Emerging cellular and molecular determinants of idiopathic pulmonary fibrosis

Idiopathic pulmonary fibrosis (IPF), the most common form of idiopathic interstitial pneumonia, is a progressive, irreversible, and typically lethal disease characterized by an abnormal fibrotic response involving vast areas of the lungs. Given the poor knowledge of the mechanisms underpinning IPF o...

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Published inCellular and molecular life sciences : CMLS Vol. 78; no. 5; pp. 2031 - 2057
Main Authors Phan, Thị Hằng Giang, Paliogiannis, Panagiotis, Nasrallah, Gheyath K., Giordo, Roberta, Eid, Ali Hussein, Fois, Alessandro Giuseppe, Zinellu, Angelo, Mangoni, Arduino Aleksander, Pintus, Gianfranco
Format Journal Article
LanguageEnglish
Published Cham Springer International Publishing 01.03.2021
Springer Nature B.V
Subjects
Online AccessGet full text
ISSN1420-682X
1420-9071
1420-9071
DOI10.1007/s00018-020-03693-7

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Abstract Idiopathic pulmonary fibrosis (IPF), the most common form of idiopathic interstitial pneumonia, is a progressive, irreversible, and typically lethal disease characterized by an abnormal fibrotic response involving vast areas of the lungs. Given the poor knowledge of the mechanisms underpinning IPF onset and progression, a better understanding of the cellular processes and molecular pathways involved is essential for the development of effective therapies, currently lacking. Besides a number of established IPF-associated risk factors, such as cigarette smoking, environmental factors, comorbidities, and viral infections, several other processes have been linked with this devastating disease. Apoptosis, senescence, epithelial-mesenchymal transition, endothelial-mesenchymal transition, and epithelial cell migration have been shown to play a key role in IPF-associated tissue remodeling. Moreover, molecules, such as chemokines, cytokines, growth factors, adenosine, glycosaminoglycans, non-coding RNAs, and cellular processes including oxidative stress, mitochondrial dysfunction, endoplasmic reticulum stress, hypoxia, and alternative polyadenylation have been linked with IPF development. Importantly, strategies targeting these processes have been investigated to modulate abnormal cellular phenotypes and maintain tissue homeostasis in the lung. This review provides an update regarding the emerging cellular and molecular mechanisms involved in the onset and progression of IPF.
AbstractList Idiopathic pulmonary fibrosis (IPF), the most common form of idiopathic interstitial pneumonia, is a progressive, irreversible, and typically lethal disease characterized by an abnormal fibrotic response involving vast areas of the lungs. Given the poor knowledge of the mechanisms underpinning IPF onset and progression, a better understanding of the cellular processes and molecular pathways involved is essential for the development of effective therapies, currently lacking. Besides a number of established IPF-associated risk factors, such as cigarette smoking, environmental factors, comorbidities, and viral infections, several other processes have been linked with this devastating disease. Apoptosis, senescence, epithelial-mesenchymal transition, endothelial-mesenchymal transition, and epithelial cell migration have been shown to play a key role in IPF-associated tissue remodeling. Moreover, molecules, such as chemokines, cytokines, growth factors, adenosine, glycosaminoglycans, non-coding RNAs, and cellular processes including oxidative stress, mitochondrial dysfunction, endoplasmic reticulum stress, hypoxia, and alternative polyadenylation have been linked with IPF development. Importantly, strategies targeting these processes have been investigated to modulate abnormal cellular phenotypes and maintain tissue homeostasis in the lung. This review provides an update regarding the emerging cellular and molecular mechanisms involved in the onset and progression of IPF.
Idiopathic pulmonary fibrosis (IPF), the most common form of idiopathic interstitial pneumonia, is a progressive, irreversible, and typically lethal disease characterized by an abnormal fibrotic response involving vast areas of the lungs. Given the poor knowledge of the mechanisms underpinning IPF onset and progression, a better understanding of the cellular processes and molecular pathways involved is essential for the development of effective therapies, currently lacking. Besides a number of established IPF-associated risk factors, such as cigarette smoking, environmental factors, comorbidities, and viral infections, several other processes have been linked with this devastating disease. Apoptosis, senescence, epithelial-mesenchymal transition, endothelial-mesenchymal transition, and epithelial cell migration have been shown to play a key role in IPF-associated tissue remodeling. Moreover, molecules, such as chemokines, cytokines, growth factors, adenosine, glycosaminoglycans, non-coding RNAs, and cellular processes including oxidative stress, mitochondrial dysfunction, endoplasmic reticulum stress, hypoxia, and alternative polyadenylation have been linked with IPF development. Importantly, strategies targeting these processes have been investigated to modulate abnormal cellular phenotypes and maintain tissue homeostasis in the lung. This review provides an update regarding the emerging cellular and molecular mechanisms involved in the onset and progression of IPF.Idiopathic pulmonary fibrosis (IPF), the most common form of idiopathic interstitial pneumonia, is a progressive, irreversible, and typically lethal disease characterized by an abnormal fibrotic response involving vast areas of the lungs. Given the poor knowledge of the mechanisms underpinning IPF onset and progression, a better understanding of the cellular processes and molecular pathways involved is essential for the development of effective therapies, currently lacking. Besides a number of established IPF-associated risk