Evidence map›Paper›PMID 40604997›Full record

ArticleRespiratory research2025

An orally bioavailable BRD4 inhibitor disrupts expansion of a pathogenic epithelial-mesenchymal niche in bleomycin-induced fibrosis.

Melissa Skibba, Zonghui Ma, Carole L Wilson, Zhiqing Liu, Haiying Chen, Bing Tian, Thomas J Harr, Lynn M Schnapp, Nathan Sandbo, Jia Zhou and 1 more

Abstract read
In one paragraph

Article in Respiratory research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

11 authors.

Melissa Skibba *Department of Medicine, School of Medicine and Public Health, University of Wisconsin Madison, Madison, WI, USA.
Zonghui Ma *Department of Pharmacology and Toxicology, University of Texas Medical Branch, Galveston, TX, USA.
Carole L WilsonDepartment of Medicine, School of Medicine and Public Health, University of Wisconsin Madison, Madison, WI, USA.
Zhiqing LiuDepartment of Pharmacology and Toxicology, University of Texas Medical Branch, Galveston, TX, USA.
Haiying ChenDepartment of Pharmacology and Toxicology, University of Texas Medical Branch, Galveston, TX, USA.
Bing TianDepartment of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Thomas J HarrDepartment of Medicine, School of Medicine and Public Health, University of Wisconsin Madison, Madison, WI, USA.
Lynn M SchnappDepartment of Medicine, School of Medicine and Public Health, University of Wisconsin Madison, Madison, WI, USA.
Nathan SandboDepartment of Medicine, School of Medicine and Public Health, University of Wisconsin Madison, Madison, WI, USA.
Jia Zhou *Department of Pharmacology and Toxicology, University of Texas Medical Branch, Galveston, TX, USA.
Allan R Brasier *Department of Medicine, School of Medicine and Public Health, University of Wisconsin Madison, Madison, WI, USA. abrasier@wisc.edu.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Nanoparticle-encapsulated Epigenetic Inhibitors for Treatment of Inflammatory Bowel DiseasesR21AI176297 · NIAID · UNIVERSITY OF TEXAS MED BR GALVESTON · PI RYTTING, ERIK, TIAN, BING · 2024 to 2025
$430k
Congressionally Directed Medical Research Programs PR231315Falk Foundation MSN256229NCATS NIH HHS UL1 TR002373NCATS NIH HHS UL1TR002373NIAID NIH HHS R21 AI176297
6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF) is a relentlessly progressive and fatal disease with few effective therapies available. Fibrosis is driven, in part, by cell-state transitions of epithelial progenitors within the airways that repopulate the injured alveoli. This alveolar atypia affects gas exchange and stimulates ECM production. We sought to examine the role of BRD4 signaling in progenitor expansion in bleomycin-induced lung injury.

methodsActivation of the Bromodomain-containing protein 4 (BRD4) epigenetic regulator in distinct stem cell populations was quantitated in a high-resolution scRNA-seq time course of bleomycin-induced injury, and confirmed in scRNA-seq studies in human IPF. A potent, selective, and orally bioavailable BRD4 inhibitor (BRD4i, ZL0969) was rationally designed and synthesized. The effect of BRD4i on myofibroblast transition, progenitor cell expansion and fibrosis was evaluated using a therapeutic experimental design in C57BL6/mice.

resultsWe find that the BRD4 pathway is rapidly induced in regenerating activated alveolar type (AT)2 cells and persists in a population of pro-fibrotic Krt8 + progenitors expressing markers of epithelial mesenchymal transition as well as senescence. To test the functional role of BRD4 activation, we administered a potent, selective, and orally bioavailable BRD4 inhibitor (BRD4i, ZL0969) with ~ 80 nM IC

conclusionsThese data demonstrate that inhibition of BRD4 signaling prevents expansion of myofibroblasts and expansion of a pathogenic epithelial progenitor population controlling alveolar atypia and fibrosis.

Indexed as

BleomycinCell Cycle ProteinsEpithelial-Mesenchymal TransitionIdiopathic Pulmonary FibrosisStem Cell NicheTranscription FactorsAdministration, OralAnimalsBiological AvailabilityBromodomain Containing ProteinsHumansMaleMiceMice, Inbred C57BLNuclear ProteinsBleomycinBRD4 protein, humanBrd4 protein, mouseBromodomain Containing ProteinsCell Cycle ProteinsNuclear ProteinsTranscription Factors

Identifiers

PMID40604997
PMCPMC12225180

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.