Evidence mapPaperPMID 40102636Full record

ReviewNature reviews. Drug discovery2025

Fibrosis: cross-organ biology and pathways to development of innovative drugs.

Florian Rieder, Laura E Nagy, Toby M Maher, Jörg H W Distler, Rafael Kramann, Boris Hinz, Marco Prunotto

Erratum issuedAbstract readReview
In one paragraph

Review in Nature reviews. Drug discovery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Next-generation molecular imaging of cardiac fibrosis.The international journal of cardiovascular imaging · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Cellular and molecular regulation of fibrotic postoperative abdominal adhesions.American journal of physiology. Cell physiology · 2026
    Review
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Florian Rieder *Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA. riederf@ccf.org.ORCID 0000-0002-9087-1568
Laura E Nagy *Department of Gastroenterology, Hepatology and Nutrition, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0002-0580-2809
Toby M Maher *Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0001-7192-9149
Jörg H W Distler *Department of Rheumatology, University Hospital Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany.
Rafael Kramann *Department of Nephrology and Clinical Immunology, RWTH Aachen; Medical Faculty, Aachen, Germany.
Boris Hinz *Keenan Research Institute for Biomedical Science of the St Michael's Hospital, Toronto, Ontario, Canada.ORCID 0000-0002-0526-393X
Marco Prunotto *Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, Geneva, Switzerland. marco.prunotto@unige.ch.ORCID 0000-0002-0203-0129

Funding

Project 4 Title: Innate immunity and cell death in ALDP50AA024333 · NIAAA · CLEVELAND CLINIC LERNER COM-CWRU · 2021 to 2025
$5.0M
Septins in intestinal fibrosisR01DK132038 · CLEVELAND CLINIC LERNER COM-CWRU · 2025 to 2025
$630k
IRAKM and MINCLE in ALDR01AA030699 · CLEVELAND CLINIC LERNER COM-CWRU · 2025 to 2025
$602k
Transcriptional and non-transcriptional function of IRF3 in ALDR01AA027456 · CLEVELAND CLINIC LERNER COM-CWRU · 2025 to 2025
$555k
NIAAA NIH HHS P50 AA024333NIAAA NIH HHS R01 AA027456NIAAA NIH HHS R01 AA030699NIDDK NIH HHS R01 DK123233NIDDK NIH HHS R01 DK132038NIH HHS U01 AA026398
6 · The paper itself

Abstract

Fibrosis is a pathophysiological mechanism involved in chronic and progressive diseases that results in excessive tissue scarring. Diseases associated with fibrosis include metabolic dysfunction-associated steatohepatitis (MASH), inflammatory bowel diseases (IBDs), chronic kidney disease (CKD), idiopathic pulmonary fibrosis (IPF) and systemic sclerosis (SSc), which are collectively responsible for substantial morbidity and mortality. Although a few drugs with direct antifibrotic activity are approved for pulmonary fibrosis and considerable progress has been made in the understanding of mechanisms of fibrosis, translation of this knowledge into effective therapies continues to be limited and challenging. With the aim of assisting developers of novel antifibrotic drugs, this Review integrates viewpoints of biologists and physician-scientists on core pathways involved in fibrosis across organs, as well as on specific characteristics and approaches to assess therapeutic interventions for fibrotic diseases of the lung, gut, kidney, skin and liver. This discussion is used as a basis to propose strategies to improve the translation of potential antifibrotic therapies.

Indexed as

Antifibrotic AgentsDrug DevelopmentFibrosisAnimalsHumansAntifibrotic Agents

Identifiers

PMID40102636
PMCPMC13264708

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.