Journal
ANNALS OF THE NEW YORK ACADEMY OF SCIENCES
Volume 1480, Issue 1, Pages 5-13Publisher
WILEY
DOI: 10.1111/nyas.14442
Keywords
nutraceuticals; mustards; pulmonary fibrosis; inflammation; oxidative stress; epithelial-mesenchymal transition
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Funding
- National Institute of Arthritis and Musculoskeletal and Skin Diseases [U54AR055073]
- National Institute of Environmental Health Sciences [P30ES005022, R01ES004738]
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Exposure to vesicants, including sulfur mustard and nitrogen mustard, causes damage to the epithelia of the respiratory tract and the lung. With time, this progresses to chronic disease, most notably, pulmonary fibrosis. The pathogenic process involves persistent inflammation and the release of cytotoxic oxidants, cytokines, chemokines, and profibrotic growth factors, which leads to the collapse of lung architecture, with fibrotic involution of the lung parenchyma. At present, there are no effective treatments available to combat this pathological process. Recently, much interest has focused on nutraceuticals, substances derived from plants, herbs, and fruits, that exert pleiotropic effects on inflammatory cells and parenchymal cells that may be useful in reducing fibrogenesis. Some promising results have been obtained with nutraceuticals in experimental animal models of inflammation-driven fibrosis. This review summarizes the current knowledge on the putative preventive/therapeutic efficacy of nutraceuticals in progressive pulmonary fibrosis, with a focus on their activity against inflammatory reactions and profibrotic cell differentiation.
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