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Investigating Pulmonary Fibrosis

As a marathon runner, Phil Sannes knows the value of strong, healthy lungs.

As a professor in the Department of Molecular Biomedical Sciences in the College of Veterinary Medicine and a researcher with the Center for Comparative Medicine and Translational Research, Dr. Phil Sannes knows the value of the scarred lung samples he obtained from the National Heart, Lung and Blood Institute (NHLBI). The 60 tissue samples are part of a Recovery Act-funded project to study the cellular mechanisms that lead to pulmonary fibrosis. The disease, which afflicts five million people worldwide and is usually fatal, is not well understood by scientists.

Fibrosis develops when the epithelial cells that compose the ultra-thin lining deep inside the lungs die after being damaged by pollutants or infection and are replaced by fibrous tissue. Dr. Sannes says the process is a normal protective mechanism in the body to keep bacteria and other threats from taking hold inside the lungs. Usually, the fibrous scar gives way as new epithelial cells are formed. Sometimes, however, the epithelial cells never mount a comeback, and the fibrous tissue spreads like kudzu in an open field, overtaking healthy epithelial cells along the way. The thick, stiff scar then reduces the lung’s ability to deliver oxygen to blood cells.

“The scales sometimes get tipped out of balance, and we go from normal repair to the body getting a signal that emergency medicine is needed,” says Dr. Sannes. “We’re still trying to understand biologically what’s going on.”

Dr. Sannes has studied pulmonary fibrosis for more than two decades, examining the biology of the various types of cells in and around the lining of the lungs. He has discovered that a protein in the stem-like cells in the lungs that regenerate epithelial cells is not present in fibroblasts, the cells in the connective tissue that surrounds the lungs. Part of a group known to play a role in development and in cancer, this particular protein helps determine the path that genetic signals take within a cell, which could cause the cell to maintain a certain activity, divide or even die. The protein could Dr. Philip Sannesbe the driver behind different cellular responses and tissue repair outcomes, he adds.

The tissue samples from the NHLBI will help Dr. Sannes study the genetic signaling pathways in people who have pulmonary fibrosis. He has used the two-year, $149,000 Recovery Act grant to hire a research associate, who is studying two variations of the same pathway. One leads to normal functionality within the cell, while the other does not. “We have to solve this paradox of why cells that normally regress proliferate and cells that usually proliferate die.”


Dr. Phil Sannes is studying the genetic-signaling pathways in people who have pulmonary fibrosis.



The Center for Comparative Medicine and Translational Research, located on NC State's Centennial Biomedical Campus, is a community of more than 100 scientists from five NC State colleges. These investigators are involved in collaborative ”One Medicine” studies with government, private, and other academic researchers to advance knowledge and practical applications that improve the health of animals and humans.

Reprinted from an article in NC State Results.