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Systems medicine advances in interstitial lung disease

Flavia R. Greiffo, Oliver Eickelberg, Isis E. Fernandez
European Respiratory Review 2017 26: 170021; DOI: 10.1183/16000617.0021-2017
Flavia R. Greiffo
1Comprehensive Pneumology Center, Ludwig-Maximilians-Universität, University Hospital Grosshadern and Helmholtz Zentrum München and Member of the German Center for Lung Research, Munich, Germany
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Oliver Eickelberg
1Comprehensive Pneumology Center, Ludwig-Maximilians-Universität, University Hospital Grosshadern and Helmholtz Zentrum München and Member of the German Center for Lung Research, Munich, Germany
2Division of Respiratory Sciences and Critical Care Medicine, Dept of Medicine, University of Colorado, Denver, CO, USA
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Isis E. Fernandez
1Comprehensive Pneumology Center, Ludwig-Maximilians-Universität, University Hospital Grosshadern and Helmholtz Zentrum München and Member of the German Center for Lung Research, Munich, Germany
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  • For correspondence: isis.fernandez@helmholtz-muenchen.de
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    FIGURE 1

    Systems medicine-based approaches in interstitial lung diseases seek to analyse biological products (e.g. RNA, DNA, proteins, metabolites, microbiome, etc.) and, through massive data generation and integration with clinical features, help to identify biomarkers that can predict disease phenotypes. OTU: operational taxonomic unit; MUC5B: mucin 5B; ICAM-1: intracellular adhesion molecule-1; MMP-7: metalloproteinase-7; TOLLIP: Toll-interacting protein; TERT: telomerase reverse transcriptase.

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    Potential interstitial lung disease (ILD) targets identified through systems medicine-based approaches

    TargetReference(s)
    IPF
     GenomicsMUC5B[7, 8]
    TOLLIP[9]
    let-7, mir-30, mir-155, mir-21[15]
    mir-29[15, 16]
     ProteomicsCCL24, surfactant protein A2, NF-κB, peroxisome proliferator-activated receptor-γ[20–22]
    Platelet-derived growth factor receptor-α[23]
    Ficolin-2, cathepsin-S, legumain, inducible T-cell costimulator, trypsin-3[25]
     MetabolomicsOrnithine[27]
    Lactate dehydrogenase-5[28]
    6-Phosphofructo-2-kinase/fructose-2,6-biphosphatase 3[51]
     MicrobiomeStaphylococcus OTU 1348[30–32]
    Streptococcus OTU 1345[30]
     Peripheral blood phenotypingMetalloproteinase-7[33]
    CD28, inducible T-cell costimulator, lymphocyte-specific protein tyrosine kinase, interleukin-2 inducible T-cell kinase[34, 35]
    Neoepitopes BGM, C1M, C3M, C5M, C6M, CRPM[36]
    Plasma B-lymphocyte stimulating factor, B-cells[37]
    Myeloid-derived suppressor cells[38]
    Familial IPF
     GenomicsTERT, TERC, DKC1, TINF2, RTEL1, PARN[12, 13]
    SFTPA2, SFTPC, ABCA3[12, 14]
    Non-IPF ILDs
     GenomicsTelomere length[43]
    RTEL1[44]
    DPP9, DSP, FAM13A, IVD, DISP2, OBFC1, ATP11A, MUC2[45]
    ADAMTS4, ADAMTS9, AGER, HIF1A, SERPINE2, SELE, RTKN2, PI15[48]

    IPF: idiopathic pulmonary fibrosis; OTU: operational taxonomic unit. See main text for further details of gene symbols.

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      O. Eickelberg ERR-0021-2017_Eickelberg

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    Systems medicine advances in interstitial lung disease
    Flavia R. Greiffo, Oliver Eickelberg, Isis E. Fernandez
    European Respiratory Review Sep 2017, 26 (145) 170021; DOI: 10.1183/16000617.0021-2017

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    Systems medicine advances in interstitial lung disease
    Flavia R. Greiffo, Oliver Eickelberg, Isis E. Fernandez
    European Respiratory Review Sep 2017, 26 (145) 170021; DOI: 10.1183/16000617.0021-2017
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