1994
DOI: 10.1164/ajrccm.150.4.7921435
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Mechanisms of fibrosis in coal workers' pneumoconiosis. Increased production of platelet-derived growth factor, insulin-like growth factor type I, and transforming growth factor beta and relationship to disease severity.

Abstract: To identify the clinical relevance of cytokines involved in the development of lung fibrosis observed in patients with coal workers' pneumoconiosis (CWP), we investigated the BAL fluid contents and AM secretions of three mediators that modulate fibroblast growth: platelet-derived growth factor (PDGF), Type I insulin-like growth factor (IGF-I), and transforming growth factor Type beta (TGF-beta). Our study population consisted of 25 patients with CWP (16 simple pneumoconiosis, SP, 9 progressive massive fibrosis… Show more

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Cited by 82 publications
(56 citation statements)
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“…All the mitogens are present in the airways (4,15,24). However, their levels in the airways of asthmatics are likely to vary depending on the degree of inflammatory cell activation and vascular leakage occurring locally.…”
Section: Discussionmentioning
confidence: 99%
“…All the mitogens are present in the airways (4,15,24). However, their levels in the airways of asthmatics are likely to vary depending on the degree of inflammatory cell activation and vascular leakage occurring locally.…”
Section: Discussionmentioning
confidence: 99%
“…It has been well demonstrated in both experimental and human studies that lung fibrosis, and silicosis in particular, is characterized by an alveolar macrophage-dominant alveolitis. The numerous and activated macrophages present in fibrotic lesions release exaggerated amounts of mediators capable of injuring lung parenchymal cells (e.g., superoxide anion and hydrogen peroxide) (41), recruiting neutrophils (TNF-␣, IL-1, and IL-8) (42,43), or promoting the growth and/or collagen production of mesenchymal cells (fibronectin, TGF-␤, TNF-␣, PDGF, and insulin-like growth factor-1) (43)(44)(45)(46). On the basis of this recognized key role of macrophages, we suggest that excessive IL-12p40 found in silicatreated mice can induce selective macrophage accumulation in tissue and airspace compartments, and thus sustain its detrimental activity in the lung fibrotic process.…”
Section: Discussionmentioning
confidence: 99%
“…Once PMNs are recruited into the alveolar spaces, several inflammatory cytokines act (124) have been reported to increase fibroblast proliferation. PDGF and fibronectin are competence factors, whereas alveolar macrophage-derived growth factor is a progression factor for proliferation of fibroblasts.…”
Section: Stimulation Ofinflammatory Cytokine Releasementioning
confidence: 99%
“…In contrast, IL-6 exhibits antifibrotic activity (128). Prostaglandin E2 and transforming growth factor beta (TGF-P) exhibit a depressive effect on cell growth (122,124). However, under certain conditions, TGF-P can stimulate collagen synthesis in vitro (129).…”
Section: Stimulation Ofinflammatory Cytokine Releasementioning
confidence: 99%