RT Journal Article SR Electronic T1 Association of circulating cell-free double-stranded DNA and metabolic derangements in idiopathic pulmonary fibrosis JF Thorax JO Thorax FD BMJ Publishing Group Ltd and British Thoracic Society SP 186 OP 190 DO 10.1136/thoraxjnl-2021-217315 VO 77 IS 2 A1 Whalen, William A1 Buyukozkan, Mustafa A1 Moore, Bethany A1 Moon, Jong-Seok A1 Dela Cruz, Charles S A1 Martinez, Fernando J A1 Choi, Augustine M K A1 Krumsiek, Jan A1 Stout-Delgado, Heather A1 Cho, Soo Jung YR 2022 UL http://thorax.bmj.com/content/77/2/186.abstract AB Idiopathic pulmonary fibrosis (IPF) is a progressive and fatal lung disease with unclear aetiology and poorly understood pathophysiology. Although plasma levels of circulating cell-free DNA (ccf-DNA) and metabolomic changes have been reported in IPF, the associations between ccf-DNA levels and metabolic derangements in lung fibrosis are unclear. Here, we demonstrate that ccf-double-stranded DNA (dsDNA) is increased in patients with IPF with rapid progression of disease compared with slow progressors and healthy controls and that ccf-dsDNA associates with amino acid metabolism, energy metabolism and lipid metabolism pathways in patients with IPF.