factors, such as cigarette smoking, environmental factors, comorbidities, and viral infections, several other processes have been linked with this devastating disease. Apoptosis, senescence, epithelial-mesenchymal transition, endothelial-mesenchymal transition, and epithelial cell migration have been shown to play a key role in IPF-associated tissue remodeling. Moreover, molecules, such as chemokines, cytokines, growth factors, adenosine, glycosaminoglycans, non-coding RNAs, and cellular processes including oxidative stress, mitochondrial dysfunction, endoplasmic reticulum stress, hypoxia, and alternative polyadenylation have been linked with IPF development. Importantly, strategies targeting these processes have been investigated to modulate abnormal cellular phenotypes and maintain tissue homeostasis in the lung. This review provides an update regarding the emerging cellular and molecular mechanisms involved in the onset and progression of IPF.
Author Pintus, Gianfranco
Paliogiannis, Panagiotis
Zinellu, Angelo
Eid, Ali Hussein
Mangoni, Arduino Aleksander
Nasrallah, Gheyath K.
Giordo, Roberta
Phan, Thị Hằng Giang
Fois, Alessandro Giuseppe
Author_xml – sequence: 1
  givenname: Thị Hằng Giang
  surname: Phan
  fullname: Phan, Thị Hằng Giang
  organization: Department of Immunology and Pathophysiology, University of Medicine and Pharmacy, Hue University
– sequence: 2
  givenname: Panagiotis
  surname: Paliogiannis
  fullname: Paliogiannis, Panagiotis
  organization: Department of Medical, Surgical and Experimental Sciences, University of Sassari
– sequence: 3
  givenname: Gheyath K.
  surname: Nasrallah
  fullname: Nasrallah, Gheyath K.
  email: gheyath.nasrallah@qu.edu.qa
  organization: Department of Biomedical Sciences, College of Health Sciences Member of QU Health, Qatar University, Biomedical Research Center Qatar University
– sequence: 4
  givenname: Roberta
  surname: Giordo
  fullname: Giordo, Roberta
  organization: Department of Medical Laboratory Sciences, College of Health Sciences, and Sharjah Institute for Medical Research, University of Sharjah
– sequence: 5
  givenname: Ali Hussein
  surname: Eid
  fullname: Eid, Ali Hussein
  organization: Department of Basic Medical Sciences, College of Medicine, QU Health, Qatar University, Biomedical and Pharmaceutical Research Unit, QU Health, Qatar University, Department of Pharmacology and Toxicology, Faculty of Medicine, American University of Beirut
– sequence: 6
  givenname: Alessandro Giuseppe
  surname: Fois
  fullname: Fois, Alessandro Giuseppe
  organization: Department of Medical, Surgical and Experimental Sciences, University of Sassari
– sequence: 7
  givenname: Angelo
  surname: Zinellu
  fullname: Zinellu, Angelo
  organization: Department of Biomedical Sciences, University of Sassari
– sequence: 8
  givenname: Arduino Aleksander
  surname: Mangoni
  fullname: Mangoni, Arduino Aleksander
  email: arduino.mangoni@flinders.edu.au
  organization: Department of Clinical Pharmacology, College of Medicine and Public Health, Flinders University
– sequence: 9
  givenname: Gianfranco
  orcidid: 0000-0002-3031-7733
  surname: Pintus
  fullname: Pintus, Gianfranco
  email: gpintus@sharjah.ac.ae
  organization: Department of Medical Laboratory Sciences, College of Health Sciences, and Sharjah Institute for Medical Research, University of Sharjah, Department of Biomedical Sciences, University of Sassari
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33201251$$D View this record in MEDLINE/PubMed
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ISSN 1420-682X
1420-9071
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Tue Sep 30 16:59:30 EDT 2025
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IsDoiOpenAccess true
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Issue 5
Keywords Molecular pathways
Senescence
Cytokines
Idiopathic pulmonary fibrosis
EndMT
EMT
Chemokines
Apoptosis
Cell plasticity
Language English
License This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
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ORCID 0000-0002-3031-7733
OpenAccessLink https://proxy.k.utb.cz/login?url=https://link.springer.com/content/pdf/10.1007/s00018-020-03693-7.pdf
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PublicationTitle Cellular and molecular life sciences : CMLS
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PublicationYear 2021
Publisher Springer International Publishing
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Snippet Idiopathic pulmonary fibrosis (IPF), the most common form of idiopathic interstitial pneumonia, is a progressive, irreversible, and typically lethal disease...
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StartPage 2031
SubjectTerms Adenosine
Apoptosis
Apoptosis - genetics
Apoptosis - physiology
Biochemistry
Biomedical and Life Sciences
Biomedicine
Cell adhesion & migration
Cell Biology
Cell migration
cell movement
Chemokines
Cigarette smoking
cigarettes
Cytokines
Endoplasmic reticulum
endoplasmic reticulum stress
Endoplasmic Reticulum Stress - genetics
Endoplasmic Reticulum Stress - physiology
Environmental factors
Epithelial cells
Epithelial-Mesenchymal Transition - genetics
Epithelial-Mesenchymal Transition - physiology
Epithelium
Fibrosis
Glycosaminoglycans
Growth factors
Homeostasis
Humans
Hypoxia
Idiopathic Pulmonary Fibrosis - etiology
Idiopathic Pulmonary Fibrosis - genetics
Idiopathic Pulmonary Fibrosis - metabolism
Inflammation - genetics
Inflammation - metabolism
Life Sciences
Lung - metabolism
Lung - pathology
Lung diseases
Lungs
Mesenchyme
Mitochondria
Molecular modelling
Non-coding RNA
Oxidative stress
Phenotypes
pneumonia
Polyadenylation
Pulmonary fibrosis
Review
Risk analysis
Risk Factors
Senescence
Smoking - adverse effects
Unfolded Protein Response - genetics
Unfolded Protein Response - physiology
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Title Emerging cellular and molecular determinants of idiopathic pulmonary fibrosis
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