“…In accord with this notion, the hypoxic environment at the alveolar level that ensues following acute lung injury has been shown to trigger enhanced mitochondrial ROS generation by alveolar cells, which plays a key role in modulating TGFβ signaling and onset of fibrosis (Zhou, et al, 2009, Na, et al, 2010, Panduri, Weitzman, Chandel, & Kamp, 2004, Chandel, et al, 2000and Song, et al, 2014. Similar observations have been made in animals treated with bleomycin (Song, et al, 2014), asbestos (Song, et al, 2014), asbestos (Cheresh, et al, 2015 andPanduri, et al, 2009) or particulate matter air pollution . Consistent with this idea, lung tissue from IPF patients display elevated lactate levels, which synergizes with TGF-beta to induce myofibroblast differentiation under hypoxic conditions providing a direct link between perturbed glycolysis and modulation of a key pathway implicated in lung remodeling (Kottmann, et al, 2012).…”