL151865 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI SCHWARTZ, DAVID ALBERT · 2022 to 2025
$4.3M
Molecular Determinants of Usual Interstitial Pneumonia (UIP)R01HL158668 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI David Albert Schwartz, Ivana V Yang · 2022 to 2026
$3.5M
Roles for interstitial and airspace macrophages in resolution of pulmonary inflammationR01HL149741 · NHLBI · NATIONAL JEWISH HEALTH · PI HENSON, PETER M, REDENTE, ELIZABETH FRANCES · 2020 to 2023
$3.0M
Reducing Fibroblast Persistence in Pulmonary Fibrosis as a Mechanism of ResolutionR01HL147860 · NHLBI · NATIONAL JEWISH HEALTH · PI REDENTE, ELIZABETH FRANCES · 2019 to 2023
$2.7M
Request for a High Resolution In-Vivo Micro-CT SystemS10OD023491 · OD · NATIONAL JEWISH HEALTH · PI RICHES, DAVID W. · 2018 to 2018
$349k
lncRNAs, Linking Genetic Susceptibility to Molecular Phenotype in IPFI01BX005295 · VA · VA EASTERN COLORADO HEALTH CARE SYSTEM · PI David Albert Schwartz · 2022 to 2026
–
BLRD VA I01 BX003471BLRD VA I01 BX005295NCI NIH HHS P30 CA046934NHLBI NIH HHS P01 HL162607NHLBI NIH HHS R01 HL147860NHLBI NIH HHS R01 HL149741NHLBI NIH HHS R01 HL158668NHLBI NIH HHS T32 HL007085NHLBI NIH HHS UH3 HL151865NIH HHS S10 OD023491
6 · The paper itself

Abstract

Patients with progressive fibrosing interstitial lung diseases (PF-ILDs) carry a poor prognosis and have limited therapeutic options. A hallmark feature is fibroblast resistance to apoptosis, leading to their persistence, accumulation, and excessive deposition of extracellular matrix. A complex balance of the B cell lymphoma 2 (BCL-2) protein family controlling the intrinsic pathway of apoptosis and fibroblast reliance on antiapoptotic proteins has been hypothesized to contribute to this resistant phenotype. Examination of lung tissue from patients with PF-ILD (idiopathic pulmonary fibrosis and silicosis) and mice with PF-ILD (repetitive bleomycin and silicosis) showed increased expression of antiapoptotic BCL-2 family members in α-smooth muscle actin-positive fibroblasts, suggesting that fibroblasts from fibrotic lungs may exhibit increased susceptibility to inhibition of antiapoptotic BCL-2 family members BCL-2, BCL-XL, and BCL-W with the BH3 mimetic ABT-263. We used 2 murine models of PF-ILD to test the efficacy of ABT-263 in reversing established persistent pulmonary fibrosis. Treatment with ABT-263 induced fibroblast apoptosis, decreased fibroblast numbers, and reduced lung collagen levels, radiographic disease, and histologically evident fibrosis. Our studies provide insight into how fibroblasts gain resistance to apoptosis and become sensitive to the therapeutic inhibition of antiapoptotic proteins. By targeting profibrotic fibroblasts, ABT-263 offers a promising therapeutic option for PF-ILDs.

Indexed as

Idiopathic Pulmonary FibrosisLung Diseases, InterstitialSilicosisAniline CompoundsAnimalsApoptosisApoptosis Regulatory ProteinsFibroblastsMiceProto-Oncogene Proteins c-bcl-2SulfonamidesAniline CompoundsApoptosis Regulatory ProteinsnavitoclaxProto-Oncogene Proteins c-bcl-2SulfonamidesApoptosis pathwaysCell BiologyFibrosisMouse modelsPulmonology

Identifiers

PMID36752201
PMCPMC9977433
OpenAlexW4319341340

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.