Department of Clinical Biochemistry, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Department of Occupational Health, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran.
Cell Commun Signal. 2024 Nov 13;22(1):542. doi: 10.1186/s12964-024-01925-y.
Despite the tremendous advancements in the knowledge of the pathophysiology and clinical aspects of SARS-CoV-2 infection, still many issues remain unanswered, especially in the long-term effects. Mounting evidence suggests that pulmonary fibrosis (PF) is one of the most severe complications associated with COVID-19. Therefore, understanding the molecular mechanisms behind its development is helpful to develop successful therapeutic strategies. Epithelial to mesenchymal transition (EMT) and its cell specific variants endothelial to mesenchymal transition (EndMT) and mesothelial to mesenchymal transition (MMT) are physio-pathologic cellular reprogramming processes induced by several infectious, inflammatory and biomechanical stimuli. Cells undergoing EMT acquire invasive, profibrogenic and proinflammatory activities by secreting several extracellular mediators. Their activity has been implicated in the pathogenesis of PF in a variety of lung disorders, including idiopathic pulmonary fibrosis (IPF) and COVID-19. Aim of this article is to provide an updated survey of the cellular and molecular mechanisms, with emphasis on EMT-related processes, implicated in the genesis of PF in IFP and COVID-19.
尽管人们对 SARS-CoV-2 感染的病理生理学和临床方面的知识有了巨大的进步,但仍有许多问题尚未得到解答,尤其是在长期影响方面。越来越多的证据表明,肺纤维化 (PF) 是与 COVID-19 相关的最严重的并发症之一。因此,了解其发展背后的分子机制有助于制定成功的治疗策略。上皮细胞向间充质转化 (EMT) 及其细胞特异性变体内皮细胞向间充质转化 (EndMT) 和间皮细胞向间充质转化 (MMT) 是由几种感染、炎症和生物力学刺激诱导的生理病理细胞重编程过程。经历 EMT 的细胞通过分泌几种细胞外介质获得侵袭性、成纤维性和促炎活性。它们的活性与多种肺部疾病中的 PF 发病机制有关,包括特发性肺纤维化 (IPF) 和 COVID-19。本文的目的是提供对细胞和分子机制的最新调查,重点是 EMT 相关过程,这些过程与 IFP 和 COVID-19 中的 PF 发生有关。
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