Evidence map›Paper›PMID 28420366›Full record

ArticleBMC pulmonary medicine2017

Pirfenidone attenuates bleomycin-induced pulmonary fibrosis in mice by regulating Nrf2/Bach1 equilibrium.

Yuan Liu, Fuai Lu, Lirong Kang, Zhihua Wang, Yongfu Wang

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 82 papers.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed
10.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04653831 nacompletednot on this mapstarted 2020, after this paper: background citation

Treatment With Pirfenidone for COVID-19 Related Severe ARDS An Open Label Pilot Trial

TypeinterventionalSponsorSoroka University Medical CenterRan2020 to 2022Enrolled26ConditionsCovid19, ARDSArmsPirfenidone, Standard of care
NCT05075161 phase3recruitingnot on this mapstarted 2022, after this paper: background citation

Pirfenidone to Prevent Fibrosis in ARDS. A Randomized Controlled Trial - PIONEER

TypeinterventionalSponsorUniversità Vita-Salute San RaffaeleRan2022 to 2026Enrolled130ConditionsAcute Respiratory Distress Syndrome (ARDS)ArmsPirfenidone, Placebo
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 187 citations in OpenAlex.

  1. Article
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  3. Article
  4. Review
  5. Article
  6. Review
  7. Altered Metabolism in Idiopathic Pulmonary Fibrosis.Journal of cellular physiology · 2025
    Review
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  9. Article
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  13. Review
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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Yuan LiuDepartment of Rheumatology, First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science & Technology, Baotou, Inner Mongolia, 014010, China.
Fuai LuDepartment of Rheumatology, First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science & Technology, Baotou, Inner Mongolia, 014010, China.
Lirong KangDepartment of Rheumatology, First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science & Technology, Baotou, Inner Mongolia, 014010, China.
Zhihua WangDepartment of Rheumatology, First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science & Technology, Baotou, Inner Mongolia, 014010, China.
Yongfu WangDepartment of Rheumatology, First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science & Technology, Baotou, Inner Mongolia, 014010, China. wyf5168@hotmail.com.
Inner Mongolia University of Science and Technology · CNBaotou Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOxidative stress is one of the important factors involved in the pathogenesis of idiopathic pulmonary fibrosis (IPF). The equilibrium of Nuclear factor-erythroid-related factor 2 (Nrf2)/[BTB (broad-complex, tramtrack and bric-a-brac) and CNC (cap'n'collar protein) homology 1, Bach1] determines the expression level of antioxidant factors, further regulating the function of oxidation/antioxidation capacity. Pirfenidone (PFD) is one of two currently for IPF therapy approved drugs. PFD regulates intracellular antioxidants, inhibits secretion of inflammatory cytokines and collagen synthesis. However the mechanisms of its antioxidant effects remain elusive.

methodsEffects of PFD treatment were studied in mouse lung fibroblasts (MLF) following induction by transforming-growth factor beta 1 (TGF-β1) and in mice following bleomycin-induced lung fibrosis. The mRNA and protein levels of oxidative stress-related factors Nrf2/Bach1 and their downstream antioxidant factors heme oxygenase-1 (Ho-1) and glutathione peroxidase 1 (Gpx1) were determined by RT-PCR and Western blot. Fibrosis-related cytokines interleukin-6 (IL-6) and myofibroblast markers type 1 collagen α1 (COL1A1) levels in supernate of MLF, serum, and bronchoalveolar lavage fluid (BALF) as well as malondialdehyde (MDA) in serum and BALF were detected by ELISA, reactive oxygen species (ROS) generation was measured by 2',7'- dichlorofluorescin diacetate (DCFH-DA) assay and lung pathological/morphological alterations in mice were observed by HE and Masson to assess the antioxidant mechanism and therapeutic effects on pulmonary fibrosis induced by bleomycin.

resultsPFD inhibited Bach1 mRNA and protein expressions in mouse lung fibroblasts induced by TGF-β1 and lung tissues with pulmonary fibrosis induced by bleomycin. Furthermore, it improved Nrf2, Ho-1 and Gpx1 mRNA and protein expressions. After PFD treatment, COL1A1and IL-6 levels in supernate of MLF, serum, and BALF as well as ROS in lung tissues and MDA in serum and BALF from a mouse with pulmonary fibrosis were significantly decreased, and the infiltration of lung inflammatory cells and fibrosis degree were alleviated.

conclusionsTheraputic effects of PFD for IPF were involved in Nrf2/Bach1 equilibrium which regulated the capacity of oxidative stress. The study provided new insights into the antioxidant mechanism of PFD.

Indexed as

AnimalsAntioxidantsBasic-Leucine Zipper Transcription FactorsBleomycinBronchoalveolar Lavage FluidCollagen Type IFibroblastsGlutathione PeroxidaseGlutathione Peroxidase GPX1Heme Oxygenase-1Interleukin-6LungMaleMalondialdehydeMembrane ProteinsMiceAntioxidantsBach1 protein, mouseBasic-Leucine Zipper Transcription FactorsBleomycinCollagen Type IGlutathione PeroxidaseGlutathione Peroxidase GPX1Gpx1 protein, mouseHeme Oxygenase-1Hmox1 protein, mouseInterleukin-6interleukin-6, mouseMalondialdehydeMembrane ProteinsNfe2l2 protein, mouseNF-E2-Related Factor 2pirfenidonePyridonesRNA, MessengerTransforming Growth Factor betaIdiopathic pulmonary fibrosisNrf2/Bach1Oxidative stressPirfenidone

Identifiers

PMID28420366
PMCPMC5395978
OpenAlexW2606309368

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.