Observational studyRespiratory research2026
Quantitative label-free multiphoton imaging of collagen features predicts disease severity and progression in idiopathic pulmonary fibrosis.
Observational study in Respiratory research, 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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Abstract
objectiveThe prognostic value of deep-tissue microstructure profiling derived from transbronchial lung cryobiopsy (TBLC) specimens in idiopathic pulmonary fibrosis (IPF) remains poorly explored. This study aims to bridge this gap by quantitatively extracting collagen features in heterogeneous pathological regions using multiphoton microscopy (MPM), and providing novel insights into the potential of collagen features as sensitive biomarkers for predicting severity and disease progression in IPF.
methodsIn this prospective and observational study, a total of 82 patients with IPF undergoing TBLC and 22 healthy controls were enrolled. The differences in collagen features between the normal/mild and moderate/severe groups were compared. Multivariate logistic regression was used to identify collagen features associated with disease progression.
resultsHistopathologically, 62.2% of the cohort exhibited a probable usual interstitial pneumonia (UIP) pattern. PERMANOVA indicated pronounced divergent collagen topographies among the five pathological regions (F = 14.14, R
conclusionsMPM imaging successfully mapped the spatial heterogeneity of the fibrotic microenvironment in IPF by quantifying collagen signatures. The morphological and structural features of collagen fibers could serve as promising pathological biomarkers for precisely assessing the severity and progression of IPF.
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