Long COVID-Pulmonary imaging-Interlobular septal thickening

Interlobular septal thickening (HP:0030879)

Presence of thickening of the interlobular septa of the lungs as seen on a CT scan.

Synonyms:    Interlobular lines (pulmonary CT finding), Peripheral lines (pulmonary CT finding), Septal lines (pulmonary CT finding), Septal thickening (pulmonary CT finding), Short lines (pumonary CT finding), Interlobular septal thickening on pulmonary HRCT

Comment:    Interlobular septa are 10-20nm long structures at the border of the secondary pulmonary lobules and which are usually perpendicular to the pleura in the periphery of the lung. Interlobular septa are composed of connective tissue and contain pulmonary venules and lymphatics. Diseases that affect one of the components of the interlobular septa may lead to thickening of the septa, which makes the visible on computed tomography (CT) scans. Some of the diseases that may be associated with this phenotypic feature are pulmonary edema, pulmonary lymphangitis carcinomatosis, leukemic or lymphomic involvement of the lung, diffuse alveolar hemorrhage, Nieman-Pick disease, and pneumonia.

Pubmed References:    PMID:23247773

Cross References:    UMLS:C4280727

KEGG Pathway

IndexNameP-valueAdjusted p-valueOdds RatioCombined score
1TGF-beta signaling pathway7.834e-188.618e-17925.7736464.13
2Cytokine-cytokine receptor interaction2.887e-161.588e-15620.0622186.23
3Hippo signaling pathway5.460e-112.002e-10189.494477.76
4Fluid shear stress and atherosclerosis0.000038040.0000910862.57636.72
5Basal cell carcinoma0.00043230.000792681.68632.69

GO: Biological Process

IndexNameP-valueAdjusted p-valueOdds RatioCombined score
1regulation of pathway-restricted SMAD protein phosphorylation (GO:0060393)1.850e-268.807e-24199420.0011816020.17
2BMP signaling pathway (GO:0030509)6.348e-261.511e-23199350.0011566105.39
3cellular response to BMP stimulus (GO:0071773)1.637e-252.598e-23199290.0011373779.66
4transmembrane receptor protein serine/threonine kinase signaling pathway (GO:0007178)1.197e-221.140e-20198670.0010028275.58
5positive regulation of pathway-restricted SMAD protein phosphorylation (GO:0010862)9.646e-241.148e-214725.47250428.98

GO: Molecular Function

IndexNameP-valueAdjusted p-valueOdds RatioCombined score
1BMP receptor binding (GO:0070700)2.247e-112.772e-101480.0736289.42
2transmembrane receptor protein serine/threonine kinase binding (GO:0070696)5.717e-115.288e-101109.8926176.78
3cytokine activity (GO:0005125)3.764e-131.393e-11278.657971.64
4transforming growth factor beta-activated receptor activity (GO:0005024)0.000014810.00009133499.505554.53
5BMP binding (GO:0036122)0.000014810.00009133499.505554.53

GO: Cellular Component

IndexNameP-valueAdjusted p-valueOdds RatioCombined score
1activin receptor complex (GO:0048179)0.0034950.04214370.072093.27
2spanning component of plasma membrane (GO:0044214)0.0064820.04214184.98932.06
3spanning component of membrane (GO:0089717)0.0099570.04315116.79538.34
4serine/threonine protein kinase complex (GO:1902554)0.018350.0596461.59246.23
5caveola (GO:0005901)0.029600.0677137.53132.12

Hub genes predicted as biomarkers & FDA approved drugs

Hub Genes (ranked)FDA-Approved Drugs
BMPR2
ACVR1
SMAD6                     
BMP4
BMP2
BMP10
BMP7PEGASPARGASE
GDF5
BMP6
GDF2