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Record W4386647558 · doi:10.1164/rccm.202309-1562le

Reply to: Huang <i>et al.</i>

2023· letter· en· W4386647558 on OpenAlexaff
Toyoshi Yanagihara, Kazuya Tsubouchi, Martin Kolb

Bibliographic record

VenueAmerican Journal of Respiratory and Critical Care Medicine · 2023
Typeletter
Languageen
FieldMedicine
TopicInterstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
Canadian institutionsMcMaster UniversitySt. Joseph’s Healthcare Hamilton
Fundersnot available
KeywordsMedicineTacrolimusPulmonary fibrosisRespiratory MedicineIntensive care medicineFibrosisInternal medicineSurgeryTransplantation

Abstract

fetched live from OpenAlex

Therefore, when assessing the impact of TAC on the immune system, it is crucial to not only monitor T-cell count and proliferation but also pay particular attention to the concentrations of released inflammatory cytokines and the subsequent activation capacity of B cells.It is worth noting that this study showed that TAC can significantly reduce lung lesions in a mouse model of TGF-b1-induced pulmonary fibrosis.Consistent with these findings, a clinical study showed that combining prednisolone with TAC can significantly improve lung function and survival rates in patients with immune-related interstitial lung disease (ILD) while maintaining a good safety profile (4).This study provides new theoretical support for clinical applications involving the use of TAC.We are intrigued by the potential of TAC in restoring BMPR2 (bone morphogenetic protein receptor type 2) signaling and treating pulmonary fibrosis-induced pulmonary hypertension, as demonstrated in this article.Previous research has shown that downregulation of the BMPR2 signaling pathway plays a crucial role in the development of pulmonary arterial hypertension (PAH) in systemic sclerosis (SSc) (5).SSc-associated ILD and PAH are severe complications with poor prognoses.A clinical study indicated that TAC effectively reduces ILD progression and improves lung function in patients with SSc (6).This study presents innovative therapeutic strategies for patients with SSc complicated by ILD and PAH, highlighting the potential benefits of TAC not only in inhibiting fibrosis but also in potentially ameliorating PAH through the upregulation of BMPR2.However, larger randomized controlled trials are needed to further validate the efficacy of TAC.Overall, this study enhances our understanding of IPF mechanisms while providing new evidence for using TAC in connective tissue disease-associated ILD and PAH.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.016
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.039
Threshold uncertainty score0.035

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.016
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0040.002
Scholarly communication0.0030.003
Open science0.0020.002
Research integrity0.0390.032
Insufficient payload (model declined to judge)0.0100.010

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.021
GPT teacher head0.330
Teacher spread0.308 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2023
Admission routes1
Has abstractyes

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