Publications by authors named "Paul Noble"

Article Synopsis
  • * Aging negatively affects the structure, function, and regeneration of AT1 cells, leading to increased cellular senescence and changes in gene expression.
  • * There is a need for further research to understand these age-related changes in AT1 cells better, which is essential for creating effective therapies to support lung health in aging populations.
View Article and Find Full Text PDF

Cell-cell interactions are essential components of coordinated cell function in lung homeostasis. Lung diseases involve altered cell-cell interactions and communication between different cell types, as well as between subsets of cells of the same type. The identification and understanding of intercellular signaling in lung fibrosis offer insights into the molecular mechanisms underlying these interactions and their implications in the development and progression of lung fibrosis.

View Article and Find Full Text PDF
Article Synopsis
  • Consensus statements are important in medicine and public health, but not all use solid evidence to support their claims.
  • Some statements rely on expert panels, which can be biased if many members share the same opinions or interests, especially without a thorough review of evidence.
  • A recent case about COVID-19 showed that many panel members had strong connections to groups pushing for strict COVID measures without revealing these biases, highlighting the need for clear conflicts of interest to ensure trustworthiness.
View Article and Find Full Text PDF

The alveolar type II epithelial cells (AEC2s) act as stem cells in the lung for alveolar epithelial maintenance and repair. Chemokine C-X-C motif chemokine 10 (CXCL10) is expressed in injured tissues, modulating multiple cellular functions. AEC2s, previously reported to release chemokines to recruit leukocytes, were found in our study to secrete CXCL10 after bleomycin injury.

View Article and Find Full Text PDF

The molecular mechanisms that regulate progressive pulmonary fibrosis remain poorly understood. Type 2 alveolar epithelial cells (AEC2s) function as adult stem cells in the lung. We previously showed that there is a loss of AEC2s and a failure of AEC2 renewal in the lungs of idiopathic pulmonary fibrosis (IPF) patients.

View Article and Find Full Text PDF
Article Synopsis
  • Idiopathic pulmonary fibrosis (IPF) is linked to aging and is characterized by damage to lung epithelial cells, particularly alveolar type II cells (AEC2s) that play a crucial role in lung repair.
  • Research showed downregulation of lipid metabolism-related genes in AEC2s from both IPF patients and older mice with lung injury, which worsens with age and impairs recovery.
  • Targeting lipid metabolism in AEC2s through supplementation or activation of certain receptors can enhance their regenerative capabilities, suggesting a potential therapeutic avenue for treating IPF.
View Article and Find Full Text PDF
Article Synopsis
  • Aging is linked to an increase in age-related lung diseases due to changes in the lung at the molecular and genetic levels, particularly involving alveolar type II (AT2) cells that decline in function with age.
  • A comprehensive analysis of nearly half a million cells from healthy human lungs reveals that aged AT2 cells lose their epithelial identities and show signs of increased inflammation and cellular aging (senescence).
  • Additionally, the supportive mesenchymal cells lose vital functions, and communication between AT2 cells and macrophages becomes impaired, contributing to the higher risk of lung diseases in older individuals.
View Article and Find Full Text PDF

Idiopathic pulmonary fibrosis is a fatal and progressive disease with limited treatment options. We sought to assess the efficacy and safety of CC-90001, an oral inhibitor of c-Jun N-terminal kinase 1, in patients with idiopathic pulmonary fibrosis. In a Phase 2, randomized (1:1:1), double-blind, placebo-controlled study (ClinicalTrials.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the role of SOX9 in the healing process after acute kidney injury (AKI) and how it influences whether healing leads to fibrosis or not.
  • Researchers found that cells successfully regenerating epithelial tissue turn off SOX9, while those struggling to restore normal structure keep it active, leading to chronic issues such as kidney disease.
  • The findings highlight a potential biomarker for assessing the state of kidney repair, indicating that SOX9 activity can predict whether regeneration will occur with or without fibrosis.
View Article and Find Full Text PDF

Pulmonary fibrosis comprises a range of chronic interstitial lung diseases (ILDs) that impose a significant burden on patients and public health. Among these, idiopathic pulmonary fibrosis (IPF), a disease of aging, is the most common and most severe form of ILD and is treated largely by lung transplantation. The lack of effective treatments to stop or reverse lung fibrosis-in fact, fibrosis in most organs-has sparked the need to understand causative mechanisms with the goal of identifying critical points for potential therapeutic intervention.

View Article and Find Full Text PDF

Aging poses a global public health challenge, associated with molecular and physiological changes in the lungs. It increases susceptibility to acute and chronic lung diseases, yet the underlying molecular and cellular drivers in aged populations are not fully appreciated. To systematically profile the genetic changes associated with age, we present a single-cell transcriptional atlas comprising nearly half a million cells from the healthy lungs of human subjects spanning various ages, sexes, and smoking statuses.

