Evidence map›Paper›PMID 42425730›Full record

ArticleThe European respiratory journal2026

Aberrant and ectopic cell populations in restrictive allograft syndrome after lung transplantation.

Lena M Leiber, Leonard Christian, Lavinia Neubert, Jannik Ruwisch, Hande Yilmaz, Edith K J Schwarz, Linus T Langer, Jan C Kamp, Mark Greer, Bernd Haermeyer and 21 more

Abstract read
In one paragraph

Article in The European respiratory journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors.

Lena M LeiberDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0009-0008-4897-1064
Leonard ChristianDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany.
Lavinia NeubertBiomedical Research in Endstage and Obstructive Lung Disease Hannover, German Center for Lung Research, Hannover, Germany.
Jannik RuwischDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0003-1654-6668
Hande YilmazDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany.
Edith K J SchwarzBiomedical Research in Endstage and Obstructive Lung Disease Hannover, German Center for Lung Research, Hannover, Germany.ORCID https://orcid.org/0000-0003-4259-4137
Linus T LangerDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany.
Jan C KampDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0002-5002-409X
Mark GreerDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0003-3234-306X
Bernd HaermeyerInstitute of Human Genetics, Hannover Medical School, Hannover, Germany.
Mark KühnelBiomedical Research in Endstage and Obstructive Lung Disease Hannover, German Center for Lung Research, Hannover, Germany.ORCID https://orcid.org/0000-0003-3558-2576
Christopher WerleinBiomedical Research in Endstage and Obstructive Lung Disease Hannover, German Center for Lung Research, Hannover, Germany.ORCID https://orcid.org/0000-0002-7694-4257
Aurelien JustetService de Pneumologie, CHU de Caen, Centre de compétence des maladies pulmonaires rares, ISTCT, UMR6030-CNRS-CEA-Université de Caen, Caen, France.ORCID https://orcid.org/0000-0002-8639-8667
Anke K BergmannInstitute of Human Genetics, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0002-1367-2725
Hanne BeeckmansLaboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-6176-0404
Matthias BallmaierCentral Research Facility Cell Sorting, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0002-1352-5995
Jawad SalmanClinic for Cardiac, Thoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany.
Robin VosLaboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-3468-9251
Lars KnudsenInstitute for Functional and Applied Anatomy, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0002-7926-3879
Ulrich MartinBiomedical Research in Endstage and Obstructive Lung Disease Hannover, German Center for Lung Research, Hannover, Germany.ORCID https://orcid.org/0000-0003-1058-4540
Bart M VanaudenaerdeLaboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0001-6435-6901
Ali Önder YildirimInstitute of Lung Health and Immunity (LHI), Helmholtz Zentrum Muenchen, Institute of Lung Biology and Disease, Munich, Germany.ORCID https://orcid.org/0000-0003-1969-480X
Jens M HohlfeldDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0003-2646-6186
Fabio IusBiomedical Research in Endstage and Obstructive Lung Disease Hannover, German Center for Lung Research, Hannover, Germany.ORCID https://orcid.org/0000-0002-8084-3360
Florian LaengerInstitute of Pathology, RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0003-1191-4855
Tobias WelteDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0002-9947-7356
Christine FalkBiomedical Research in Endstage and Obstructive Lung Disease Hannover, German Center for Lung Research, Hannover, Germany.ORCID https://orcid.org/0000-0003-1376-7318
Naftali KaminskiSection of Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID https://orcid.org/0000-0001-5917-4601
Danny D JonigkBiomedical Research in Endstage and Obstructive Lung Disease Hannover, German Center for Lung Research, Hannover, Germany.ORCID https://orcid.org/0000-0002-5251-2281
Jens GottliebDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0002-9540-9022
Jonas C SchuppDepartment of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany schupp.jonas@mh-hannover.de.ORCID https://orcid.org/0000-0002-7714-8076

Funding

Genomic Analysis of Tissue and Cellular Heterogeneity in IPFR01HL127349 · NHLBI · YALE UNIVERSITY · PI BENOS, PANAGIOTIS V, KAMINSKI, NAFTALI · 2015 to 2025
$5.9M
Epithelial Protective Effects of Thyroid Hormone Signaling in FibrosisR01HL141852 · NHLBI · YALE UNIVERSITY · PI KAMINSKI, NAFTALI · 2019 to 2022
$3.4M
Normal Aging Lung Cell Atlas (NALCA)U01HL145567 · NHLBI · YALE UNIVERSITY · PI KAMINSKI, NAFTALI · 2019 to 2022
$2.8M
Integrating single-cell based transcriptomic signatures for identifying therapeutic targets of COPDR21HL161723 · NHLBI · YALE UNIVERSITY · PI KAMINSKI, NAFTALI · 2022 to 2023
$251k
NHLBI NIH HHS R01 HL127349NHLBI NIH HHS R01 HL141852NHLBI NIH HHS R21 HL161723NHLBI NIH HHS U01 HL145567
6 · The paper itself

Abstract

rationaleRestrictive allograft syndrome (RAS) is a major cause of mortality following lung transplantation due to progressive fibrosis of the lung allograft, with no therapeutic options. Knowledge of the cellular and molecular mechanisms driving fibrosis in RAS remains limited.

objectiveTo characterise the cellular and molecular changes in human RAS lungs through single-nucleus transcriptomic profiling.

methodsSingle-nucleus RNA-sequencing (snRNA-seq) was performed in peripheral lung tissues from 15 RAS patients undergoing lung re-transplantation, and from nine healthy control lungs. Findings were validated and extended using histological techniques including immunofluorescence, RNA MEASUREMENTS AND MAIN

resultssnRNA-seq analysis of RAS lungs revealed previously undescribed aberrant basaloid cells, ectopic

conclusionConsidering the multifaceted differences of RAS and idiopathic pulmonary fibrosis, we revealed a surprising general principle of an entity-spanning composition of the fibrotic niche by aberrant basaloid cells localised at the fibrotic edge, ectopic

Indexed as

LungLung TransplantationPulmonary FibrosisAdultAgedAllograftsFemaleFibroblastsHumansMaleMiddle AgedSyndrome

Identifiers

PMID42425730
PMCPMC13612983

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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.