Evidence map›Paper›PMID 42174593›Full record

ReviewRespiratory research2026

Recent advances in pulmonary fibrosis: from lung surfactant to the immune connection.

Paula Losada-Oliva, Chiara Autilio, Barbara Olmeda, Teresa Carbone, Michele Gilio, Vito Pafundi, Elena Aloisio, Mauro Panteghini, Jesus Perez-Gil

Abstract readReview
In one paragraph

Review 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.

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

9 authors.

Paula Losada-OlivaDepartment of Biochemistry and Molecular Biology, Faculty of Biology, and Research Institute "Hospital 12 de Octubre (i+12)", Complutense University, Madrid, 28040, Spain.
Chiara AutilioDepartment of Biochemistry and Molecular Biology, Faculty of Biology, and Research Institute "Hospital 12 de Octubre (i+12)", Complutense University, Madrid, 28040, Spain. Chiara.autilio@ospedalesancarlo.it.
Barbara OlmedaDepartment of Biochemistry and Molecular Biology, Faculty of Biology, and Research Institute "Hospital 12 de Octubre (i+12)", Complutense University, Madrid, 28040, Spain.
Teresa CarboneImmunopathology Laboratory, Regional San Carlo Hospital, Potenza, Italy.
Michele GilioInfectious Disease Unit, San Carlo Hospital, Potenza, Italy.
Vito PafundiRegional San Carlo Hospital, Clinical Pathology and Microbiology Unit, Potenza, Italy.
Elena AloisioClinical Pathology Unit, ASST Fatebenefratelli-Sacco, Milan, Italy.
Mauro PanteghiniClinical Pathology Unit, ASST Fatebenefratelli-Sacco, Milan, Italy.
Jesus Perez-GilDepartment of Biochemistry and Molecular Biology, Faculty of Biology, and Research Institute "Hospital 12 de Octubre (i+12)", Complutense University, Madrid, 28040, Spain. jperezgil@bio.ucm.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary fibrosis (PF) encompasses a heterogeneous group of progressive interstitial lung diseases characterized by aberrant wound healing, extracellular matrix accumulation, and irreversible architectural remodeling of the lung. This review provides a comprehensive overview of the clinical spectrum, epidemiology, and genetic predisposition underlying PF, followed by an in-depth analysis of key molecular and cellular mechanisms driving fibrogenesis, including epithelial injury, dysregulated repair, profibrotic signaling pathways, and immune-mediated processes. Particular emphasis is placed on the role of lung surfactant dysfunction in fibrosis development, highlighting alterations in surfactant composition, metabolism, and associated genetic variants that contribute to epithelial stress and disease progression. The review also evaluates established and emerging circulating biomarkers, including serum proteins linked to epithelial damage, extracellular matrix remodeling, and immune activation, with attention to their diagnostic and prognostic utility. Finally, current and evolving therapeutic strategies are discussed in the context of progressive fibrosing phenotypes. Despite significant advances in understanding PF pathobiology, substantial gaps remain in early detection, disease stratification, and targeted treatment, underscoring the urgent need for improved translational approaches and precision medicine strategies.

Indexed as

LungPulmonary FibrosisPulmonary SurfactantsAnimalsHumansPulmonary Surfactants

Identifiers

PMID42174593
PMCPMC13595669

What OpenQuestion holds

Textmetadata
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.