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Table 3 Human studies investigating angiogenic and angiostatic parameters in patients with idiopathic interstitial pneumonias (2004–2005)

From: Angiogenesis in Interstitial Lung Diseases: a pathogenetic hallmark or a bystander?

Investigator (year)

Tissue samples Sample size

IIP

Studied Parameters

Summary

Limitations

Ebina et al. 48 (2004)

Lung specimens/7 patients/3 controls

IPF

Vascular density CD34+, VWF, CXCL8, VEGF

Heterogeneous increase in CD34+ alveolar capillaries / Morphologically altered vessels

Small sample size / Potential bias vascular density

Simler et al. 56 (2004)

Serum samples/49 patients

IPF-NSIP-DIP

VEGF, CXCL8, ET1

Correlation of angiogenic cytokines with functional and radiological markers of disease severity

Heterogeneous group of IIPs / Patients not age and sex matched with controls / Lack of serial radiological data / Limited number of patients

Strieter et al. 58 (2004)

BALF-serum samples/32 patients

IPF

CXCL11

Upregulation of CXCL11 levels in IPF patients after treatment with IFN-γ

No correlation with parameters of disease progression p values were not adjusted for multiplicity

Cosgrove et al. 50 (2004)

Lung specimens/15 patients/12 controls

IPF-COP

PEDF-VEGF

Elevated PEDF and decreased VEGF levels within the FF. Increased VEGF levels within MB

In vitro angiogenic assay is less robust than the in vivo one / Small sample size

Nakayama et al. 55 (2005)

BALF samples/27 patients/12 controls

IPF-NSIP

CXCL5, 10

Increased levels of CXCL5 and decreased levels of CXCL10 in patients with IPF compared to NSIP

Discrepancies between BALF and serological data / Limited number of patients

Belperio et al. 52 (2005)

Lung specimens/BALF samples/68 patients/47 controls

BOS

CXCL1, 3, 5, 7, 8 CXCR2

Increased levels of CXCR2/CXCR2 ligands in lung biopsy and BALF samples from patients with BOS

Lack of evaluation of the angiostatic CXCR3/CXCR3 ligands axis

Pignatti et al. 57 (2005)

BALF and serum samples/47 patients/10 controls

IPF-other ILDs

CXCR3, CCR4

Correlation of elevated CXCR3 levels with clinical parameters of disease severity in IPF patients

Lack of serial data in half of patients / No correlation with several parameters of disease severity / Discrepancies between serum and BALF levels

  1. Abbreviations: BALF: Bronchoalveolar lavage fluid, COP: Cryptogenic organizing pneumonia, DIP: Desquamative Interstitial Pneumonia, FF: Fibroblastic foci, IFN-γ: Interferon gamma, IIPs: Idiopathic Interstitial Pneumonias, IPF: Idiopathic pulmonary fibrosis, MB: Masson bodies, NSIP: Non-specific interstitial pneumonia, PEDF: Pigment epithelial growth factor, VEGF: Vascular endothelial growth factor, VWF: Von Willebrand factor