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Single-cell dissection of chronic lung allograft dysfunction reveals convergent and distinct fibrotic mechanisms.

JCI Insight · 2025
L1 75/100 PQI 92
Why this verdict

The main results reproduced: recomputed values matched the published ones within tolerance.

Reproduced on the brainbox compute brainarbeit.com
Scoring basis — itemised

Every item that counted toward this verdict, and the exact part of the reproduction that produced it.

Supporting (toward a concern)
Content-critical question only partially held
+2 pts
From: Q5 · Derivability / plausibility 🟡
Content-critical question only partially held
+2 pts
From: Q7 · Core claim 🟡
Content-critical question only partially held
+2 pts
From: Q8 · Severity of the miss (overall human judgment) 🟡
Minor / cosmetic deviation
+1 pts
From: Q3 · Location of the main deviation 🟡
Minor / cosmetic deviation
+1 pts
From: Q4 · Cause of the deviation 🟡
Minor / cosmetic deviation
+1 pts
From: Q6 · Severity of the deviation 🟡
Minor / cosmetic deviation
+1 pts
From: Q2 · Endpoint comparability 🟡
Concordant (toward reproduced)
Code + data deposited & functional
-2 pts
From: Data & code availability Available & functional
Total score +8
✓ What held up
  • Nothing in this column.
What did not (or only partly)
  • 🟡Could not use the authors’ exact input data
  • 🟡Reported values were only indirectly comparable
  • 🟡A deviation arose in the data or preprocessing
  • 🟡A deviation was attributed to the published material
  • 🟡Reported values were not (fully) derivable from the shared data
  • 🟡The deviation was non-trivial in magnitude
  • 🟡The central claim did not (fully) hold under reproduction
  • 🟡Overall, the reproduction showed a material discrepancy
How its reproducibility compares
75/100
Reproducibility score
at the mean
vs. all fields · 1173 studies
🎯 Scores higher than 45% of all assessed papers rank 612 of 1173 scored

A 0–100 reproducibility-quality score from the per-question grades, shown as a z-score: standard deviations above (+) or below (−) the mean of comparable assessments.

Reproduction agent’s raw note

PARTIAL, honest. Two metadata corrections first: (1) the seeded data accession GSE94555 is an unrelated 2017 IPF paper (text-mining false positive) - the paper actually deposits its CLAD scRNA-seq under GSE289881; (2) the cited code github.com/yuanqingyan/singleGEO @ cb24839 is NOT the figure pipeline but the authors' R toolkit to query/download/integrate public single-cell GEO data. Under brief P16 we reproduced what is feasible: C1 the deposited data structure of GSE289881 (10 samples / 96,002 raw cells) matches GEO+paper EXACTLY; C2 the shipped singleGEO toolkit runs end-to-end on «our HPC» and reproduces its documented example query hits (GSE158127, GSE142285) and a working integration (Seurat 5.3.0) EXACTLY; C3 the paper's central KRT17+KRT5- aberrant-cell population is detectable in the deposited CLAD data via the authors' own QC pipeline (qualitative, partial). 1:1 where reproducible; described well enough to reproduce these without author contact. NOT ATTEMPTED (the hard ~80%): the 1,576,567-cell cross-disease scVI atlas and its derived metrics (37 cell types, silhouette 0.72, NMI 0.79, 360/274-gene signatures, CellChat) - these require an UNSHIPPED scvi-tools integration pipeline over dozens of external datasets plus GPU, and are not independently verifiable from the shipped code+data (flagged provisionally, NOT an accusation).

💻 Code ↗ 🗄 Data: GSE94555

These records describe the outcome of reproduction attempts carried out autonomously by brainbox using large language models (LLMs). They are not peer review, not an audit, and not a determination of error or misconduct by any author. A verdict reflects what one attempt could or could not reproduce — which may depend on data access, undocumented parameters, the computing environment, or the depth of effort — and not a judgement of the people who did the work. We can be wrong, and we correct mistakes quickly: every record carries a “report an error” button.

Assessment versions

Every reproduction run is kept as an immutable version — anchored to the data as it stood, with a tamper-evident chain hash. A rerun (e.g. after an author updates a deposit) adds a new version; the previous one stays on record.

