Transcriptomic and network analysis identifies shared and unique pathways and immune changes across fibrotic
Wenhao Liu1, Kangping Huang1, Xin-Zhuang Yang2
1Eight-Year Program of Clinical Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
This study reveals common and distinct molecular pathways in three fibrotic lung diseases: idiopathic pulmonary fibrosis (IPF), fibrotic hypersensitivity pneumonitis (fHP), and connective tissue disease-associated ILD (CTD-ILD). Findings offer insights into pathogenesis and potential therapeutic targets for these progressive lung conditions.
Area of Science:
- Pulmonary Medicine
- Immunology
- Molecular Biology
Background:
- Interstitial lung disease (ILD) comprises various chronic inflammatory and fibrotic lung disorders.
- Idiopathic pulmonary fibrosis (IPF), fibrotic hypersensitivity pneumonitis (fHP), and connective tissue disease-associated ILD (CTD-ILD) share fibrosis but differ in causes.
- Understanding distinct mechanisms in these ILDs is crucial for targeted therapies.
Purpose of the Study:
- To identify shared and specific molecular and cellular pathways in IPF, fHP, and CTD-ILD.
- To explore the underlying mechanisms of progressive fibrosis in these distinct ILD subtypes.
- To provide a foundation for developing novel therapeutic strategies.
Main Methods:
- Transcriptome data from fibrotic lung tissues of IPF, fHP, and CTD-ILD patients were analyzed.
- Functional annotation, network, and pathway analyses were performed.
- The xCell deconvolution algorithm predicted immune cell infiltration.
Main Results:
- A common fibrosis module linked to extracellular matrix (ECM) dynamics and p53 transcription factors was identified.
- IPF showed specific neuron-related processes; fHP highlighted B cell signaling and IgA production.
- CTD-ILD exhibited enriched chemokine processes and predicted infiltration of active dendritic cells (aDCs).
Conclusions:
- Shared and distinct molecular and cellular pathways were elucidated across IPF, fHP, and CTD-ILD.
- These findings enhance understanding of the pathogenesis of these fibrotic lung diseases.
- The study identifies potential targets for future therapeutic interventions.
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