Characterizing the lavage and serum cytokine profiles of interstitial pneumonia with autoimmune features and their implications for progressive fibrosis

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

PF-IPAF phenotype exhibits similar inflammatory cytokine profiles to IPF. Cytokine CCL2 and CXCL12, and LYM% in BALF serve as potential biomarkers for predicting the PF phenotype in IPAF patients.

Study context

Population
Patients with Interstitial Pneumonia with Autoimmune Features (IPAF) or Idiopathic Pulmonary Fibrosis (IPF) diagnosed at the First Affiliated Hospital of Guangzhou Medical University, July 2020 to June 2021
Participants
51 vs 15
Exposure
IPAF vs IPF; IPAF subtypes by bronchoalveolar lavage fluid (BALF) cytokine profile
  • IPAFn = 51
  • IPFn = 15reference
Outcome
Development of progressive fibrosis (PF) phenotype in IPAF; 39 cytokines in paired BALF and serum at enrolment
Follow-up
1 year
Methodological detailssingle-centre, 1-year follow-up, principal component analysis, cluster analysis
  • Single-centre
  • 1-year follow-up
  • Principal component analysis
  • Cluster analysis

Main finding

As reported in the abstract

PF phenotype in IPAF: cytokine profiles and predictors
PF-IPAF patients sharing overlapped BALF cytokine profiles with IPF (principal component analysis (PCA))
81.25%
IPAF subtype 2 (higher CCL2 and CXCL12, lower BALF LYM%): higher risk of progressive fibrosis (PF) phenotype within 1 year
P = 0.048
Elevated BALF CCL2 (>299.16 pg/ml): significantly higher risk of PF phenotype within 1 year
P = 0.009
Elevated BALF CXCL12 (>660.115 pg/ml): significantly higher risk of PF phenotype within 1 year
P = 0.001

Observational data: associations, not effects.

Original publication

Characterizing the lavage and serum cytokine profiles of interstitial pneumonia with autoimmune features and their implications for progressive fibrosis. Rheumatology (Oxford). Published 22 August 2023. doi:10.1093/rheumatology/kead409

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