“…In addition, the translational gene set was also able to ORIGINAL RESEARCH segregate control subjects from patients with IPF in two publicly available, independent clinical IPF/control datasets (GSE10667 and GSE24206), thereby supporting the findings ( Figure E17). Furthermore, in patients with IPF, the expression levels of the translational gene markers, GREM1, MMP7, CTHRC1, and FHL2, showed a significant negative correlation with percent diffusing capacity of carbon monoxide (%DL CO ) (GREM1, r = 20.68, adjusted P = 4.2e-25; MMP7, r = 20.64, adjusted P = 3.4e-22; CTHRC1, r = 20.64, adjusted P = 3.4e-22; and FHL2, r = 20.61, adjusted P = 1.7e-19), a parameter associated with disease severity (34,35). IPF samples obtained from lung transplantation (category 1, lung explant single; and category 2, lung explant bilateral) showed higher MMP7 expression and a lower %DL CO compared with IPF samples obtained from lung biopsies (category 3, lung lobectomy; or category 4, lung biopsy) ( Figure 5).…”