Evidence map›Paper›PMID 41507889›Full record

ArticleBMC pulmonary medicine2026

Anti-cyclic citrullinated peptide antibody in bronchoalveolar lavage fluid of patients with idiopathic pulmonary fibrosis.

Ryobu Mori, Kohei Ikezoe, Tomohiro Handa, Kiminobu Tanizawa, Kazuko Uno, Toyohiro Hirai

Abstract read
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Article in BMC pulmonary medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ryobu Mori *Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Kohei Ikezoe *Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan. koikezoe@kuhp.kyoto-u.ac.jp.
Tomohiro HandaDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Kiminobu TanizawaDivision of Respiratory Medicine, Center for Respiratory Diseases, National Hospital Organization Kyoto Medical Center, 1-1 Fukakusa-Mukaihata-cho, Fushimi-ku, Kyoto, 612-0861, Japan.
Kazuko UnoDivision of Basic Research, Louis Pasteur Center for Medical Research, 103-5 Tanaka- Monzen-cho, Sakyo-ku, Kyoto, 606-8225, Japan.
Toyohiro HiraiDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF) and rheumatoid arthritis-associated interstitial lung disease (RA-ILD) share several risk factors, genetic backgrounds, and morphological features, including the usual interstitial pneumonia pattern on computed tomography and histopathology. Anti-cyclic citrullinated peptide antibodies (ACPAs) are RA-related autoantibodies that are associated with RA-ILD. ACPA production can be induced in the lungs of patients with IPF.

methodsForty-four patients with IPF and 10 patients with RA-ILD underwent bronchoalveolar lavage fluid (BALF) collection. The concentrations of IgG ACPAs in the BALF were measured and corrected for total IgG levels. The relationships between corrected BALF ACPA levels and clinical features were investigated.

resultsThe proportion of ACPAs (ACPA-IgG level adjusted by total IgG level) in the BALF was significantly lower in patients with IPF than in those with RA-ILD (1222 ± 1424 U/mg vs. 9058 ± 15159 U/mg, p < 0.01). Compared with the group with low ACPA proportions (n = 29), the IPF group with high ACPA proportions (n = 15) in the BALF was younger (65.2 ± 9.4 years vs. 70.9 ± 6.8 years, p = 0.03) and had more females (6 out of 15 (40%) vs. 2 out of 29 (7%), p = 0.01). Additionally, the IPF patients with a high ACPA proportion in the BALF had significantly better outcomes than those with a low ACPA proportion did (median overall survival time: 92.4 months vs. 41.1 months, p = 0.04).

conclusionThe corrected BALF ACPA level might be an important biomarker for identifying IPF phenotypes with favourable outcomes.

Indexed as

Anti-Citrullinated Protein AntibodiesArthritis, RheumatoidAutoantibodiesBronchoalveolar Lavage FluidIdiopathic Pulmonary FibrosisLung Diseases, InterstitialAgedFemaleHumansImmunoglobulin GMaleMiddle AgedPeptides, CyclicAnti-Citrullinated Protein AntibodiesAutoantibodiescyclic citrullinated peptideImmunoglobulin GPeptides, CyclicAnti-cyclic citrullinated peptide antibodyBiomarkerBronchoalveolar lavage fluidIdiopathic pulmonary fibrosisRheumatoid arthritis

Identifiers

PMID41507889
PMCPMC12871011

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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.