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  1. Article ; Online: Is classifying SSc-ILD drugs as either immunosuppressive or anti-fibrotic misleading?

    Andréasson, Kristofer / Hamberg, Viggo / Wigén, Jenny / Westergren-Thorsson, Gunilla

    Nature reviews. Rheumatology

    2023  Volume 19, Issue 10, Page(s) 675

    MeSH term(s) Humans ; Immunosuppressive Agents/therapeutic use ; Lung Diseases, Interstitial ; Fibrosis ; Scleroderma, Systemic/drug therapy ; Scleroderma, Systemic/pathology ; Lung
    Chemical Substances Immunosuppressive Agents
    Language English
    Publishing date 2023-08-21
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2491532-4
    ISSN 1759-4804 ; 1759-4790
    ISSN (online) 1759-4804
    ISSN 1759-4790
    DOI 10.1038/s41584-023-01013-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pulmonary 5-HT

    Löfdahl, Anna / Nybom, Annika / Wigén, Jenny / Dellgren, Göran / Brunnström, Hans / Wenglén, Christina / Westergren-Thorsson, Gunilla

    Acta histochemica

    2023  Volume 125, Issue 3, Page(s) 152024

    Abstract: Pulmonary fibrosis is a severe condition in interstitial lung diseases (ILD) such as idiopathic pulmonary fibrosis (IPF) and systemic sclerosis-ILD, where the underlying mechanism is not well defined and with no curative treatments available. Serotonin ( ... ...

    Abstract Pulmonary fibrosis is a severe condition in interstitial lung diseases (ILD) such as idiopathic pulmonary fibrosis (IPF) and systemic sclerosis-ILD, where the underlying mechanism is not well defined and with no curative treatments available. Serotonin (5-HT) signaling via the 5-HT
    MeSH term(s) Humans ; Serotonin ; Endothelial Cells/metabolism ; Lung Diseases, Interstitial/metabolism ; Lung Diseases, Interstitial/pathology ; Lung/metabolism ; Fibrosis ; Idiopathic Pulmonary Fibrosis/pathology ; Scleroderma, Systemic/pathology
    Chemical Substances Serotonin (333DO1RDJY)
    Language English
    Publishing date 2023-03-21
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 77-2
    ISSN 1618-0372 ; 0065-1281
    ISSN (online) 1618-0372
    ISSN 0065-1281
    DOI 10.1016/j.acthis.2023.152024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Extracellular Matrix as a Driver of Chronic Lung Diseases.

    Burgess, Janette K / Weiss, Daniel J / Westergren-Thorsson, Gunilla / Wigen, Jenny / Dean, Charlotte H / Mumby, Sharon / Bush, Andrew / Adcock, Ian M

    American journal of respiratory cell and molecular biology

    2024  Volume 70, Issue 4, Page(s) 239–246

    Abstract: The extracellular matrix (ECM) is not just a three-dimensional scaffold that provides stable support for all cells in the lungs, but also an important component of chronic fibrotic airway, vascular, and interstitial diseases. It is a bioactive entity ... ...

    Abstract The extracellular matrix (ECM) is not just a three-dimensional scaffold that provides stable support for all cells in the lungs, but also an important component of chronic fibrotic airway, vascular, and interstitial diseases. It is a bioactive entity that is dynamically modulated during tissue homeostasis and disease, that controls structural and immune cell functions and drug responses, and that can release fragments that have biological activity and that can be used to monitor disease activity. There is a growing recognition of the importance of considering ECM changes in chronic airway, vascular, and interstitial diseases, including
    MeSH term(s) Humans ; Lung Diseases/metabolism ; Extracellular Matrix/metabolism ; Lung/pathology ; Extracellular Matrix Proteins/metabolism
    Chemical Substances Extracellular Matrix Proteins
    Language English
    Publishing date 2024-04-03
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1025960-0
    ISSN 1535-4989 ; 1044-1549
    ISSN (online) 1535-4989
    ISSN 1044-1549
    DOI 10.1165/rcmb.2023-0176PS
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Converging pathways in pulmonary fibrosis and Covid-19 - The fibrotic link to disease severity.

    Wigén, Jenny / Löfdahl, Anna / Bjermer, Leif / Elowsson-Rendin, Linda / Westergren-Thorsson, Gunilla

    Respiratory medicine: X

    2020  Volume 2, Page(s) 100023

    Abstract: As Covid-19 affects millions of people worldwide, the global health care will encounter an increasing burden of the aftermaths of the disease. Evidence shows that up to a fifth of the patients develop fibrotic tissue in the lung. The SARS outbreak in the ...

