Evidence map›Paper›PMID 42509853›Full record

ReviewBiomolecules2026

Narrative Review of the Pathophysiology of Post-Infectious Bronchiolitis Obliterans.

Alessandro Zago, Caterina Cocchi, Massimo Maschio, Laura Badina, Francesca Policastro, Alessandro Amaddeo, Egidio Barbi, Sergio Ghirardo

Abstract readReview
In one paragraph

Review in Biomolecules, 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

8 authors.

Alessandro ZagoDepartment of Medicine, Surgery and Health Sciences, University of Trieste, 34137 Trieste, Italy.
Caterina CocchiDepartment of Medicine, Surgery and Health Sciences, University of Trieste, 34137 Trieste, Italy.ORCID 0009-0007-3910-4121
Massimo MaschioDepartment of Pediatric, Institute for Maternal and Child Health-IRCCS Burlo Garofolo, 34137 Trieste, Italy.
Laura BadinaDepartment of Pediatric, Institute for Maternal and Child Health-IRCCS Burlo Garofolo, 34137 Trieste, Italy.ORCID 0000-0003-4050-0731
Francesca PolicastroDepartment of Pediatric, Institute for Maternal and Child Health-IRCCS Burlo Garofolo, 34137 Trieste, Italy.
Alessandro AmaddeoDepartment of Medicine, Surgery and Health Sciences, University of Trieste, 34137 Trieste, Italy.
Egidio BarbiDepartment of Medicine, Surgery and Health Sciences, University of Trieste, 34137 Trieste, Italy.ORCID 0000-0002-6343-846X
Sergio GhirardoDepartment of Medicine, Surgery and Health Sciences, University of Trieste, 34137 Trieste, Italy.ORCID 0000-0002-6329-4208

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-Infectious Bronchiolitis Obliterans (PIBO) is a rare chronic obstructive lung disease characterized by irreversible airflow limitation due to inflammation, fibrosis, and obliteration of the small airways following severe lower respiratory tract infection. Adenovirus is the most frequently associated pathogen, followed by other viruses and atypical bacteria. PIBO pathogenesis appears to result from a complex interaction between severe epithelial injury, dysregulated immune response, persistent neutrophilic inflammation, abnormal tissue repair, and genetic susceptibility. Epithelial damage triggers the release of inflammatory cytokines and epithelial-derived alarmins, promoting chronic inflammation and airway remodeling through fibrosis and airway obliteration driven by activation of the TGF-β/CTGF pathway, epithelial-mesenchymal transition, macrophage-fibroblast interactions, and extracellular matrix deposition. Genetic factors affecting mucociliary clearance, innate immunity, and fibrotic pathways may further predispose certain individuals to abnormal repair and fibrosis consequently. Histologically, PIBO progresses from inflammatory bronchiolitis to fibroproliferative remodeling and constrictive bronchiolitis with luminal obliteration. Understanding these mechanisms supports a stage-based therapeutic approach targeting inflammation in early disease and fibrotic remodeling in advanced stages.

Indexed as

Bronchiolitis ObliteransRespiratory Tract InfectionsAirway RemodelingAnimalsHumansairway remodelingbronchiolitis obliteransnarrative reviewpost-infectious bronchiolitis obliteranspulmonary fibrosis

Identifiers

PMID42509853
PMCPMC13406661

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.