Basal-like Cells in the BAL Fluid: An Echo of Regenerative Crisis in Idiopathic Pulmonary Fibrosis Lungs

Autor: Shaykhiev, Renat
Rok vydání: 2019
Předmět:
Zdroj: American Journal of Respiratory and Critical Care Medicine
ISSN: 1535-4970
1073-449X
DOI: 10.1164/rccm.201808-1557ed
Popis: Rationale: Idiopathic pulmonary fibrosis (IPF) is a fatal disease with a variable and unpredictable course. Objectives: To determine whether BAL cell gene expression is predictive of survival in IPF. Methods: This retrospective study analyzed the BAL transcriptome of three independent IPF cohorts: Freiburg (Germany), Siena (Italy), and Leuven (Belgium) including 212 patients. BAL cells from 20 healthy volunteers, 26 patients with sarcoidosis stage III and IV, and 29 patients with chronic obstructive pulmonary disease were used as control subjects. Survival analysis was performed by Cox models and component-wise boosting. Presence of airway basal cells was tested by immunohistochemistry and flow cytometry. Measurements and Main Results: A total of 1,582 genes were predictive of mortality in the IPF derivation cohort in univariate analyses adjusted for age and sex at false discovery rate less than 0.05. A nine-gene signature, derived from the discovery cohort (Freiburg), performed well in both replication cohorts, Siena (P
Databáze: OpenAIRE