    Abstract As Covid-19 affects millions of people worldwide, the global health care will encounter an increasing burden of the aftermaths of the disease. Evidence shows that up to a fifth of the patients develop fibrotic tissue in the lung. The SARS outbreak in the early 2000 resulted in chronic pulmonary fibrosis in a subset (around 4%) of the patients, and correlated to reduced lung function and forced expiratory volume (FEV). The similarities between corona virus infections causing SARS and Covid-19 are striking, except that the novel coronavirus, SARS-CoV-2, has proven to have an even higher communicability. This would translate into a large number of patients seeking care for clinical signs of pulmonary fibrosis, given that the Covid-19 pandemic has up till now (Sept 2020) affected around 30 million people. The SARS-CoV-2 is dependent on binding to the angiotensin converting enzyme 2 (ACE2), which is part of the renin-angiotensin system (RAS). Downregulation of ACE2 upon virus binding disturbs downstream activities of RAS resulting in increased inflammation and development of fibrosis. The poor prognosis and risk of developing pulmonary fibrosis are therefore associated with the increased expression of ACE2 in risk groups, such as obesity, heart disorders and aging, conferring plenty of binding opportunity for the virus and subsequently the internalization of ACE2, thus devoiding the enzyme from acting counter-inflammatory and antifibrotic. Identifying pathways that are associated with Covid-19 severity that result in pulmonary fibrosis may enable early diagnosis and individualized treatment for these patients to prevent or reduce irreversible fibrotic damage to the lung.
    Keywords covid19
    Language English
    Publishing date 2020-10-09
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2590-1435
    ISSN (online) 2590-1435
    DOI 10.1016/j.yrmex.2020.100023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Harnessing the ECM Microenvironment to Ameliorate Mesenchymal Stromal Cell-Based Therapy in Chronic Lung Diseases.

    Elowsson Rendin, Linda / Löfdahl, Anna / Kadefors, Måns / Söderlund, Zackarias / Tykesson, Emil / Rolandsson Enes, Sara / Wigén, Jenny / Westergren-Thorsson, Gunilla

    Frontiers in pharmacology

    2021  Volume 12, Page(s) 645558

    Abstract: It is known that the cell environment such as biomechanical properties and extracellular matrix (ECM) composition dictate cell behaviour including migration, proliferation, and differentiation. Important constituents of the microenvironment, including ... ...

    Abstract It is known that the cell environment such as biomechanical properties and extracellular matrix (ECM) composition dictate cell behaviour including migration, proliferation, and differentiation. Important constituents of the microenvironment, including ECM molecules such as proteoglycans and glycosaminoglycans (GAGs), determine events in both embryogenesis and repair of the adult lung. Mesenchymal stromal/stem cells (MSC) have been shown to have immunomodulatory properties and may be potent actors regulating tissue remodelling and regenerative cell responses upon lung injury. Using MSC in cell-based therapy holds promise for treatment of chronic lung diseases such as idiopathic pulmonary fibrosis (IPF) and chronic obstructive pulmonary disease (COPD). However, so far clinical trials with MSCs in COPD have not had a significant impact on disease amelioration nor on IPF, where low cell survival rate and pulmonary retention time are major hurdles to overcome. Research shows that the microenvironment has a profound impact on transplanted MSCs. In our studies on acellular lung tissue slices (lung scaffolds) from IPF patients versus healthy individuals, we see a profound effect on cellular activity, where healthy cells cultured in diseased lung scaffolds adapt and produce proteins further promoting a diseased environment, whereas cells on healthy scaffolds sustain a healthy proteomic profile. Therefore, modulating the environmental context for cell-based therapy may be a potent way to improve treatment using MSCs. In this review, we will describe the importance of the microenvironment for cell-based therapy in chronic lung diseases, how MSC-ECM interactions can affect therapeutic output and describe current progress in the field of cell-based therapy.
    Language English
    Publishing date 2021-04-15
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2587355-6
    ISSN 1663-9812
    ISSN 1663-9812
    DOI 10.3389/fphar.2021.645558
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Glycosaminoglycans: A Link Between Development and Regeneration in the Lung.

    Wigén, Jenny / Elowsson-Rendin, Linda / Karlsson, Lisa / Tykesson, Emil / Westergren-Thorsson, Gunilla

    Stem cells and development

    2019  Volume 28, Issue 13, Page(s) 823–832

    Abstract: What can we learn from embryogenesis to increase our understanding of how regeneration of damaged adult lung tissue could be induced in serious lung diseases such as chronic obstructive pulmonary disease (COPD), idiopathic pulmonary fibrosis (IPF), and ... ...