  1. v1 current initial assessment Score 75
    assessed: 2026-06-14 ⛓ 2b2c9e6f85f7
✎ I am an author of this paper

Updated or fixed a deposit, or is there an erratum? Ask us to re-run the metrics. We verify by email first; the new result is published as a new version with full history — nothing is overwritten.

Reason for the rerun

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Provenance — full disclosure

When this reproduction was carried out, which methodology version was used, and by whom — so the record can be audited and checked independently.

Reproduced
2026-06-14
Rubric version
v1.0
Assessed by
🤖 AI curator · claude (ai-curator room) · v1.0 · run #1 2026-06-15
no human curator yet
Last updated
2026-08-05

Provisional, curator- or AI-assessed, and independently checkable. A reproduction outcome states what one attempt could reproduce — not a judgement of the authors.

Deep full-text extraction

Model: opus
Founding hypothesis

What are the molecular and cellular mechanisms driving chronic lung allograft dysfunction (CLAD), and which of these are CLAD-specific versus shared with other fibrotic lung diseases? The study tests whether integrative single-cell transcriptomics can distinguish CLAD-specific signatures from convergent fibrotic mechanisms.

Core claims
  • CLAD harbors disease-specific cellular subsets including Fibro.AT2 cells, exhausted CD8+ T cells, and superactivated macrophages finding
  • Pathogenic KRT17+KRT5- epithelial cells represent a convergent fibrotic mechanism shared across CLAD and other fibrotic lung diseases mechanism
  • Donor-recipient cell deconvolution reveals recipient-derived stromal and immune cells with enhanced pro-fibrotic and allograft rejection pathways compared with donor counterparts finding
  • No significantly upregulated CLAD-specific disease-unique genes were detected; CLAD pathogenesis involves dysregulation of shared fibrotic pathways rather than entirely unique programs finding
  • Fibro.AT2 cells with upregulated coagulation cascade genes (FGG, FGA, HP) appear universally across CLAD samples, implicating coagulation dysregulation as a core CLAD mechanism mechanism
  • An integrated reference atlas of ~1.6 million cells combining CLAD with 15 published fibrotic lung disease studies, plus the SingleGEO toolkit resource
  • A pseudo-bulk approach with offsets and ComBat-seq batch correction enables robust CLAD-specific signal detection despite small sample sizes method
  • KRT17+KRT5- cells orchestrate local fibrotic niches via paracrine PDGF, TGF-β, GDF, and IL-4 signaling, suggesting targetability with PDGFR inhibitors like nintedanib mechanism
Experimental setups
Assay System Perturbation Readout Platform
single-cell RNA-Seq (scRNA-Seq) 4 CLAD lung explants (3 BOS, 1 RAS) at retransplantation, Northwestern University none (disease tissue) single-cell transcriptomes / cell type composition
single-nucleus RNA-Seq (snRNA-Seq) 3 COVID-19 lung explants from fibroproliferative ARDS patients none (disease tissue) single-nucleus transcriptomes
integrative single-cell transcriptomic meta-analysis 1,576,567 cells from CLAD, IPF, non-IPF ILD, COPD, COVID-19, HP, NSIP, scleroderma, sarcoidosis (15 published studies + newly generated) none cell type annotation, differential expression, pathway enrichment scvi-tools integration, Leiden clustering, CellTypist annotation
image-based spatial transcriptomics FFPE lung samples from 3 IPF patients none spatial localization of KRT17+KRT5- cells, myofibroblast/immune crosstalk Xenium
donor-recipient cell deconvolution (genetic variant calling) end-stage CLAD lungs at retransplantation transplantation (allograft) chimerism / donor vs recipient cell origin and transcriptional programs
pseudo-bulk differential expression with batch correction 37 cell types across integrated fibrotic datasets disease vs control disease-unique genes, KRT17+KRT5- core signature ComBat-seq, pseudo-bulk with offsets
FACS-sorted AT2 validation AT2 cells from IPF lungs none differential gene expression concordance
Key results
  • Integrated dataset encompassed 1,576,567 total cells including 141,734 newly generated CLAD and COVID-19 cells 1,576,567 cells (141,734 new)
  • No significantly upregulated CLAD-specific disease-unique genes detected across 37 cell types
  • Defined a refined 360-gene core signature for KRT17+KRT5- cells with EMT as the most enriched pathway 360 genes
  • Fibro.AT2 cells upregulate coagulation cascade genes (FGG, FGA, HP) consistently across all CLAD samples
  • CSTB, PLA2G7, and LGALS3BP significantly elevated in CLAD MoMs; LGALS3BP higher than IPF, PLA2G7 higher than COPD
  • COPD unexpectedly showed significant upregulation of allograft rejection gene sets despite no transplantation q=0.018
  • Immune cells overwhelmingly recipient-derived while epithelial/endothelial compartments predominantly donor-derived; recipient fibroblasts and bronchial endothelium hyperactivated
  • Batch integration achieved successful batch removal with preserved biological variation silhouette=0.72, NMI=0.79
Key statistics
  • count 1,576,567 cells (total integrated cells across all datasets)
  • count 141,734 newly generated cells (new CLAD and COVID-19 cells)
  • count 8 CLAD samples (total CLAD samples (4 NU explants + Khatri et al.))
  • count 360-gene signature (KRT17+KRT5- cell core signature)
  • count 37 cell types (cell types with sufficient representation for CLAD-comparative analysis)
  • other silhouette score 0.72 (batch effect removal quality metric)
  • other normalized mutual information 0.79 (preservation of biological variation)
  • pvalue q value = 0.018 (COPD upregulation of allograft rejection gene sets in PPI analysis)

