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May 20, 2026American Journal of Respiratory and Critical Care Medicine

D29-24 Nerandomilast Attenuates Pulmonary Fibrosis by Promoting Alveolar Epithelial Cell Differentiation

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Authors

SWS WatanabeKAK AkasakiAMA Muto

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Overview

Randomized trial shows Nerandomilast improves alveolar repair in a mouse model of pulmonary fibrosis, indicating its therapeutic potential.

Key Points

  • The study aims to explore the effects of Nerandomilast on the differentiation of alveolar epithelial cells and its role in attenuating pulmonary fibrosis.
  • Pulmonary fibrosis was induced in C57BL/6 mice using intratracheal bleomycin administration.
  • Nerandomilast (12.5 mg/kg) was orally administered daily starting 7 days post-BLM, with lung analysis conducted on days 0, 7, 10, 14, and 21.
  • Fibrosis severity was assessed through hydroxyproline content measurement and histological scoring.
  • Nerandomilast treatment significantly attenuated BLM-induced pulmonary fibrosis by reducing hydroxyproline content and histological fibrosis scores compared to controls.
  • Lineage-tracing revealed a decrease in AT2 cells and an increase in KRT8+ transitional epithelial cells by day 10 after BLM exposure.
  • Nerandomilast enhanced differentiation into AT1 (PDPN+) cells while reducing differentiation into KRT8+ epithelial cells.

Cite This Study

Watanabe et al. (2026) studied this question.

synapsesocial.com/papers/6a0d4f92f03e14405aa9af27https://doi.org/10.1093/ajrccm/aamag162.2884
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