Fibulin-1 predicts disease progression in patients with idiopathic pulmonary fibrosis

J. Jaffar, S. Unger, T.J. Corte, M. Keller, P.J. Wolters, L. Richeldi, S. Cerri, Cecilia Prele, P. Hansbro, W.S. Argraves, R.A. Oliver, B.G. Oliver, J.L. Black, J.K. Burgess

    Research output: Contribution to journalArticle

    26 Citations (Scopus)

    Abstract

    BACKGROUND: The underlying mechanisms of idiopathic pulmonary fibrosis (IPF) are unknown. This progressive disease has high mortality rates, and current models for prediction of mortality have limited value in identifying which patients will progress. We previously showed that the glycoprotein fibulin-1 is involved in enhanced proliferation and wound repair by mesenchymal cells and, thus, may contribute to lung fibrosis in IPF.

    METHODS: Serum, lung tissue, and lung function values were obtained from four independent locations (Sydney, NSW, and Perth, WA, Australia; San Francisco, CA; progression was defined as a significant decline in lung function or death. Primary parenchymal lung fibroblasts of 15 patients with and without IPF were cultured under nonstimulatory conditions. Fibulin-1 levels in serum, and secreted or deposited by fibroblasts, were measured by western blot and in lung tissue and Modena, Italy). Patients with IPF were followed for a minimum of 1 year and by immunohistochemistry.

    RESULTS: Serum fibulin-1 levels were increased in patients with IPF compared with subjects without lung disease ( P 5 .006). Furthermore, tissue fi bulin-1 levels were increased in patients with IPF ( P 5 .02) and correlated negatively with lung function ( r 5 2 0.9, P , .05). Primary parenchymal fibroblasts from patients with IPF produced more fibulin-1 than those from subjects without IPF ( P , .05). Finally, serum fibulin-1 levels at first blood draw predicted disease progression in IPF within 1 year (area under the curve , 0.71; 95% CI, 0.57-0.86; P 5 .012).

    CONCLUSIONS: Fibulin-1 is a novel potential biomarker for disease progression in IPF and raises the possibility that it could be used as a target for the development of new treatments.
    Original languageEnglish
    Pages (from-to)1055-1063
    JournalChest
    Volume146
    Issue number4
    DOIs
    Publication statusPublished - Oct 2014

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