Lung Repair, Remodeling, and Fibrosis

Author(s):  
Sujata Guharoy ◽  
Sem H. Phan
Keyword(s):  
2022 ◽  
Author(s):  
Laura A Dada ◽  
Lynn C Welch ◽  
Natalia D Magnani ◽  
Ziyou Ren ◽  
Patricia L Brazee ◽  
...  

Persistent symptoms and radiographic abnormalities suggestive of failed lung repair are among the most common symptoms in patients with COVID-19 after hospital discharge. In mechanically ventilated patients with ARDS secondary to SARS-CoV-2 pneumonia, low tidal volume ventilation to reduce ventilator-induced lung injury necessarily elevate blood CO2 levels, often leading to hypercapnia. The role of hypercapnia on lung repair after injury is not completely understood. Here, we show that hypercapnia limits β-catenin signaling in alveolar type 2 (AT2) cells, leading to reduced proliferative capacity. Hypercapnia alters expression of major Wnts in PDGFRα-fibroblasts from those maintaining AT2 progenitor activity and towards those that antagonize β-catenin signaling and limit progenitor function. Activation of β-catenin signaling in AT2 cells, rescues the effects of hypercapnia on proliferation. Inhibition of AT2 proliferation in hypercapnic patients may contribute to impaired lung repair after injury, preventing sealing of the epithelial barrier, increasing lung flooding, ventilator dependency and mortality.


Author(s):  
Alexandra C. McQuattie-Pimentel ◽  
G. R. Scott Budinger ◽  
Megan N. Ballinger

Science ◽  
2020 ◽  
Vol 369 (6504) ◽  
pp. 639.18-641
Author(s):  
Seth Thomas Scanlon
Keyword(s):  

Biomaterials ◽  
2021 ◽  
Vol 267 ◽  
pp. 120480 ◽  
Author(s):  
Sally Yunsun Kim ◽  
Róisín Mongey ◽  
Peizhu Wang ◽  
Stephen Rothery ◽  
David C.A. Gaboriau ◽  
...  

2010 ◽  
pp. 91-124 ◽  
Author(s):  
Alexandra Firsova ◽  
Tomoko Hyakumura ◽  
Timothy J. Cole ◽  
Richard Mollard
Keyword(s):  

2003 ◽  
Vol 4 (4) ◽  
pp. 199
Author(s):  
Anna York
Keyword(s):  

2010 ◽  
Vol 32 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Ronald Allan M Panganiban ◽  
Regina M Day

Author(s):  
Laura Van Winkle ◽  
Katherine Sutherland ◽  
Jackie Chan ◽  
Rose de Guzman ◽  
Judith Shimizu ◽  
...  

Author(s):  
Yuben Moodley ◽  
Sivagami Ilancheran ◽  
Chrishan Samuel ◽  
Graham Jenkin ◽  
Euan Wallace ◽  
...  
Keyword(s):  

2020 ◽  
Vol 55 (4) ◽  
pp. 1902222 ◽  
Author(s):  
Aaron Wong ◽  
Ricardo Zamel ◽  
Jonathan Yeung ◽  
Gary D. Bader ◽  
Claudia C. Dos Santos ◽  
...  

IntroductionThe ex vivo lung perfusion (EVLP) technique has been developed to assess the function of marginal donor lungs and has significantly increased donor lung utilisation. EVLP has also been explored as a platform for donor lung repair through injury-specific treatments such as antibiotics or fibrinolytics. We hypothesised that actively expressed pathways shared between transplantation and EVLP may reveal common mechanisms of injury and potential therapeutic targets for lung repair prior to transplantation.Materials and methodsRetrospective transcriptomics analyses were performed with peripheral tissue biopsies from “donation after brain death” lungs, with 46 pre-/post-transplant pairs and 49 pre-/post-EVLP pairs. Pathway analysis was used to identify and compare the responses of donor lungs to transplantation and to EVLP.Results22 pathways were enriched predominantly in transplantation, including upregulation of lymphocyte activation and cell death and downregulation of metabolism. Eight pathways were enriched predominantly in EVLP, including downregulation of leukocyte functions and upregulation of vascular processes. 27 pathways were commonly enriched, including activation of innate inflammation, cell death, heat stress and downregulation of metabolism and protein synthesis. Of the inflammatory clusters, Toll-like receptor/innate immune signal transduction adaptor signalling had the greatest number of nodes and was central to inflammation. These mechanisms have been previously speculated as major mechanisms of acute lung injury in animal models.ConclusionEVLP and transplantation share common molecular features of injury including innate inflammation and cell death. Blocking these pathways during EVLP may allow for lung repair prior to transplantation.


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