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Cellular interactions in the pathogenesis of interstitial lung diseases

Gianluca Bagnato, Sergio Harari
European Respiratory Review 2015 24: 102-114; DOI: 10.1183/09059180.00003214
Gianluca Bagnato
1Unità Operativa di Reumatologia, Dipartimento di Medicina Clinica e Sperimentale, Azienda Ospedaliera Universitaria Gaetano Martino, Università degli studi di Messina, Messina, Italy
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  • For correspondence: gianbagnato@gmail.com
Sergio Harari
2Unità Operativa di Pneumologia e Terapia Semi-Intensiva Respiratoria – Servizio di Fisiopatologia Respiratoria ed Emodinamica Polmonare-Ospedale San Giuseppe MultiMedica, Milan, Italy
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  • FIGURE 1
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    FIGURE 1

    This schematic view of the morpho-functional unit of the lung (alveolus) depicts the main differences in cellular composition in idiopathic pulmonary fibrosis (IPF) and systemic sclerosis-associated interstitial lung disease (SSc-ILD) compared with normal physiological cellular components. Th2: T-helper cell type 2; AEC: alveolar epithelial cell.

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    FIGURE 2

    Cellular players and molecules in idiopathic pulmonary fibrosis (IPF) and systemic sclerosis-associated interstitial lung disease. Cells inside dashed lines are relevant to IPF pathogenesis only. ROS: reactive oxygen species; TGF: transforming growth factor; IL: interleukin; MCP: monocyte chemotactic protein; PDGF: platelet-derived growth factor; ET: endothelin; PMNC: peripheral blood mononuclear cell; EMT: epithelial–mesenchymal transition; CTGF: connective tissue growth factor; Th2: T-helper cell type 2; AEC: alveolar epithelial cell; PMC: pleural mesothelial cell.

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  • TABLE 1

    Immune cells in idiopathic pulmonary fibrosis (IPF) and systemic sclerosis-associated interstitial lung disease (SSc-ILD)

    SSc-ILDIPF
    Macrophage activationIL-4 and IL-13 induce shift to M2IL-4 and IL-13 induce shift to M2
    Macrophage phenotypeScavenger receptor CD163, the IL-1RII decoy receptor, mannose receptorsScavenger receptor CD163, the IL-1RII decoy receptor, mannose receptors
    Macrophage  chemokinesIL-10, CCL18, PARC, IL-13, IL-1 receptor antagonist, IL-8, CCL17, CCL2, CCL18, CXCL8, CCL22, S100A9, PDGF and TGF-βIL-10, CCL18, PARC, IL-13, IL-1 receptor antagonist, IL-8, CCL17, CCL2, CCL18, CXCL8, CCL22, S100A9, PDGF and TGF-β
    T-lymphocyte  subpopulationsTh2-increased Tregs, Th22, Th17, decreased CXCR3/CXCR4 ratio, increased CD4/CD8 ratio, αvβ3, αvβ5, α4β7Th2-decreased Tregs, decreased CXCR3/CXCR4 ratio, increased CD4/CD8 ratio,
    T-lymphocyte  chemokinesIL-4, IL-5, IL-6, IL-10, IL-13 and IL-22IL-4, IL-5, IL-10 and IL-13
    B-lymphocyteCD19 overexpression, CD19 polymorphism, lymphoid aggregates, elevated BLyS, autoantibody productionElevated BLyS, autoantibody production
    NK lymphocyte  infiltrationYesYes
    Mast cell infiltrationNoYes
    Polymorphonuclear cell  infiltrationYesYes
    Polymorphonuclear cell  activityElastases, oxidative damageElastases, oxidative damage
    • IL: interleukin; IL-1RII: IL-1 receptor, type II; PARC: pulmonary activation-regulated chemokine; PDGF: platelet-derived growth factor; TGF: transforming growth factor; Th: T-helper cell; Tregs: regulatory T-cells; BLyS: B-lymphocyte stimulator; NK: natural killer.

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    • Table S1 - Molecular mechanism of cellular transition
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Cellular interactions in the pathogenesis of interstitial lung diseases
Gianluca Bagnato, Sergio Harari
European Respiratory Review Mar 2015, 24 (135) 102-114; DOI: 10.1183/09059180.00003214

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Cellular interactions in the pathogenesis of interstitial lung diseases
Gianluca Bagnato, Sergio Harari
European Respiratory Review Mar 2015, 24 (135) 102-114; DOI: 10.1183/09059180.00003214
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  • Article
    • Abstract
    • Abstract
    • Introduction
    • Myofibroblasts: the effector cells of fibrosis
    • Fibroblasts: resident cells, apoptosis and the transition to myofibroblasts
    • Fibrocytes: circulating precursors of fibroblasts, collagen-producing monocytes and recruitment to the site of injury
    • AECs: pivotal cells in IPF and their role in epithelial–mesenchymal transition
    • Endothelial cells: vascular damage, EMT and progenitors
    • Pericytes and pleural mesothelial cells: underestimated contributors to mesenchymal transition
    • Macrophages: monocyte recruitment, alternative activation and defective efferocytosis
    • Lymphocytes: Th2-polarised response and antibody production
    • Mast cells: fibrogenesis and lung infiltration
    • Polymorphonuclear cells: inflammation and reactive oxygen species injury
    • Conclusion
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  • Interstitial and orphan lung disease
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