Idiopathic pulmonary fibrosis: new insights into pathogenesis

被引:94
作者
Noble, PW
Homer, RJ
机构
[1] Yale Univ, Sch Med, Pulm & Crit Care Med Sect, New Haven, CT 06520 USA
[2] Yale Univ, Sch Med, Dept Pathol, New Haven, CT 06520 USA
关键词
D O I
10.1016/j.ccm.2004.04.003
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
The combination of the unique pathologic features of usual interstitial pneumonia (UIP) on biopsy, the progressive clinical course, and resistance to anti-inflammatory therapy constitutes the cardinal manifestations of what is termed idiopathic pulmonary fibrosis (IPF)/UIP, and it has led to recent suggestions that new therapies should be directed at regulating fibroblast functions rather than targeting the inflammatory response. The observation that "early" UIP looks like "late" UIP but there is less of it has been largely responsible for re-evaluation of the paradigm that IPF is the result of uncontrolled lung inflammation. This article highlights aspects of current thoughts on pathogenesis of IPF and expands on recent reviews.
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页码:749 / +
页数:11
相关论文
共 83 条
[1]
Ando M, 1999, Respirology, V4, P383, DOI 10.1046/j.1440-1843.1999.00209.x
[2]
[Anonymous], 2002, AM J RESP CRIT CARE, V165, P277, DOI [DOI 10.1164/AJRCCM.165.2.ATS01, 10.1164/ajrccm.165.2.ats01]
[3]
Prognostic significance of histopathologic subsets in idiopathic pulmonary fibrosis [J].
Bjoraker, JA ;
Ryu, JH ;
Edwin, MK ;
Myers, JL ;
Tazelaar, HD ;
Schroeder, DR ;
Offord, KP .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1998, 157 (01) :199-203
[4]
Thrombin differentiates normal lung fibroblasts to a myofibroblast phenotype via the proteolytically activated receptor-1 and a protein kinase C-dependent pathway [J].
Bogatkevich, GS ;
Tourkina, E ;
Silver, RM ;
Ludwicka-Bradley, A .
JOURNAL OF BIOLOGICAL CHEMISTRY, 2001, 276 (48) :45184-45192
[5]
PDGF-A signaling is a critical event in lung alveolar myofibroblast development and alveogenesis [J].
Bostrom, H ;
Willetts, K ;
Pekny, M ;
Leveen, P ;
Lindahl, P ;
Hedstrand, H ;
Pekna, M ;
Hellstrom, M ;
GebreMedhin, S ;
Schalling, M ;
Nilsson, M ;
Kurland, S ;
Tornell, J ;
Heath, JK ;
Betsholtz, C .
CELL, 1996, 85 (06) :863-873
[6]
Histopathologic subsets of fibrosing alveolitis in patients with systemic sclerosis and their relationship to outcome [J].
Bouros, D ;
Wells, AU ;
Nicholson, AG ;
Colby, TV ;
Polychronopoulos, V ;
Pantelidis, P ;
Haslam, PL ;
Vassilakis, DA ;
Black, CM ;
du Bois, RM .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2002, 165 (12) :1581-1586
[7]
GLUTATHIONE DEFICIENCY IN THE EPITHELIAL LINING FLUID OF THE LOWER RESPIRATORY-TRACT IN IDIOPATHIC PULMONARY FIBROSIS [J].
CANTIN, AM ;
HUBBARD, RC ;
CRYSTAL, RG .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1989, 139 (02) :370-372
[8]
INCREASED EXPRESSION OF THE INTERLEUKIN-8 GENE BY ALVEOLAR MACROPHAGES IN IDIOPATHIC PULMONARY FIBROSIS - A POTENTIAL MECHANISM FOR THE RECRUITMENT AND ACTIVATION OF NEUTROPHILS IN LUNG FIBROSIS [J].
CARRE, PC ;
MORTENSON, RL ;
KING, TE ;
NOBLE, PW ;
SABLE, CL ;
RICHES, DWH .
JOURNAL OF CLINICAL INVESTIGATION, 1991, 88 (06) :1802-1810
[9]
Abnormal re-epithelialization and lung remodeling in idiopathic pulmonary fibrosis:: The role of ΔN-p63 [J].
Chilosi, M ;
Poletti, V ;
Murer, B ;
Lestani, M ;
Cancellieri, A ;
Montagna, L ;
Piccoli, P ;
Cangi, G ;
Semenzato, G ;
Doglioni, C .
LABORATORY INVESTIGATION, 2002, 82 (10) :1335-1345
[10]
Aberrant Wnt/β-catenin pathway activation in idiopathic pulmonary fibrosis [J].
Chilosi, M ;
Poletti, V ;
Zamò, A ;
Lestani, M ;
Montagna, L ;
Piccoli, P ;
Pedron, S ;
Bertaso, M ;
Scarpa, A ;
Murer, B ;
Cancellieri, A ;
Maestro, R ;
Semenzato, G ;
Doglioni, C .
AMERICAN JOURNAL OF PATHOLOGY, 2003, 162 (05) :1495-1502