Evidence map›Paper›PMID 41688981›Full record

ArticleBMC pulmonary medicine2026

TGF-β2 and KL-6 as potential biomarkers for hard metal lung disease.

Zhansai Zhang, Qian Yao, Yanfang Zhao, Kongrong Guo, Jinbo Zhang

Abstract read
In one paragraph

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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Zhansai Zhang *Department of Occupational Disease, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, 200433, China.
Qian Yao *Clinical Research Administration Department, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Yanfang ZhaoDepartment of Military Health Statistics, Naval Military Medical University, Shanghai, China.
Kongrong GuoDepartment of Occupational Disease, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, 200433, China. guokron@163.com.
Jinbo ZhangDepartment of Occupational Disease, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, 200433, China. zjbtongji@163.com.

Funding

Construction Funds for the Poison Control Department of Shanghai Pulmonary Hospital 2202509-5588Policy Research of Shanghai Municipal Bureau of Disease Control and Prevention 2025JZ40Reward Fund Project for Promoting Standardization Strategy of Yangpu District Market Supervision Bureau of Shanghai DB31/T 1371-2022Special Project for Promoting Standardization of Shanghai Market Supervision Bureau 2024-A-0273
6 · The paper itself

Abstract

backgroundsHard metal lung disease (HMLD) is an occupational disease caused by exposure to hard metal (HM) dust. We explored TGF-β1, TGF-β2 and KL-6 as potential biomarkers for HMLD by examining their levels in bronchoalveolar lavage fluid (BALF) and serum.

methodsForty-eight female Sprague-Dawley rats were divided into hard metal (HM) and normal control (NC) groups. The HM group was exposed to tungsten carbide-cobalt dust (WC-Co) dust via intratracheal instillation. Cytokine levels in BALF and serum were measured at 4-, 8-, and 12-weeks. Lung changes were assessed by micro-CT and histopathology.

resultsAt 4-, 8-, and 12-weeks, the micro-CT showed ground glass opacities, diffuse ground-glass nodules, and scattered ground glass opacities in both lungs of HM group rats, while the pathological tissue found inflammatory cell infiltration, a large number of multinucleated giant cells, and inflammatory cell infiltration, respectively. TGF-β2 levels in BALF were significantly higher in the HM group at 8 and 12 weeks, while serum TGF-β2 levels were lower. KL-6 levels in BALF were elevated in the HM group at 12 weeks, but serum KL-6 levels were lower at 8 weeks.

conclusionsTGF-β2 and KL-6 levels in BALF and serum demonstrate dynamic changes associated with HMLD progression and may serve as potential biomarkers for diagnosis and monitoring. Further studies are needed to explore the underlying mechanisms.

Indexed as

CobaltLung DiseasesMucin-1Transforming Growth Factor beta2Tungsten CompoundsAlloysAnimalsBiomarkersBronchoalveolar Lavage FluidDustFemaleLungRatsRats, Sprague-DawleyTransforming Growth Factor beta1TungstenAlloysBiomarkersCobaltDusthard metalMucin-1Transforming Growth Factor beta1Transforming Growth Factor beta2Tungstentungsten carbideTungsten CompoundsBALFBiomarkerCytokineHard metal lung diseaseInflammationPulmonary fibrosis

Identifiers

PMID41688981
PMCPMC13274096

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.