Evidence map›Paper›PMID 38273290›Full record

Observational studyRespiratory research2024

Circulating metabolic profile in idiopathic pulmonary fibrosis: data from the IPF-PRO Registry.

Ross Summer, Jamie L Todd, Megan L Neely, L Jason Lobo, Andrew Namen, L Kristin Newby, Shirin Shafazand, Sally Suliman, Christian Hesslinger, Sascha Keller and 6 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Respiratory research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01915511 (Idiopathic Pulmonary Fibrosis Prospective Outcomes), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
8.4field-weighted citation impact, top 2% 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.

NCT01915511 recruitingnot on this map

Idiopathic Pulmonary Fibrosis Prospective Outcomes (IPF-PRO) and Interstitial Lung Disease Prospective Outcomes (IPF-PRO/ILD-PRO) Registry

Typeobservational_patient_registrySponsorDuke UniversityRan2014 to 2031Enrolled3,000ConditionsIdiopathic Pulmonary Fibrosis, Interstitial Lung Disease
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Metabolomic profiling reveals distinct and shared biology in COPD and IPF.Metabolomics : Official journal of the Metabolomic Society · 2026
    Article
  2. Review
  3. Combatting pulmonary fibrosis withChinese herbal medicines · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Application of Metabolomics across the Spectrum of Pulmonary and Critical Care Medicine.American journal of respiratory cell and molecular biology · 2024
    Review
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

16 authors at 10 institutions in 2 countries.

Ross Summer *Thomas Jefferson University, Philadelphia, PA, USA. ross.summer@jefferson.edu.ORCID http://orcid.org/0000-0003-4615-4956
Jamie L Todd *Duke Clinical Research Institute, Durham, NC, USA.ORCID http://orcid.org/0000-0003-4247-3693
Megan L NeelyDuke Clinical Research Institute, Durham, NC, USA.ORCID http://orcid.org/0000-0002-0101-1081
L Jason LoboUniversity of North Carolina School of Medicine, Chapel Hill, NC, USA.
Andrew NamenWake Forest School of Medicine, Winston-Salem, NC, USA.ORCID http://orcid.org/0000-0001-5003-0900
L Kristin NewbyDuke Clinical Research Institute, Durham, NC, USA.
Shirin ShafazandUniversity of Miami, Miami, FL, USA.
Sally SulimanBanner University Medical Center, Phoenix, AZ, USA.
Christian HesslingerBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.
Sascha KellerBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.
Thomas B LeonardBoehringer Ingelheim Pharmaceuticals, Inc, Ridgefield, CT, USA.ORCID http://orcid.org/0000-0003-3098-4330
Scott M PalmerDuke Clinical Research Institute, Durham, NC, USA.
Olga IlkayevaDuke Molecular Physiology Institute, Durham, NC, USA.ORCID http://orcid.org/0000-0002-9779-0883
Michael J MuehlbauerDuke Molecular Physiology Institute, Durham, NC, USA.
Christopher B Newgard *Duke Molecular Physiology Institute, Durham, NC, USA.ORCID http://orcid.org/0000-0002-1293-691X
Jesse Roman *Jane and Leonard Korman Institute, Thomas Jefferson University, Philadelphia, PA, USA.
Clinical Research Institute · USBoehringer Ingelheim (Germany) · DEDuke Medical Center · USThomas Jefferson University · USBanner - University Medical Center Phoenix · USBoehringer Ingelheim (United States) · USDuke University · USUniversity of Miami · USUniversity of North Carolina at Chapel Hill · USWake Forest University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe circulating metabolome, reflecting underlying cellular processes and disease biology, has not been fully characterized in patients with idiopathic pulmonary fibrosis (IPF). We evaluated whether circulating levels of metabolites correlate with the presence of IPF, with the severity of IPF, or with the risk of clinically relevant outcomes among patients with IPF.

methodsWe analyzed enrollment plasma samples from 300 patients with IPF in the IPF-PRO Registry and 100 individuals without known lung disease using a set of targeted metabolomics and clinical analyte modules. Linear regression was used to compare metabolite and clinical analyte levels between patients with IPF and controls and to determine associations between metabolite levels and measures of disease severity in patients with IPF. Unadjusted and adjusted univariable Cox regression models were used to evaluate associations between circulating metabolites and the risk of mortality or disease progression among patients with IPF.

resultsLevels of 64 metabolites and 5 clinical analytes were significantly different between patients with IPF and controls. Among analytes with greatest differences were non-esterified fatty acids, multiple long-chain acylcarnitines, and select ceramides, levels of which were higher among patients with IPF versus controls. Levels of the branched-chain amino acids valine and leucine/isoleucine were inversely correlated with measures of disease severity. After adjusting for clinical factors known to influence outcomes, higher levels of the acylcarnitine C:16-OH/C:14-DC were associated with all-cause mortality, lower levels of the acylcarnitine C16:1-OH/C14:1DC were associated with all-cause mortality, respiratory death, and respiratory death or lung transplant, and higher levels of the sphingomyelin d43:2 were associated with the risk of respiratory death or lung transplantation.

conclusionsIPF has a distinct circulating metabolic profile characterized by increased levels of non-esterified fatty acids, long-chain acylcarnitines, and ceramides, which may suggest a more catabolic environment that enhances lipid mobilization and metabolism. We identified select metabolites that were highly correlated with measures of disease severity or the risk of disease progression and that may be developed further as biomarkers.

trial registrationClinicalTrials.gov; No: NCT01915511; URL: www. CLINICALTRIALS: gov .

Indexed as

CarnitineIdiopathic Pulmonary FibrosisCeramidesDisease ProgressionFatty AcidsHumansMetabolomeRegistriesacylcarnitineCarnitineCeramidesFatty AcidsBiomarkersInterstitial lung diseasesMetabolomicsPulmonary fibrosis

Identifiers

PMID38273290
PMCPMC10809477
OpenAlexW4391243989

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.