Cellular mechanisms of tissue fibrosis. 7. New insights into the cellular mechanisms of pulmonary fibrosis

Am J Physiol Cell Physiol. 2014 Jun 1;306(11):C987-96. doi: 10.1152/ajpcell.00321.2013. Epub 2014 Apr 16.

Abstract

Idiopathic pulmonary fibrosis (IPF) is a devastating disease characterized by severe and progressive scar formation in the gas-exchange regions of the lung. Despite years of research, therapeutic treatments remain elusive and there is a pressing need for deeper mechanistic insights into the pathogenesis of the disease. In this article, we review our current knowledge of the triggers and/or perpetuators of pulmonary fibrosis with special emphasis on the alveolar epithelium and the underlying mesenchyme. In doing so, we raise a number of questions highlighting critical voids and limitations in our current understanding and study of this disease.

Keywords: epithelium; lung fibrosis; myofibroblast.

Publication types

  • Review

MeSH terms

  • Animals
  • Fibroblasts / metabolism
  • Fibroblasts / pathology*
  • Humans
  • Pulmonary Alveoli / pathology
  • Pulmonary Fibrosis / metabolism
  • Pulmonary Fibrosis / pathology*
  • Respiratory Mucosa / metabolism
  • Respiratory Mucosa / pathology*