Study of the junction between the pleura and the alveoli reveals a target to reverse lung fibrosis
Picture a perky provincial postman enthusiastically delivering parcels from the edge of town into the centre, not realising that these are unwanted deliveries, amassing in an unhelpful mess. Such is the situation with immune cells from alveoli – the tiny air sacs at the edges of our lungs. Researchers knew they were involved in some way in the development of lung fibrosis, a chronic condition where lung tissue becomes scarred and thickened with excessive connective tissue. So in mice they tracked the disassembly and transport of this material (green), shepherded by the immune cells (red) from the junction between the pleura (a membrane surrounding the lungs) and alveoli towards the deep lungs, where it activated fibroblasts (pink) which prompt fibrosis development. Preventing the disassembly of material where the pleura and alveoli meet reversed fibrosis and regenerated chronically fibrotic lungs, revealing that targeting the pleura could be a new avenue for treatment.
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