    Abstract What can we learn from embryogenesis to increase our understanding of how regeneration of damaged adult lung tissue could be induced in serious lung diseases such as chronic obstructive pulmonary disease (COPD), idiopathic pulmonary fibrosis (IPF), and asthma? The local tissue niche determines events in both embryogenesis and repair of the adult lung. Important constituents of the niche are extracellular matrix (ECM) molecules, including proteoglycans and glycosaminoglycans (GAGs). GAGs, strategically located in the pericellular and extracellular space, bind developmentally active growth factors (GFs) and morphogens such as fibroblast growth factors (FGFs), transforming growth factor-β (TGF-β), and bone morphogenetic proteins (BMPs) aside from cytokines. These interactions affect activities in many cells, including stem cells, important in development and tissue regeneration. Moreover, it is becoming clear that the "inherent code," such as sulfation of disaccharides of GAGs, is a strong determinant of cellular outcome. Sulfation patterns, deacetylations, and epimerizations of GAG chains function as tuning forks in gradient formation of morphogens, growth factors, and cytokines. Learning to tune these fine instruments, that is, interactions between GFs, chemokines, and cytokines with the specific disaccharide code of GAGs in the adult lung, could become the key to unlock inherent regenerative forces to override pathological remodeling. This review aims to provide an overview of the role GAGs play during development and similar events in regenerative efforts in the adult lung.
    MeSH term(s) Animals ; Cell Differentiation ; Glycosaminoglycans/metabolism ; Humans ; Lung/embryology ; Lung/metabolism ; Lung/physiology ; Regeneration
    Chemical Substances Glycosaminoglycans
    Language English
    Publishing date 2019-06-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2142214-X
    ISSN 1557-8534 ; 1547-3287
    ISSN (online) 1557-8534
    ISSN 1547-3287
    DOI 10.1089/scd.2019.0009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Converging pathways in pulmonary fibrosis and Covid-19 - The fibrotic link to disease severity

    Jenny Wigén / Anna Löfdahl / Leif Bjermer / Linda Elowsson-Rendin / Gunilla Westergren-Thorsson

    Respiratory Medicine: X, Vol 2, Iss , Pp 100023- (2020)

    2020  

    Abstract: As Covid-19 affects millions of people worldwide, the global health care will encounter an increasing burden of the aftermaths of the disease. Evidence shows that up to a fifth of the patients develop fibrotic tissue in the lung. The SARS outbreak in the ...

    Abstract As Covid-19 affects millions of people worldwide, the global health care will encounter an increasing burden of the aftermaths of the disease. Evidence shows that up to a fifth of the patients develop fibrotic tissue in the lung. The SARS outbreak in the early 2000 resulted in chronic pulmonary fibrosis in a subset (around 4%) of the patients, and correlated to reduced lung function and forced expiratory volume (FEV). The similarities between corona virus infections causing SARS and Covid-19 are striking, except that the novel coronavirus, SARS-CoV-2, has proven to have an even higher communicability. This would translate into a large number of patients seeking care for clinical signs of pulmonary fibrosis, given that the Covid-19 pandemic has up till now (Sept 2020) affected around 30 million people. The SARS-CoV-2 is dependent on binding to the angiotensin converting enzyme 2 (ACE2), which is part of the renin-angiotensin system (RAS). Downregulation of ACE2 upon virus binding disturbs downstream activities of RAS resulting in increased inflammation and development of fibrosis. The poor prognosis and risk of developing pulmonary fibrosis are therefore associated with the increased expression of ACE2 in risk groups, such as obesity, heart disorders and aging, conferring plenty of binding opportunity for the virus and subsequently the internalization of ACE2, thus devoiding the enzyme from acting counter-inflammatory and antifibrotic. Identifying pathways that are associated with Covid-19 severity that result in pulmonary fibrosis may enable early diagnosis and individualized treatment for these patients to prevent or reduce irreversible fibrotic damage to the lung.
    Keywords Covid-19 ; Chronic pulmonary fibrosis ; Angiotensin converting enzyme 2 (ACE2) ; Cytokines ; Chemokines ; Matrix metalloproteases ; Diseases of the respiratory system ; RC705-779 ; Immunologic diseases. Allergy ; RC581-607 ; covid19
    Subject code 610
    Language English
    Publishing date 2020-11-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Pathological Insight into 5-HT

    Löfdahl, Anna / Tornling, Göran / Wigén, Jenny / Larsson-Callerfelt, Anna-Karin / Wenglén, Christina / Westergren-Thorsson, Gunilla

    International journal of molecular sciences

    2020  Volume 22, Issue 1

    Abstract: Interstitial lung disease (ILD) encompasses a heterogeneous group of more than 200 conditions, of which primarily idiopathic pulmonary fibrosis (IPF), idiopathic nonspecific interstitial pneumonia, hypersensitivity pneumonitis, ILD associated with ... ...

