Evidence map›Paper›PMID 41658608›Full record

ArticleFrontiers in medicine2026

Enlarged, activated alveolar macrophages as quantitative surrogates of disease activity in pulmonary sarcoidosis.

Manabu Ishida, Takeshi Saraya, Nobutaka Kitamura, Koh Nakata, Haruyuki Ishii

Abstract read
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Article in Frontiers in 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Manabu IshidaDepartment of Respiratory Medicine, Kyorin University School of Medicine, Tokyo, Japan.
Takeshi SarayaDepartment of Respiratory Medicine, Kyorin University School of Medicine, Tokyo, Japan.
Nobutaka KitamuraGM-CSF Inhalation Promoting Organization, Tokyo, Japan.
Koh NakataGM-CSF Inhalation Promoting Organization, Tokyo, Japan.
Haruyuki IshiiDepartment of Respiratory Medicine, Kyorin University School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In pulmonary sarcoidosis, alveolar macrophages (AMs) undergo epithelioid transformation, but their quantitative morphologic characteristics and association with systemic disease markers remain incompletely defined. Research question: Do enlargement and activation features of AMs in bronchoalveolar lavage (BAL) samples correlate with systemic markers of sarcoidosis activity (ACE and sIL-2R)? Methods: BAL cells from 16 biopsy-confirmed sarcoidosis cases and 4 healthy controls were cytocentrifuged, Diff-Quik®-stained, and analyzed using a digital planimetric microscope. Cell area (CA) of 50 randomly selected AMs per subject (total = 1,000) was quantified and categorized as small, medium, large, or extra-large based on control mean ± SD cutoffs. Nonparametric tests and principal component analysis (PCA) were applied to examine associations among CA, morphological features, serum ACE, and sIL-2R. Results: The mean CA was 31% greater in sarcoidosis than in controls (368.2 ± 169.3 μm Conclusion: AM enlargement and activation features are quantitative, reproducible surrogates of disease activity in pulmonary sarcoidosis. Clinical implications: Quantitative assessment of alveolar macrophage morphology may aid in assessment and monitoring of sarcoidosis activity and treatment response.

Indexed as

ACEalveolar macrophagescell enlargementdigital morphometryrosette formationsarcoidosissoluble interleukin-2 receptorvacuolation

Identifiers

PMID41658608
PMCPMC12872854

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