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Updated: Jan 3, 2026

Refined Murine Model of Idiopathic Pulmonary Fibrosis
Published on: June 17, 2025
Accumulation of damaged mitochondria in alveolar macrophages with reduced OXPHOS related gene expression in IPF
Eliza Tsitoura1, Eirini Vasarmidi1,2, Eleni Bibaki1
1Department of Respiratory Medicine, Laboratory of Molecular and Cellular Pneumonology, Medical School, University of Crete, Heraklion, Crete, Greece.
Background:
Impaired mitochondria homeostasis and function are established hallmarks of aging and increasing evidence suggests a link with lung fibrosis. Mitochondria homeostasis may be also affected in alveolar macrophages (AMs) in idiopathic pulmonary fibrosis (IPF). In this study, we used bronchoalveolar lavage (BAL), a tool for both clinical and research purposes, and a rich source of AMs.
Methods:
BAL samples were examined from 52 patients with IPF and 19 healthy individuals. Measurements of mitochondria reactive oxygen species (mtROS), mitochondria morphology and related gene expression were performed. Additionally, autophagy and mitophagy levels were analysed.
Results:
Mitochondria in AMs from IPF patients had prominent morphological defects and impaired transcription paralleled to a significant reduction of mitochondria homeostasis regulators PINK1, PARK2 and NRF1. mtROS, was significantly higher in IPF and associated with reduced expression of mitochondria-encoded oxidative phosphorylation (OXPHOS) genes. Age and decline in lung function correlated with higher mtROS levels. Augmentation of damaged, oxidised mitochondria in IPF AMs however was not coupled to increased macroautophagy and mitophagy, central processes in the maintenance of healthy mitochondria levels.
Conclusion:
Our results suggest a perturbation of mitochondria homeostasis in alveolar macrophages in IPF.
Insights
Mitochondria in alveolar macrophages are dysfunctional in idiopathic pulmonary fibrosis (IPF), showing morphological defects and impaired homeostasis. This dysfunction is linked to increased mitochondrial reactive oxygen species (mtROS) and not compensated by autophagy.
Area of Science:
- Cellular Biology
- Aging Research
- Pulmonary Medicine
Background:
- Mitochondrial dysfunction is a hallmark of aging and implicated in lung fibrosis.
- Alveolar macrophages (AMs) in idiopathic pulmonary fibrosis (IPF) may exhibit altered mitochondrial homeostasis.
Purpose of the Study:
- To investigate mitochondrial homeostasis and function in AMs from IPF patients.
- To explore the relationship between mitochondrial health, aging, and lung function decline in IPF.
Main Methods:
- Analysis of bronchoalveolar lavage (BAL) samples from 52 IPF patients and 19 healthy controls.
- Assessment of mitochondrial reactive oxygen species (mtROS), morphology, gene expression, autophagy, and mitophagy.
Main Results:
- IPF AMs displayed mitochondrial morphological defects and reduced expression of key homeostasis regulators (PINK1, PARK2, NRF1).
- Elevated mtROS levels in IPF correlated with reduced oxidative phosphorylation gene expression and were associated with age and declining lung function.
- Increased damaged mitochondria in IPF AMs were not accompanied by enhanced macroautophagy or mitophagy.
Conclusions:
- Mitochondrial homeostasis is perturbed in alveolar macrophages of IPF patients.
- Dysfunctional mitochondria and impaired clearance mechanisms may contribute to IPF pathogenesis.
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