Statistical methods review

Model: sonnet

A neutral, descriptive read of the statistical approach — what was done, and (for shared learning, not as criticism) what could also have been done.

This study performed integrative single-cell RNA-seq analysis of 8 CLAD lung samples combined with approximately 1.6 million cells from 15 published fibrotic lung disease datasets. Differential gene expression was assessed using a pseudo-bulk approach with offsets and FDR control, with ComBat-seq applied for batch correction across heterogeneous multi-platform datasets. Cell clustering used the Leiden algorithm via scvi-tools, and results were reported primarily as differentially expressed gene lists, pathway enrichment categories, and q values, supplemented by spatial transcriptomic validation in IPF tissue.

Replicationbiological Sample size8 CLAD samples total (4 newly generated from Northwestern University retransplants: 3 BOS, 1 RAS; 4 from Khatri et al.); 3 COVID-19 explants newly generated; 1,576,567 total cells across all datasets GroupsCLAD vs IPF, non-IPF ILD, COPD, COVID-19-associated fibrosis, HP, NSIP, scleroderma, sarcoidosis; donor-derived vs recipient-derived cells within CLAD Pairingunpaired Randomization/blindingnot stated Dispersionnone Exact p-valuesyes Effect sizesno Confidence intervalsno Multiplicity correctionFDR control (specific algorithm, e.g., Benjamini-Hochberg, not named); q values reported
Statistical tests used
Test Applied to n Assumptions
Pseudo-bulk differential expression with FDR control and offsets (stated to be comparable in power to generalized linear mixed models) CLAD vs other fibrotic diseases across 37 cell types; KRT17+KRT5- core signature definition (360-gene set) 8 CLAD samples; 37 cell types with sufficient representation not stated
Pairwise differential expression comparisons CLAD vs individual diseases (e.g., IPF, COPD) in monocyte-derived macrophages for CSTB, PLA2G7, LGALS3BP null not stated
Gene set enrichment analysis (GSEA) Pathway enrichment across cell types and disease comparisons (collagen formation, ECM, interferon signaling, neutrophil degranulation, allograft rejection gene sets) null not stated
Protein-protein interaction (PPI) network analysis with q value Allograft rejection gene set enrichment in COPD (q = 0.018 explicitly reported) null not stated
Leiden clustering algorithm Cell type identification from integrated scRNA-seq/snRNA-seq data 1,576,567 total cells not stated
Silhouette score and normalized mutual information (NMI) as integration quality metrics Validation of batch effect removal after scvi-tools integration (silhouette: 0.72; NMI: 0.79) null not stated
Approaches that could also have been used
  • Differential expression across disease groups used a pseudo-bulk approach with offsets and FDR control, chosen for performance with small sample sizes
    Could also: Cell-level mixed-effects models (e.g., MAST, glmmTMB) with donor as a random effect, or edgeR/DESeq2 pseudo-bulk with explicit blocking on donor identity, could also have been applied — Mixed-effects models explicitly account for within-donor correlation at the cell level, which may further reduce inflation of Type I error when donor counts per group are small; benchmarking studies differ on which approach is preferable at n=8, so noting this tradeoff helps readers contextualize the choice
  • Batch correction was performed with ComBat-seq, selected by benchmarking four unnamed methods on AT2 cells
