Evidence map›Paper›PMID 40635577›Full record

ArticleThe clinical respiratory journal2025

Role of Immune Cells in Mediating the Effect of Hypothyroidism on Idiopathic Pulmonary Fibrosis.

Zhengling Liu, Chengkun Kou, Xiaobo Chen, Jing Yang, Huan Zhu, Yongning Jiao, Dongyan Zhang, Wencui Zhang, Liang Li

Abstract read
In one paragraph

Article in The clinical respiratory journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Inter-Organ Communication in Pulmonary Fibrosis: Systemic Modifiers of a Lung-Centered Disease.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Review
  2. Article
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

9 authors.

Zhengling LiuDepartment of Respiratory Medicine Department, Gansu Province Central Hospital & Gansu Provincial Maternity and Child Care Hospital, Lanzhou, Gansu, China.
Chengkun KouThe Second Clinical Medical School, Lanzhou University, Lanzhou, Gansu, China.ORCID https://orcid.org/0000-0003-4301-4237
Xiaobo ChenDepartment of Respiratory Medicine Department, Gansu Province Central Hospital & Gansu Provincial Maternity and Child Care Hospital, Lanzhou, Gansu, China.
Jing YangDepartment of Respiratory Medicine Department, Gansu Province Central Hospital & Gansu Provincial Maternity and Child Care Hospital, Lanzhou, Gansu, China.
Huan ZhuDepartment of Respiratory Medicine Department, Gansu Province Central Hospital & Gansu Provincial Maternity and Child Care Hospital, Lanzhou, Gansu, China.
Yongning JiaoDepartment of Respiratory Medicine Department, Gansu Province Central Hospital & Gansu Provincial Maternity and Child Care Hospital, Lanzhou, Gansu, China.
Dongyan ZhangDepartment of Respiratory Medicine Department, Gansu Province Central Hospital & Gansu Provincial Maternity and Child Care Hospital, Lanzhou, Gansu, China.
Wencui ZhangDepartment of Respiratory Medicine Department, Gansu Province Central Hospital & Gansu Provincial Maternity and Child Care Hospital, Lanzhou, Gansu, China.
Liang LiDepartment of Respiratory Medicine Department, Gansu Province Central Hospital & Gansu Provincial Maternity and Child Care Hospital, Lanzhou, Gansu, China.ORCID https://orcid.org/0009-0009-9584-222X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIdiopathic pulmonary fibrosis (IPF) leads to irreversible scarring of lung tissue, resulting in deteriorating respiratory function, particularly in older adults. We aimed to explore the causative link between hypothyroidism and IPF, particularly focusing on immune cell phenotypes as mediating factors.

methodsA two-sample Mendelian randomization (MR) approach was utilized to investigate the influence of hypothyroidism on IPF and the role of 731 distinct immune cell phenotypes as mediators. The mediating effects were quantified using the coefficient product method. Various sensitivity analyses, including Cochran's Q test for heterogeneity, MR-Egger for pleiotropy, and the "leave-one-out" method, were conducted to verify the robustness of single-nucleotide polymorphism-derived casual estimates. Statistical analyses were carried out using the R software (Version 4.3.1).

resultsHypothyroidism was significantly associated with increased IPF risk (odds ratio [OR] = 1.13, 95% confidence interval [CI] = 1.06-1.21, p = 1.34 × 10

conclusionWe identified a marked association between hypothyroidism and IPF. Specific immune cell phenotypes may partially mediate this relationship, although the observed effect sizes were modest. Further research is needed to validate these results in diverse populations and larger clinical trials.

Indexed as

B-LymphocytesHypothyroidismIdiopathic Pulmonary FibrosisAgedFemaleHumansMaleMendelian Randomization AnalysisPhenotypePolymorphism, Single NucleotideRisk Factorshypothyroidismidiopathic pulmonary fibrosisimmune cellMendelian randomization

Identifiers

PMID40635577
PMCPMC12241824

What Socratic holds

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LicenceCC BY
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Registered trials

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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.