Evidence map›Paper›PMID 41014206›Full record

ArticleSmall (Weinheim an der Bergstrasse, Germany)2025

Atomic Force Microscopy-Based Nanomechanical Signatures for Staging Classification and Drug Response in Pulmonary Fibrosis.

Andreas Stylianou, Katerina Polemidiotou, Vassilis Alimisis, Fotios Mpekris, Chrysovalantis Voutouri, Meropi Mari, George Filippidis, Andreas Zachariades, Stylianos-Vasileios Kontomaris, Paul P Sotiriadis and 2 more

Abstract read
In one paragraph

Article in Small (Weinheim an der Bergstrasse, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Andreas StylianouCancer Mechanobiology and Applied Biophysics Group, Basic and Translational Cancer Research Center (BTCRC), School of Sciences, European University Cyprus, Nicosia, 1516, Cyprus.ORCID 0000-0002-1641-1854
Katerina PolemidiotouCancer Mechanobiology and Applied Biophysics Group, Basic and Translational Cancer Research Center (BTCRC), School of Sciences, European University Cyprus, Nicosia, 1516, Cyprus.
Vassilis AlimisisDepartment of Electrical and Computer Engineering, National Technical University of Athens, Athens, 15780, Greece.
Fotios MpekrisCancer Biophysics Laboratory, Department of Mechanical and Manufacturing Engineering, University of Cyprus, Nicosia, 1678, Cyprus.
Chrysovalantis VoutouriCancer Biophysics Laboratory, Department of Mechanical and Manufacturing Engineering, University of Cyprus, Nicosia, 1678, Cyprus.
Meropi MariInstitute of Electronic Structure and Laser, Foundation for Research and Technology-Hellas, Heraklion, Crete, 71110, Greece.
George FilippidisInstitute of Electronic Structure and Laser, Foundation for Research and Technology-Hellas, Heraklion, Crete, 71110, Greece.
Andreas ZachariadesNicosia Lung Center, Strovolos, Nicosia, 2012, Cyprus.
Stylianos-Vasileios KontomarisCancer Mechanobiology and Applied Biophysics Group, Basic and Translational Cancer Research Center (BTCRC), School of Sciences, European University Cyprus, Nicosia, 1516, Cyprus.
Paul P SotiriadisDepartment of Electrical and Computer Engineering, National Technical University of Athens, Athens, 15780, Greece.
Vasiliki GkretsiBiomedical Sciences Program, Department of Life Sciences, School of Sciences, European University Cyprus, Nicosia, 1516, Cyprus.
Triantafyllos StylianopoulosCancer Biophysics Laboratory, Department of Mechanical and Manufacturing Engineering, University of Cyprus, Nicosia, 1678, Cyprus.

Funding

European UnionResearch and Innovation Foundation EXCELLENCE/0421/0263
6 · The paper itself

Abstract

Current therapies for pulmonary fibrosis (PF) show high variability in effectiveness, while the lack of specific biomarkers hinder early diagnosis, and treatment monitoring. With few approved drugs and inconsistent treatment responses, developing personalized therapies is essential. Since PF progression involves changes in tissue structure and mechanics, mechanobiology plays a central role. It is hypothesized that Atomic Force Microscopy (AFM) can identify unique nanomechanical fingerprints (NMFs) to characterize fibrosis stages and monitor treatment response. AFM is first used to assess NMFs in human biopsy samples, followed by evaluation in bleomycin-induced murine PF models. NMFs are also studied in mice treated with pirfenidone, a drug known to reduce collagen I. AFM data are supported by histopathological staining, polarized and second harmonic generation (SHG) microscopy, and real-time PCR analysis of collagen I expression. AFM measurements detected distinct NMFs in human samples and tracked alterations during PF progression in mice. Changes in NMFs correlated with collagen I content, histology, and SHG microscopy. In silico analysis supported NMFs' potential as diagnostic biomarkers. Furthermore, AFM-based NMFs assessed pirfenidone treatment outcomes. These findings provide the first evidence that AFM-based NMFs can serve as biomarkers for PF staging and treatment monitoring, offering a powerful diagnostic tool to complement standard biopsies.

Indexed as

Microscopy, Atomic ForcePulmonary FibrosisAnimalsBleomycinCollagen Type IHumansMaleMicePyridonesBleomycinCollagen Type IpirfenidonePyridonesbiomarkersbleomycinmechanobiologypirfenidonesupport vector machines

Identifiers

PMID41014206
PMCPMC12590530

What OpenQuestion holds

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LicenceCC BY
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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.