• Issue

    The Clinical Respiratory Journal: Volume 19, Issue 7

    July 2025

ISSUE INFORMATION

Free Access

Issue Information

  • First Published: 30 June 2025

ORIGINAL ARTICLE

Open Access

A Multicenter Retrospective Study Predicting Early Noninvasive Ventilation Failure in Patients With Acute Hypoxic Respiratory Failure

  • First Published: 30 June 2025

VOX index shows promise to serve as an effective evaluation index to predict early NIV efficacy in patients with AHRF, a VOX value > 20.45 after 2 h of NIV treatment can better predict improvements in hypoxia and NIV outcomes, guide early tracheal intubation in cases of NIV failure, and have a certain predictive effect on patient outcomes.

MINI REVIEW

Open Access

Inactivated Mycobacterial Vaccine Nebulized Inhalation: A Effective Therapy for the Prevention and Treatment of Respiratory Diseases?

  • First Published: 01 July 2025
Inactivated Mycobacterial Vaccine Nebulized Inhalation: A Effective Therapy for the Prevention and Treatment of Respiratory Diseases?

Nebulized inhalation of inactivated Mycobacterial vaccine will be an effective therapy for the prevention and treatment of respiratory diseases.

ORIGINAL ARTICLE

Open Access

Study on the Combined Effects and Mechanisms of Acupoint Catgut Embedding in Improving Sleep Quality and Controlling Asthma Symptoms in Patients With Asthma

  • First Published: 03 July 2025
Study on the Combined Effects and Mechanisms of Acupoint Catgut Embedding in Improving Sleep Quality and Controlling Asthma Symptoms in Patients With Asthma

The analysis of the effects of acupoint catgut embedding therapy on asthma control, sleep quality, as well as immune and inflammatory factors. Univariate and multivariate analysis of the effects of acupoint catgut embedding therapy.

MINI REVIEW

Open Access

Telomere Shortening in Interstitial Lung Disease: Challenges and Promises

  • First Published: 08 July 2025
Telomere Shortening in Interstitial Lung Disease: Challenges and Promises

Telomerase abnormalities such as related gene mutations lead to decrease in telomerase activity and telomere shortening. Individual cells undergoing continuous division exhibit telomere shortening. A successive shortening of the telomere results in dysfunctional telomeres. This induces replicative senescence of alveolar epithelial cells and ultimately progress to pulmonary fibrosis.

ORIGINAL ARTICLE

Open Access

Role of Immune Cells in Mediating the Effect of Hypothyroidism on Idiopathic Pulmonary Fibrosis

  • First Published: 10 July 2025
Role of Immune Cells in Mediating the Effect of Hypothyroidism on Idiopathic Pulmonary Fibrosis

  • This study determined the effect of hypothyroidism on IPF using a two-sample MR approach.
  • Mediating effects of immune cells were assessed using the coefficient product method.
  • Hypothyroidism significantly increased the risk of developing IPF.
  • CD19 on IgD− CD27− and HVEM on T cells were identified as critical mediators.
  • Hypothyroidism likely contributes to IPF pathogenesis through immune dysregulation.

Open Access

Causal Associations Between Cystatin and Lung Cancer: A Two-Sample Mendelian Randomization Study

  • First Published: 11 July 2025
Causal Associations Between Cystatin and Lung Cancer: A Two-Sample Mendelian Randomization Study

This Mendelian randomization study revealed a causal association between genetically predicted cystatin 8 and squamous cell lung carcinoma, while Cystatin D was linked to lung adenocarcinoma after outlier adjustment. The findings suggest cystatins may play distinct roles in lung cancer subtypes, calling for further investigation to confirm these relationships.

REVIEW ARTICLE

Open Access

Comprehensive Analysis of Lung Cancer Metastasis: Sites, Rates, Survival, and Risk Factors—A Systematic Review and Meta-Analysis

  • First Published: 11 July 2025
Comprehensive Analysis of Lung Cancer Metastasis: Sites, Rates, Survival, and Risk Factors—A Systematic Review and Meta-Analysis

This meta-analysis of 115 studies showed common metastatic sites for NSCLC as brain (29%), bone (25%), and adrenal gland (15%); for SCLC, they were liver (33%), brain (30%), and bone (27%). PCI reduced brain metastasis in both cancers. Median OS after brain metastasis was 21.3 months (NSCLC) and 10.5 months (SCLC). Liver and bone metastases worsened survival.

