Browsing by Subject "Idiopathic Pulmonary Fibrosis"

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    Chronic lung diseases are associated with gene expression programs favoring SARS-CoV-2 entry and severity.
    (Nature communications, 2021-07) Bui, Linh T; Winters, Nichelle I; Chung, Mei-I; Joseph, Chitra; Gutierrez, Austin J; Habermann, Arun C; Adams, Taylor S; Schupp, Jonas C; Poli, Sergio; Peter, Lance M; Taylor, Chase J; Blackburn, Jessica B; Richmond, Bradley W; Nicholson, Andrew G; Rassl, Doris; Wallace, William A; Rosas, Ivan O; Jenkins, R Gisli; Kaminski, Naftali; Kropski, Jonathan A; Banovich, Nicholas E; Human Cell Atlas Lung Biological Network
    Patients with chronic lung disease (CLD) have an increased risk for severe coronavirus disease-19 (COVID-19) and poor outcomes. Here, we analyze the transcriptomes of 611,398 single cells isolated from healthy and CLD lungs to identify molecular characteristics of lung cells that may account for worse COVID-19 outcomes in patients with chronic lung diseases. We observe a similar cellular distribution and relative expression of SARS-CoV-2 entry factors in control and CLD lungs. CLD AT2 cells express higher levels of genes linked directly to the efficiency of viral replication and the innate immune response. Additionally, we identify basal differences in inflammatory gene expression programs that highlight how CLD alters the inflammatory microenvironment encountered upon viral exposure to the peripheral lung. Our study indicates that CLD is accompanied by changes in cell-type-specific gene expression programs that prime the lung epithelium for and influence the innate and adaptive immune responses to SARS-CoV-2 infection.
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    ItemOpen Access
    Pulmonary dysfunction after lung transplantation: the dilemma of coexisting mitral regurgitation.
    (J Cardiothorac Vasc Anesth, 2014-12) McCartney, Sharon L; Colin, Brian J; Duane Davis, R; Del Rio, J Mauricio; Swaminathan, Madhav
    A case of MR progression after single-lung transplant as a significant contributor to postoperative respiratory failure is reported. Pre-existing MR may progress due to the decompressive effects of lung transplantation on RV dimension and consequent alteration of MV geometry. This case highlights the importance of intraoperative TEE findings, especially pertaining to valvulopathies in the setting of lung transplantation. Postoperative surveillance of significant findings is imperative when any new symptoms are being investigated.