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Mechanodynamic Alveolar Epithelial-fibroblast Models Via the Flexcell to Study Mechanical-induced Inflammatory and Fibrotic Mechanisms in Lung Disease

2025· article· en· W4410274732 on OpenAlexaff
Safiya Al Yazeedi, Joban Sohd, Filsan Ahmed Abokor, Emmanuel T. Osei

Bibliographic record

VenueAmerican Journal of Respiratory and Critical Care Medicine · 2025
Typearticle
Languageen
FieldMedicine
TopicInterstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
Canadian institutionsOkanagan University CollegeUniversity of British Columbia, Okanagan CampusUniversity of British Columbia
Fundersnot available
KeywordsMedicineFibroblastLungLung diseaseDiseasePathologyInflammationImmunologyInternal medicineCell culture

Abstract

fetched live from OpenAlex

Abstract Rationale Mechanical strain plays a significant role in lung physiology and pathophysiology, influencing cellular behavior, tissue homeostasis, and mechanisms of disease such as inflammation and fibrosis Current in-vitro models, particularly 2D monolayers and animal models, fail to capture the complexity of the lung's mechanodynamic environment. This study addressed this gap by developing advanced mechanodynamic 2D and 3D alveolar epithelial-fibroblast co-cultures and organoids to mimic the lung, using the unique Flexcell bioreactor that enables the application of strain to mimic the mechanical lung environment. Methods Human alveolar epithelial cells (A549) and lung fibroblasts (MRC-5) were used to establish 2D co-cultures in BioFlex plates as well as 3D alveolar co-cultures and organoids embedded in collagen-I-gels in Tissue Train plates. The models were then subjected to equibiaxial strain of 18% amplitude at 0.4Hz using the Flexcell tension system to mimic a pathological strain environment. The impact of mechanical strain on cell proliferation, morphology, cytoskeletal & tight junctional protein expression, IL-6 & IL-8 inflammatory cytokine release, and cell-viability were assessed via immunocytochemistry & confocal imaging, cell counts & identification, ELISAs, and lactate dehydrogenase (LDH) assays. Results Mechanical strain of 18%, 0.4Hz, significantly caused predominantly increased cell proliferation rates in 3D co-culture models but not in 2D epithelial cell and fibroblast monolayers and co-cultures. Morphological analysis revealed a marked transition of fibroblasts into the broadened-shaped cells under strain, indicating myofibroblast differentiation in the 3D co-cultures. This was in line with increased F-actin in 3D co-cultures compared to decreased F-actin expression in epithelial cells and fibroblasts in 2D models after pathological strain. The expression of the tight junctional protein ZO-1 was decreased after strain in all 2D and 3D models. Further, there was increased release of pro-inflammatory cytokines, IL-6 and IL-8, in response to strain, and increased strain-induced cell death in all models, which was further heightened in 3D cultures. Conclusion This study demonstrated that in vitro mechanical multicellular alveolar models mimic the mechanodynamic lung environment. Specifically, 3D alveolar models in the Flexcell bioareactor provide a 3D configuration and multicellular environment necessary to replicate the in vivo mechanodynamic lung tissue, highlighting their importance for studying strain-induced cellular responses in line with inflammatory and fibrotic mechanisms in lung diseases. The developed models provide a valuable platform for exploring the mechanisms underlying lung disease progression and for testing therapeutic interventions aimed at restoring normal cellular responses to fatal injury from aberrant mechanical forces.

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)0.001
metaresearch head score (Gemma)0.000
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Bench or experimental · Consensus signal: Bench or experimental
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.002
Threshold uncertainty score0.005

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0020.000

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 head0.010
GPT teacher head0.291
Teacher spread0.281 · 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 designBench or experimental
Domainnot available
GenreEmpirical

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".

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Citations0
Published2025
Admission routes1
Has abstractyes

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