ORIGINAL ARTICLE

Open Access

Electrical Impedance Tomography–Guided Airway Clearance in Elderly Patients With Severe Pneumonia: A Prospective Study

  • First Published: 13 July 2025
Electrical Impedance Tomography–Guided Airway Clearance in Elderly Patients With Severe Pneumonia: A Prospective Study

EIT-guided personalized airway clearance significantly improves outcomes in elderly severe pneumonia patients. Real-time electrical impedance tomography (EIT) optimized secretion clearance through dynamic adjustment of posture, percussion, and breathing techniques. This approach enhanced respiratory mechanics, oxygenation, and infection control, doubling extubation success rates (88% vs. 56%) compared with standard fixed-schedule therapy.

Open Access

Evaluation of the Effects of Switching COPD Patients From LAMA/LABA Therapy to ICS/LAMA/LABA Therapy Using the Impulse Oscillation System (IOS) Capable of Separating Inspiratory and Expiratory Measurements

  • First Published: 15 July 2025
Evaluation of the Effects of Switching COPD Patients From LAMA/LABA Therapy to ICS/LAMA/LABA Therapy Using the Impulse Oscillation System (IOS) Capable of Separating Inspiratory and Expiratory Measurements

This study assessed the effect of switching from dual bronchodilator therapy to triple therapy in COPD. While FEV1 showed no significant change, resonant frequency improved, suggesting reduced airway inflammation. Impulse oscillometry may help detect treatment effects not captured by spirometry.

Open Access

Association of COPD With Clinical Outcomes After Hospital Admission in SARS-CoV-2 Patients During the Omicron Variant Period: A Retrospective Cohort Study

  • First Published: 15 July 2025
Association of COPD With Clinical Outcomes After Hospital Admission in SARS-CoV-2 Patients During the Omicron Variant Period: A Retrospective Cohort Study

In contrast to findings from previous COVID-19 Delta waves, COPD was not independently associated with increased risk of adverse outcomes in patients hospitalized with Omicron variant infection. These findings suggest a significant shift in risk profiles during the Omicron wave, potentially reflecting the variant's altered pathogenicity, evolving treatment approaches, and vaccination impacts.

Open Access

OM-85, a Bacterial Lysate, Reduces Pulmonary Nodule Malignant Probability: A Retrospective Study

  • First Published: 21 July 2025
OM-85, a Bacterial Lysate, Reduces Pulmonary Nodule Malignant Probability: A Retrospective Study

OM-85 reduced the size of high-risk pulmonary nodules and decreased the risk of malignant probability and disease progression by increasing the proportion of NK cells. Therefore, OM-85 may be a potential agent for the treatment of high-risk pulmonary nodules.

BRIEF REPORT

Open Access

Acute Respiratory Failure in Allergic Bronchopulmonary Aspergillosis Characterized by Diffuse Lung Lesions: A Case Report and Literature Review

  • First Published: 22 July 2025
Acute Respiratory Failure in Allergic Bronchopulmonary Aspergillosis Characterized by Diffuse Lung Lesions: A Case Report and Literature Review

In this work, we present a case of allergic bronchopulmonary aspergillosis. High-resolution computed tomography (HRCT) of the chest revealed diffuse lung lesions. Additionally, arterial blood gas analysis indicated life-threatening acute Type II respiratory failure.

ORIGINAL ARTICLE

Open Access

Molecular Marker Discovery and Evaluation: EGF rs1897990 and rs1524106 Variants in a China Lung Adenocarcinoma Young Population

  • First Published: 22 July 2025
Molecular Marker Discovery and Evaluation: EGF rs1897990 and rs1524106 Variants in a China Lung Adenocarcinoma Young Population

The core EGF gene variants in string interaction network rs1897990 and rs1524106 are significant risk factors for lung adenocarcinoma in young individuals, particularly when combined with smoking. Tobacco use appears to potentiate the oncogenic effects of these variants, further increasing susceptibility to early-onset lung adenocarcinoma.

Open Access

Correlation of FENO With Spirometric Measurements and Blood Eosinophil Level in Patients With Severe Asthma

  • First Published: 24 July 2025
Correlation of FENO With Spirometric Measurements and Blood Eosinophil Level in Patients With Severe Asthma

FENO was negatively correlated with pre-bronchodilator FEV1 (L and % predicted) pre- and post-bronchodilator FEV1/FVC ratio, and positively correlated with bronchodilator reversibility (mL and %), as well as baseline blood eosinophil level by absolute cell count and percentage.