Publications by authors named "Thomas K Geiser"

Background: Systemic sclerosis (SSc) is a heterogeneous disease with frequently associated interstitial lung disease (SSc-ILD). We aimed to determine the prognostic potential of phenotyping patients with SSc and SSc-ILD by inflammation and to describe disease trajectories stratified by inflammation and immunosuppressive treatment.

Methods: Patients from the European Scleroderma Trials and Research (EUSTAR) group cohort were allocated to persistent inflammatory, intermediate and non-inflammatory phenotypes if C-reactive protein (CRP) levels were ≥5 mg/L at ≥80%, at 20-80% and at <20% of visits, respectively.

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  • * In laboratory tests, DHEA showed the ability to lower pro-fibrotic markers without being toxic, and it influenced cell growth by changing the cell cycle and reducing G6PD activity.
  • * Low levels of DHEAS in patients with idiopathic pulmonary fibrosis and other fibrotic ILDs were linked to worse lung function and increased risk of early mortality, suggesting that DHEAS could serve as a potential biomarker for disease severity.
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Background: The Clinical Frailty Scale (CFS) is increasingly used for clinical decision making in acute care but little is known about frailty after COVID-19.

Objectives: To investigate frailty and the CFS for post-COVID-19 follow-up.

Methods: This prospective multicentre cohort study included COVID-19 survivors aged ≥50 years presenting for a follow-up visit ≥3 months after the acute illness.

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  • * A double-blind randomized controlled crossover trial was conducted with 25 IPF patients over two 12-week periods of azithromycin or placebo, measuring cough-related quality of life and other relevant outcomes.
  • * Results showed no significant improvement in cough-related quality of life, cough severity, or frequency with azithromycin compared to placebo, although gastrointestinal side effects were more common with azithromycin.
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  • The study investigates a diagnostic algorithm for differentiating between fibrotic hypersensitivity pneumonitis (HP) and idiopathic pulmonary fibrosis (IPF), addressing the challenges posed by the lack of multidisciplinary discussions (MDD) in diagnosis.
  • The algorithm showed high specificity but low sensitivity at a ≥90% confidence level for identifying HP, while a ≥70% confidence level improved sensitivity and overall test performance.
  • MDD for fibrotic HP diagnoses correlated with a significantly lower risk of death, indicating that while the algorithm can aid in diagnosis, it cannot replace the need for MDD in determining prognosis.
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Background: Non-invasive biomarkers for the assessment of disease severity in idiopathic pulmonary fibrosis (IPF) are urgently needed. Calprotectin belongs to the S-100 proteins produced by neutrophils, which likely contribute to IPF pathogenesis. Calprotectin is a well-established biomarker in inflammatory bowel diseases.

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Background: The infectious coronavirus disease 2019 (COVID-19) pandemic is an ongoing global healthcare challenge. Up to one-third of hospitalised patients develop severe pulmonary complications and acute respiratory distress syndrome. Pulmonary outcomes following COVID-19 are unknown.

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Background: Idiopathic pulmonary fibrosis (IPF) is a chronic fatal lung disease without a cure and new drug strategies are urgently needed. Differences in behavior between diseased and healthy cells are well known and drug response can be different between cells isolated from IPF patients and controls. The macrolide Azithromycin (AZT) has anti-inflammatory and immunomodulatory properties.

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Background And Objective: Idiopathic pulmonary fibrosis (IPF) is a devastating progressive lung disease affecting the parenchyma. Nitrogen multiple-breath washout (N -MBW) is a lung function test that measures ventilation inhomogeneity, a biomarker of small airway disease. We assessed clinical properties of N -MBW in IPF.

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Airway epithelial cells were shown to drive the differentiation of monocytes into dendritic cells (DCs) with a suppressive phenotype. In this study, we investigated the impact of virus-induced inflammatory mediator production on the development of DCs. Monocyte differentiation into functional DCs, as reflected by the expression of CD11c, CD123, BDCA-4, and DC-SIGN and the capacity to activate T cells, was similar for respiratory syncytial virus (RSV)-infected and mock-infected BEAS-2B and A549 cells.

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The formation of alpha(2)-macroglobulin (alpha(2)-M)/interleukin-8 (IL-8) complexes may influence the biological activity of IL-8 and the quantitative assessment of IL-8 activity. Therefore, in this study, concentrations of free IL-8 and IL-8 complexes with alpha(2)-M were measured in pulmonary edema fluid samples from patients with acute lung injury/acute respiratory distress syndrome (ALI/ARDS) and compared with control patients with hydrostatic pulmonary edema. Patients with ALI/ARDS had significantly higher concentrations of alpha(2)-M (P < 0.

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