    Could also: Harmony, scANVI (available within scvi-tools), BBKNN, or scDREAMER are widely used alternatives for multi-dataset single-cell integration — These methods differ in whether batch is modeled as a linear covariate (ComBat-seq) or as a latent variable; scANVI additionally leverages cell-type labels during integration, which can improve preservation of biological signal — relevant context for readers designing their own multi-cohort studies
  • Integration quality was summarized with two scalar metrics: silhouette score and normalized mutual information
    Could also: kBET (k-nearest-neighbor batch-effect test), LISI (local inverse Simpson's index per cell type), or the full scIB benchmark suite are also commonly used for multi-metric integration evaluation — Multi-metric panels provide a more comprehensive picture of the tradeoff between batch removal and biological signal preservation; reporting multiple metrics is increasingly standard in integration benchmarking and can help readers judge robustness of the integration
  • Spatial transcriptomic validation of KRT17+KRT5- cell localization was performed in IPF tissue used as a CLAD surrogate
    Could also: Multiplexed immunofluorescence (e.g., CODEX/PhenoCycler) or in situ hybridization (RNAscope) applied directly to available CLAD biopsy or explant sections would also provide spatial context — Authors explicitly acknowledge the use of IPF as a surrogate; noting these alternatives helps readers understand what additional evidence would extend spatial findings specifically to CLAD pathology
  • Cell type clustering relied on the Leiden algorithm with resolution parameters determined upstream in the scvi-tools pipeline
    Could also: Supervised or semi-supervised label transfer from a reference atlas (e.g., via scANVI, Seurat label transfer, or SingleR) is also widely used, particularly when a high-quality reference such as the Human Lung Cell Atlas is available — Supervised transfer can reduce subjectivity in cluster boundary decisions and may improve cross-dataset reproducibility, which is particularly relevant when integrating 15+ studies with heterogeneous cell compositions
  • Differential expression results were reported as categorical gene lists and pathway enrichment categories without numerical fold-change magnitudes
    Could also: Reporting log2 fold changes and their standard errors alongside FDR-adjusted q values, and AUC or Cohen's d as effect-size summaries, is also standard in single-cell DE reporting — Quantitative effect sizes allow readers to gauge biological magnitude independently of sample size and dataset composition, and facilitate future meta-analyses or cross-study comparisons
Software: scvi-tools · ComBat-seq (R package) · CellTypist · SingleGEO (custom toolkit developed by authors) · 10x Genomics Xenium (spatial transcriptomics platform)

Citation network

Where this publication sits in the reproducibility-weighted citation graph — what it is built on, and what is built on it. Citation data from OpenAlex.

Citations
5
Impact: low
Foundation confidence
None of its references are in our reproducibility record yet — its foundation cannot be assessed.
Topics

No assessed neighbours yet — the network grows as more papers are assessed.

Data lineage

The datasets this paper uses (text-mined from the full text via Europe PMC), and which other assessed papers stand on the same data. A shared dataset is a factual link — not a judgement.

GSE289881 GEO in Methods (http://purl.org/orb/Methods)
no other assessed paper uses this yet
GSE94555 GEO in Methods (http://purl.org/orb/Methods)
no other assessed paper uses this yet

What was reproduced

The exact results taken into scope, with each reported value next to the value our attempt produced.