    Abstract Interstitial lung disease (ILD) encompasses a heterogeneous group of more than 200 conditions, of which primarily idiopathic pulmonary fibrosis (IPF), idiopathic nonspecific interstitial pneumonia, hypersensitivity pneumonitis, ILD associated with autoimmune diseases and sarcoidosis may present a progressive fibrosing (PF) phenotype. Despite different aetiology and histopathological patterns, the PF-ILDs have similarities regarding disease mechanisms with self-sustaining fibrosis, which suggests that the diseases may share common pathogenetic pathways. Previous studies show an enhanced activation of serotonergic signaling in pulmonary fibrosis, and the serotonin (5-HT)
    MeSH term(s) Animals ; Humans ; Idiopathic Pulmonary Fibrosis/immunology ; Idiopathic Pulmonary Fibrosis/metabolism ; Idiopathic Pulmonary Fibrosis/pathology ; Inflammation/pathology ; Lung Diseases, Interstitial/immunology ; Lung Diseases, Interstitial/metabolism ; Lung Diseases, Interstitial/pathology ; Models, Biological ; Receptor, Serotonin, 5-HT2B/metabolism ; Serotonin 5-HT2 Receptor Antagonists/pharmacology
    Chemical Substances Receptor, Serotonin, 5-HT2B ; Serotonin 5-HT2 Receptor Antagonists
    Language English
    Publishing date 2020-12-28
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms22010225
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Converging pathways in pulmonary fibrosis and Covid-19 - The fibrotic link to disease severity

    Wigén, Jenny / Löfdahl, Anna / Bjermer, Leif / Elowsson Rendin, Linda / Westergren-Thorsson, Gunilla

    Respiratory Medicine: X

    2020  Volume 2, Page(s) 100023

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ISSN 2590-1435
    DOI 10.1016/j.yrmex.2020.100023
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Pathological Insight into 5-HT 2B Receptor Activation in Fibrosing Interstitial Lung Diseases

    Anna Löfdahl / Göran Tornling / Jenny Wigén / Anna-Karin Larsson-Callerfelt / Christina Wenglén / Gunilla Westergren-Thorsson

    International Journal of Molecular Sciences, Vol 22, Iss 225, p

    2021  Volume 225

    Abstract: Interstitial lung disease (ILD) encompasses a heterogeneous group of more than 200 conditions, of which primarily idiopathic pulmonary fibrosis (IPF), idiopathic nonspecific interstitial pneumonia, hypersensitivity pneumonitis, ILD associated with ... ...

    Abstract Interstitial lung disease (ILD) encompasses a heterogeneous group of more than 200 conditions, of which primarily idiopathic pulmonary fibrosis (IPF), idiopathic nonspecific interstitial pneumonia, hypersensitivity pneumonitis, ILD associated with autoimmune diseases and sarcoidosis may present a progressive fibrosing (PF) phenotype. Despite different aetiology and histopathological patterns, the PF-ILDs have similarities regarding disease mechanisms with self-sustaining fibrosis, which suggests that the diseases may share common pathogenetic pathways. Previous studies show an enhanced activation of serotonergic signaling in pulmonary fibrosis, and the serotonin (5-HT) 2 receptors have been implicated to have important roles in observed profibrotic actions. Our research findings in support by others, demonstrate antifibrotic effects with 5-HT 2B receptor antagonists, alleviating several key events common for the fibrotic diseases such as myofibroblast differentiation and connective tissue deposition. In this review, we will address the potential role of 5-HT and in particular the 5-HT 2B receptors in three PF-ILDs: ILD associated with systemic sclerosis (SSc-ILD), ILD associated with rheumatoid arthritis (RA-ILD) and IPF. Highlighting the converging pathways in these diseases discloses the 5-HT 2B receptor as a potential disease target for PF-ILDs, which today have an urgent unmet need for therapeutic strategies.
    Keywords 5-HT ; 5-HT 2B receptor antagonism ; fibrosis ; ILD ; Biology (General) ; QH301-705.5 ; Chemistry ; QD1-999
    Subject code 610
    Language English
    Publishing date 2021-12-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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