From organ to cell: Multi-level telomere length assessment in patients with idiopathic pulmonary fibrosis.

<h4>Rationale</h4>A subset of patients with idiopathic pulmonary fibrosis (IPF) contains short leukocyte telomeres or telomere related mutations. We previously showed that alveolar type 2 cells have short telomeres in fibrotic lesions. Our objectives were to better understand how telomer...

Full description

Saved in:
Bibliographic Details
Main Authors: Aernoud A van Batenburg, Karin M Kazemier, Matthijs F M van Oosterhout, Joanne J van der Vis, Hendrik W van Es, Jan C Grutters, Roel Goldschmeding, Coline H M van Moorsel
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0226785&type=printable
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850184324622581760
author Aernoud A van Batenburg
Karin M Kazemier
Matthijs F M van Oosterhout
Joanne J van der Vis
Hendrik W van Es
Jan C Grutters
Roel Goldschmeding
Coline H M van Moorsel
author_facet Aernoud A van Batenburg
Karin M Kazemier
Matthijs F M van Oosterhout
Joanne J van der Vis
Hendrik W van Es
Jan C Grutters
Roel Goldschmeding
Coline H M van Moorsel
author_sort Aernoud A van Batenburg
collection DOAJ
description <h4>Rationale</h4>A subset of patients with idiopathic pulmonary fibrosis (IPF) contains short leukocyte telomeres or telomere related mutations. We previously showed that alveolar type 2 cells have short telomeres in fibrotic lesions. Our objectives were to better understand how telomere shortening associates with fibrosis in IPF lung and identify a subset of patients with telomere-related disease.<h4>Methods</h4>Average telomere length was determined in multiple organs, basal and apical lung, and diagnostic and end-stage fibrotic lung biopsies. Alveolar type 2 cells telomere length was determined in different areas of IPF lungs.<h4>Results</h4>In IPF but not in controls, telomere length in lung was shorter than in other organs, providing rationale to focus on telomere length in lung. Telomere length did not correlate with age and no difference in telomere length was found between diagnostic and explant lung or between basal and apical lung, irrespective of the presence of a radiological apicobasal gradient or fibrosis. Fifteen out of 28 IPF patients had average lung telomere length in the range of patients with a telomerase (TERT) mutation, and formed the IPFshort group. Only in this IPFshort and TERT group telomeres of alveolar type 2 cells were extremely short in fibrotic areas. Additionally, whole exome sequencing of IPF patients revealed two genetic variations in RTEL1 and one in PARN in the IPFshort group.<h4>Conclusions</h4>Average lung tissue telomere shortening does not associated with fibrotic patterns in IPF, however, approximately half of IPF patients show excessive lung telomere shortening that is associated with pulmonary fibrosis driven by telomere attrition.
format Article
id doaj-art-4ae107799ebb4bf0aae8e6d79b04d1a5
institution OA Journals
issn 1932-6203
language English
publishDate 2020-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj-art-4ae107799ebb4bf0aae8e6d79b04d1a52025-08-20T02:17:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01151e022678510.1371/journal.pone.0226785From organ to cell: Multi-level telomere length assessment in patients with idiopathic pulmonary fibrosis.Aernoud A van BatenburgKarin M KazemierMatthijs F M van OosterhoutJoanne J van der VisHendrik W van EsJan C GruttersRoel GoldschmedingColine H M van Moorsel<h4>Rationale</h4>A subset of patients with idiopathic pulmonary fibrosis (IPF) contains short leukocyte telomeres or telomere related mutations. We previously showed that alveolar type 2 cells have short telomeres in fibrotic lesions. Our objectives were to better understand how telomere shortening associates with fibrosis in IPF lung and identify a subset of patients with telomere-related disease.<h4>Methods</h4>Average telomere length was determined in multiple organs, basal and apical lung, and diagnostic and end-stage fibrotic lung biopsies. Alveolar type 2 cells telomere length was determined in different areas of IPF lungs.<h4>Results</h4>In IPF but not in controls, telomere length in lung was shorter than in other organs, providing rationale to focus on telomere length in lung. Telomere length did not correlate with age and no difference in telomere length was found between diagnostic and explant lung or between basal and apical lung, irrespective of the presence of a radiological apicobasal gradient or fibrosis. Fifteen out of 28 IPF patients had average lung telomere length in the range of patients with a telomerase (TERT) mutation, and formed the IPFshort group. Only in this IPFshort and TERT group telomeres of alveolar type 2 cells were extremely short in fibrotic areas. Additionally, whole exome sequencing of IPF patients revealed two genetic variations in RTEL1 and one in PARN in the IPFshort group.<h4>Conclusions</h4>Average lung tissue telomere shortening does not associated with fibrotic patterns in IPF, however, approximately half of IPF patients show excessive lung telomere shortening that is associated with pulmonary fibrosis driven by telomere attrition.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0226785&type=printable
spellingShingle Aernoud A van Batenburg
Karin M Kazemier
Matthijs F M van Oosterhout
Joanne J van der Vis
Hendrik W van Es
Jan C Grutters
Roel Goldschmeding
Coline H M van Moorsel
From organ to cell: Multi-level telomere length assessment in patients with idiopathic pulmonary fibrosis.
PLoS ONE
title From organ to cell: Multi-level telomere length assessment in patients with idiopathic pulmonary fibrosis.
title_full From organ to cell: Multi-level telomere length assessment in patients with idiopathic pulmonary fibrosis.
title_fullStr From organ to cell: Multi-level telomere length assessment in patients with idiopathic pulmonary fibrosis.
title_full_unstemmed From organ to cell: Multi-level telomere length assessment in patients with idiopathic pulmonary fibrosis.
title_short From organ to cell: Multi-level telomere length assessment in patients with idiopathic pulmonary fibrosis.
title_sort from organ to cell multi level telomere length assessment in patients with idiopathic pulmonary fibrosis
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0226785&type=printable
work_keys_str_mv AT aernoudavanbatenburg fromorgantocellmultileveltelomerelengthassessmentinpatientswithidiopathicpulmonaryfibrosis
AT karinmkazemier fromorgantocellmultileveltelomerelengthassessmentinpatientswithidiopathicpulmonaryfibrosis
AT matthijsfmvanoosterhout fromorgantocellmultileveltelomerelengthassessmentinpatientswithidiopathicpulmonaryfibrosis
AT joannejvandervis fromorgantocellmultileveltelomerelengthassessmentinpatientswithidiopathicpulmonaryfibrosis
AT hendrikwvanes fromorgantocellmultileveltelomerelengthassessmentinpatientswithidiopathicpulmonaryfibrosis
AT jancgrutters fromorgantocellmultileveltelomerelengthassessmentinpatientswithidiopathicpulmonaryfibrosis
AT roelgoldschmeding fromorgantocellmultileveltelomerelengthassessmentinpatientswithidiopathicpulmonaryfibrosis
AT colinehmvanmoorsel fromorgantocellmultileveltelomerelengthassessmentinpatientswithidiopathicpulmonaryfibrosis