Evidence map›Paper›PMID 41755466›Full record

ReviewReviews in medical virology2026

Viral Pathogens and Pulmonary Fibrosis: EMT-Driven Mechanisms and Insights From Traditional Chinese Medicine.

Ningzi Zang, Yingxu Wu, Pin Li, Yongming Liu, Shiwen Wang, Jiapeng Leng, Libin Zhan, Xiaodong Lyu, Lijian Pang, Jiaran Wang

Abstract readReview
In one paragraph

Review in Reviews in medical virology, 2026. 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. Article
  2. Review
  3. Review
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

10 authors.

Ningzi ZangThe First Clinical Medical College, Liaoning University of Traditional Chinese Medicine, Shenyang, China.ORCID 0009-0001-9164-9862
Yingxu WuThe First Clinical Medical College, Liaoning University of Traditional Chinese Medicine, Shenyang, China.
Pin LiThe First Clinical Medical College, Liaoning University of Traditional Chinese Medicine, Shenyang, China.
Yongming LiuThe First Clinical Medical College, Liaoning University of Traditional Chinese Medicine, Shenyang, China.
Shiwen WangThe First Clinical Medical College, Liaoning University of Traditional Chinese Medicine, Shenyang, China.
Jiapeng LengCollege of Pharmacy, Liaoning University of Traditional Chinese Medicine, Dalian, China.
Libin ZhanThe First Clinical Medical College, Liaoning University of Traditional Chinese Medicine, Shenyang, China.
Xiaodong LyuThe First Clinical Medical College, Liaoning University of Traditional Chinese Medicine, Shenyang, China.
Lijian PangThe First Clinical Medical College, Liaoning University of Traditional Chinese Medicine, Shenyang, China.ORCID 0009-0000-1496-2794
Jiaran WangCollege of Traditional Chinese Medicine, Liaoning University of Traditional Chinese Medicine, Shenyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Idiopathic pulmonary fibrosis (IPF) is a serious progressive complication of the respiratory system, which is profoundly associated with persistent extracellular matrix (ECM) deposition, fibrosis, and disrupted tissue regeneration. Emerging evidence shows that epithelial-mesenchymal transition (EMT) acts as a key factor in the pathogenesis of this idiopathic interstitial lung disease by connecting long-lasting epithelial damage to fibroblast accumulation and fibrotic processes. Viral pathogens, particularly emerging and re-emerging viruses, such as Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), Influenza Virus, and Dengue Virus (DENV) and also those with oncogenic potential such as Epstein-Barr Virus (EBV), Cytomegalovirus (CMV), and Hepatitis C Virus (HCV), have been demonstrated to be significantly associated with impaired epithelial signalling, persistent inflammation, and EMT induction. This underscores the presence of potential mechanistic overlap between viral infections and fibrotic complications of the respiratory system. On the other hand, investigations have also suggested the capacity of Traditional Chinese Medicine (TCM) agents to modulate various EMT-linked pathways, which are simultaneously involved in both viral infections and IPF development. These common signalling pathways include TGF-β, Wnt/β-catenin, PI3K/AKT, and NF-κB signalling, acting as potential therapeutic targets against fibrotic complications such as IPF. The present review aims to comprehensively describe current evidence on the dynamic cross-talk between viral pathogens, particularly SARS-CoV-2, Influenza Virus, and DENV, EMT, and lung fibrosis. Additionally, it critically discusses how TCM-derived bioactive agents can interfere with these interconnected processes. This review elucidates the mechanistic basis and therapeutic potential of TCM compounds in lung fibrosis, considering the wider context of virus-related EMT dysregulation.

Indexed as

Epithelial-Mesenchymal TransitionIdiopathic Pulmonary FibrosisMedicine, Chinese TraditionalPulmonary FibrosisVirus DiseasesAnimalsCOVID-19HumansSARS-CoV-2Signal Transductionemerging virusesEMTidiopathic pulmonary fibrosistraditional Chinese medicine (TCM)

Identifiers

PMID41755466
PMCPMC12957876

What OpenQuestion holds

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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.