View Article and Find Full Text PDF

Aging is a critical risk factor in idiopathic pulmonary fibrosis (IPF). Dysfunction and loss of type 2 alveolar epithelial cells (AEC2s) with failed regeneration is a seminal causal event in the pathogenesis of IPF, although the precise mechanisms for their regenerative failure and demise remain unclear. To systematically examine the genomic program changes of AEC2s in aging and after lung injury, we performed unbiased single-cell RNA-seq analyses of lung epithelial cells from uninjured or bleomycin-injured young and old mice, as well as from lungs of IPF patients and healthy donors.

View Article and Find Full Text PDF
Article Synopsis
  • Progressive pulmonary fibrosis is caused by defective tissue repair, leading to increased fibroblast activity and extracellular matrix buildup in lungs.
  • Recent studies using single-cell RNA sequencing have identified various fibroblast subtypes in both mice and humans, but their specific roles in lung fibrosis remain unclear.
  • The study successfully identified and isolated distinct fibroblast subtypes, revealing that lipofibroblasts and Ebf1 fibroblasts play significant roles in matrix production and invasive behavior, offering potential targets for new therapies in lung fibrosis.
View Article and Find Full Text PDF

Loss of epithelial integrity, bronchiolarization, and fibroblast activation are key characteristics of idiopathic pulmonary fibrosis (IPF). Prolonged accumulation of basal-like cells in IPF may impact the fibrotic niche to promote fibrogenesis. To investigate their role in IPF, basal cells were isolated from IPF explant and healthy donor lung tissues.

View Article and Find Full Text PDF

Progressive tissue fibrosis, including idiopathic pulmonary fibrosis (IPF), is characterized by excessive recruitment of fibroblasts to sites of tissue injury and unremitting extracellular matrix deposition associated with severe morbidity and mortality. However, the molecular mechanisms that control progressive IPF have yet to be fully determined. Previous studies suggested that invasive fibroblasts drive disease progression in IPF.

View Article and Find Full Text PDF

Type 2 alveolar epithelial cells (AEC2s) function as progenitor cells in the lung. We have shown previously that failure of AEC2 regeneration results in progressive lung fibrosis in mice and is a cardinal feature of idiopathic pulmonary fibrosis (IPF). In this study, we identified deficiency of a specific zinc transporter, SLC39A8 (ZIP8), in AEC2s from both IPF lungs and lungs of old mice.

View Article and Find Full Text PDF

Recent advances in single-cell RNA sequencing (scRNA-seq) and epithelium lineage labeling have yielded identification of multiple abnormal epithelial progenitor populations during alveolar type 2 (ATII) cell differentiation into alveolar type 1 (ATI) cells during regenerative lung post-fibrotic injury. These abnormal cells include basaloid/basal-like cells, ATII transition cells, and persistent epithelial progenitors (PEPs). These cells occurred and accumulated during the regeneration of distal airway and alveoli in response to both chronic and acute pulmonary injury.

View Article and Find Full Text PDF

Introduction: Idiopathic pulmonary fibrosis (IPF) is a progressive and often fatal interstitial lung disease (ILD); other ILDs have a progressive, fibrotic phenotype (PF-ILD). Antifibrotic agents can slow but not stop disease progression in patients with IPF or PF-ILD. c-Jun N-terminal kinases (JNKs) are stress-activated protein kinases implicated in the underlying mechanisms of fibrosis, including epithelial cell death, inflammation and polarisation of profibrotic macrophages, fibroblast activation and collagen production.

View Article and Find Full Text PDF

Background: Chronic lung allograft dysfunction (CLAD) phenotype determines prognosis and may have therapeutic implications. Despite the clarity achieved by recent consensus statement definitions, their reliance on radiologic interpretation introduces subjectivity. The Center for Computer Vision and Imaging Biomarkers at the University of California, Los Angeles (UCLA) has established protocols for chest high-resolution computed tomography (HRCT)-based computer-aided quantification of both interstitial disease and air-trapping.

View Article and Find Full Text PDF

Despite the common detection of non-donor specific anti-HLA antibodies (non-DSAs) after lung transplantation, their clinical significance remains unclear. In this retrospective single-center cohort study of 325 lung transplant recipients, we evaluated the association between donor-specific HLA antibodies (DSAs) and non-DSAs with subsequent CLAD development. DSAs were detected in 30% of recipients and were associated with increased CLAD risk, with higher HRs for both de novo and high MFI (>5000) DSAs.

View Article and Find Full Text PDF