2004
DOI: 10.1038/sj.bmt.1704616
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Fatal pulmonary fibrosis associated with BCNU: the relative role of platelet-derived growth factor-B, insulin-like growth factor I, transforming growth factor-β1 and cyclooxygenase-2

Abstract: Summary:Pulmonary fibrosis is a severe complication associated with bis-chloronitrosourea (BCNU) therapy. However, the pathogenetic mechanism has never been well investigated. We report here a 26-year-old female with diffuse large B-cell lymphoma who died of severe pulmonary fibrosis 81 days after the administration of high-dose BCNU (600 mg/m 2 ). Thoracoscopic wedge resection of left upper lung performed 10 days before patient's death showed severe pulmonary fibrosis with prominent hyperplasia of alveolar ma… Show more

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Cited by 17 publications
(6 citation statements)
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References 24 publications
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“…Previous data indicate that IGF-I is elevated in human fibrotic lung diseases and in animal models of pulmonary fibrosis (6-12, 14-15, 41). In addition, recent studies have found a correlation between IGF-I staining and CD68positive cells, and lung fibroblasts, suggesting alveolar macrophages are a major source ofthe IGF-I molecules present in the lung (32,37,43).…”
Section: Discussionmentioning
confidence: 97%
“…Previous data indicate that IGF-I is elevated in human fibrotic lung diseases and in animal models of pulmonary fibrosis (6-12, 14-15, 41). In addition, recent studies have found a correlation between IGF-I staining and CD68positive cells, and lung fibroblasts, suggesting alveolar macrophages are a major source ofthe IGF-I molecules present in the lung (32,37,43).…”
Section: Discussionmentioning
confidence: 97%
“…Also similar to brentuximab, patients with bleomycin and gemcitabine-induced pulmonary toxicity typically present with nonspecific subacute clinical syndromes, for example, dyspnea, cough, fever, and fatigue; thus a high index of suspicion is needed when the diagnosis remains elusive after an extensive workup [ 8 , 9 ]. In contrast, the diagnosis of carmustine lung toxicity is supported by a lung biopsy which typically shows interstitial fibrosis with edema and hyaline membrane formation [ 10 ]. Treatment for this particular patient was mostly supportive with the use of oxygen and nebulizers; interestingly, some reports have shown that steroids are the most effective treatment [ 8 ].…”
Section: Discussionmentioning
confidence: 99%
“…Pulmonary fibrosis, the development of connective tissue in the lung is connected to IGF by its fibroblast‐proliferation stimulating effects.…”
Section: Prominent Genes Affected By Icariin and Linked To Geriatric mentioning
confidence: 99%