Belmans Flore, Mahmutovic Persson Irma, Bayat Sam, Eaden James, Vos Wim, Jacob Joseph, Chambers Rachel C, Vande Velde Greetje
Department of Imaging and Pathology, Biomedical MRI, KU Leuven, Leuven, Belgium.
radiomics.bio, Liège, Belgium.
Eur Respir Rev. 2025 Sep 3;34(177). doi: 10.1183/16000617.0012-2025. Print 2025 Jul.
Pulmonary fibrosis remains a devastating and often fatal condition due to the lack of effective treatments that halt disease progression. Rodent models of pulmonary fibrosis are crucial to identify candidate targets and novel therapeutic agents. However, the attrition rate of novel drug candidates in clinical trials remains high. This review suggests complementing traditional methods used to evaluate antifibrotic therapies in rodent models, such as histopathological and biochemical markers, and lung function tests, with innovative imaging technologies. These imaging techniques could improve the predictive power and translatability of animal studies in human clinical trials. Notably, previous studies in mice and other rodents have observed compensatory lung enlargement in response to lung injury, questioning whether the conventional view of pulmonary fibrosis as a restrictive disease applies to rodents. By adding longitudinal image-based biomarkers, we aim to better unravel the complexity of lung responses and facilitate more effective drug development for pulmonary fibrosis, ultimately improving patient outcomes.
由于缺乏能够阻止疾病进展的有效治疗方法,肺纤维化仍然是一种毁灭性的、往往致命的疾病。肺纤维化的啮齿动物模型对于确定候选靶点和新型治疗药物至关重要。然而,新型药物候选物在临床试验中的淘汰率仍然很高。本综述建议用创新的成像技术补充用于评估啮齿动物模型中抗纤维化疗法的传统方法,如组织病理学和生化标志物以及肺功能测试。这些成像技术可以提高动物研究在人类临床试验中的预测能力和可转化性。值得注意的是,先前在小鼠和其他啮齿动物中的研究观察到肺损伤后肺的代偿性增大,这使人质疑将肺纤维化视为限制性疾病的传统观点是否适用于啮齿动物。通过添加基于图像的纵向生物标志物,我们旨在更好地揭示肺反应的复杂性,并促进针对肺纤维化的更有效药物开发,最终改善患者的治疗效果。