2018
DOI: 10.3390/medicina54060108
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The Role of Occupational and Environmental Exposures in the Pathogenesis of Idiopathic Pulmonary Fibrosis: A Narrative Literature Review

Abstract: Idiopathic pulmonary fibrosis (IPF) is a chronic interstitial lung disease characterised by a progressive and irreversible decline in lung function, which is associated with poor long-term survival. The pathogenesis of IPF is incompletely understood. An accumulating body of evidence, obtained over the past three decades, suggests that occupational and environmental exposures may play a role in the development of IPF. This narrative literature review aims to summarise current understanding and the areas of ongo… Show more

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Cited by 27 publications
(19 citation statements)
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References 70 publications
(85 reference statements)
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“…Aside from bleomycin, fluorescein isothiocyanate (FITC) has also been widely used to induce experimental lung fibrosis which results in alveolar injury and acute fibrotic reaction that persist up to 24 weeks. Occupational exposure to environmental risk factors has been extensively associated with pulmonary fibrosis (183). Reports suggested that inhalation of silica and asbestos particles in rats results in fibrotic nodule formation which closely mimics prominent features of silicosis and asbestosis in humans with long-term occupational exposure (184,185).…”
Section: In Vivo and In Vitro Models Of Pulmonary Fibrosismentioning
confidence: 99%
“…Aside from bleomycin, fluorescein isothiocyanate (FITC) has also been widely used to induce experimental lung fibrosis which results in alveolar injury and acute fibrotic reaction that persist up to 24 weeks. Occupational exposure to environmental risk factors has been extensively associated with pulmonary fibrosis (183). Reports suggested that inhalation of silica and asbestos particles in rats results in fibrotic nodule formation which closely mimics prominent features of silicosis and asbestosis in humans with long-term occupational exposure (184,185).…”
Section: In Vivo and In Vitro Models Of Pulmonary Fibrosismentioning
confidence: 99%
“…By comparison, chemical exposure does not promote such a cell specific response, often leading to varying degrees of stress, ranging from susceptibility to disease later in life to irreversible senescence and pathogenesis of disease (101,102). Particulate matter exposure has been widely studied for its importance in lung health (Figure 4).…”
Section: Cell Type-specific Responsesmentioning
confidence: 99%
“…Apart from the genetic predispositions, numerous non-genetic risk factors for IPF have been identified. Older age, male sex, and cigarette smoking represent the most widely recognized [ 61 ], although microaspirations and gastroesophageal reflux disease, certain viruses, and occupational exposures (metal and wood dust) have also been suggested to increase the risk of IPF [ 61 , 62 , 63 , 64 , 65 ]. Despite notable research interest in air pollution relationship with respiratory diseases, very little is known on the short and long-term effects of air pollution in IPF.…”
Section: Impact Of Air-pollution On Disease Initiation and Health mentioning
confidence: 99%