Scope — pmid-41122970

Paper: Yan Y, et al. Single-cell dissection of chronic lung allograft dysfunction reveals convergent and distinct fibrotic mechanisms. JCI Insight 2025. PMID 41122970 · PMCID PMC12581678 · DOI 10.1172/jci.insight.197579

Code: https://github.com/yuanqingyan/singleGEO (commit cb24839, default branch main, R) Data (authors' own): GEO GSE289881 (NOT GSE94555 — see note below)


IMPORTANT corrections to the harvested metadata

  • The RU was seeded with GSE94555, which is an unrelated 2017 IPF paper ("Single Cell RNA-Sequencing Identifies Diverse Roles of Epithelial Cells in Idiopathic Pulmonary Fibrosis", Yan Xu, Cincinnati; 6 samples, HiSeq 2500). This is a text-mining false positive. The paper's own data-availability statement deposits the CLAD scRNA-seq under GSE289881 (submitted 2025-02-18; 10 samples: CLAD1–5 + Donor1–5; 10x Chromium V3; Cell Ranger 6.0; HG38). We reproduce against GSE289881.
  • The repo singleGEO is not the analysis pipeline that produced the paper's integrated atlas. Per the paper, singleGEO is a computational toolkit for systematic identification / download / integration of public single-cell GEO datasets — a discovery+download+integration helper. It ships a vignette and bundled test data (GSE134174, GSE104154+GSE161648). Under brief rule P16, running this authors' tool on its documented data / on the paper's own data is a fully valid reproduction.

Pipeline-derived results

IN SCOPE (clearly specified, low-hanging — the 80/20 "20%")

id claim pipeline how reproduced
C1 GSE289881 deposited scRNA-seq = 10 samples (5 CLAD + 5 donor), 10x V3, processed matrices public Cell Ranger output / GEO deposit Download GSE289881 to «infra»; load MTX/processed matrix with scipy; count samples, cells, genes — exact-comparable data-structure fact
C2 singleGEO toolkit runs as documented (metadata query + Seurat-object build + within/cross-dataset integration) singleGEO R package vignette on bundled test data install_github(...,ref=cb24839); run vignette functions (Get_Keyword_Meta, MakeSeuObj_FromRawRNAData, SeuObj_integration) on bundled GSE134174 / GSE104154+GSE161648; confirm documented objects/queries reproduce
C3 KRT17+KRT5− aberrant (basaloid) cells are a core CLAD fibrotic signature Seurat QC+clustering of CLAD samples Build Seurat obj from GSE289881 CLAD samples via singleGEO MakeSeuObj_FromRawRNAData; QC per Methods (≥200 & ≤7500 genes, mito ≤10%, 3000 HVG); test for cells expressing KRT17 but not KRT5 — qualitative presence check

OUT OF SCOPE (the hard ~80% — not attempted, with reason)

reported result why not attempted
Integrated atlas of 1,576,567 cells across many fibrotic diseases; 141,734 newly generated requires assembling dozens of external GEO datasets + the unshipped scvi-tools integration pipeline; heavy GPU compute
37 cell types; Leiden clustering of the full atlas downstream of the unshipped scVI integration
Integration quality: silhouette 0.72, NMI 0.79 metrics of the unshipped full-atlas integration; not derivable from shipped code+data
360-gene KRT17+KRT5− core signature; 274 chemistry-biased genes derived from cross-dataset DE on the full atlas; analysis code not shipped
CellChat interactome; ComBat-seq cross-disease batch correction separate unshipped analyses

Auditability / fabrication note (provisional, NOT an accusation): the headline integration metrics (1.5M cells, 37 types, silhouette 0.72, NMI 0.79, 360/274-gene signatures) are not independently verifiable from the shipped artifacts — the deposited code (singleGEO) is a download/query toolkit, not the integration pipeline, and the constituent external datasets are not enumerated as a runnable manifest. We do not claim these are wrong; we rec

C1
Reported
GSE289881 deposited scRNA-seq = 10 samples (5 CLAD + 5 donor); 10x Chromium V3; Cell Ranger 6.0
Reproduced
10 sample MTX triples (GSM8800813-8800822), 96,002 raw cells total
exact
C2
Reported
singleGEO toolkit (commit cb24839): vignette lung query returns GSE158127, adenocarcinoma query returns GSE142285, test-data integration builds an integrated Seurat object
Reproduced
lung query=94 GSE incl GSE158127 (TRUE); adenocarcinoma query=22 GSE incl GSE142285 (TRUE); GSE134174 integration = 800 cells x 2000 genes, 7 clusters
exact
C3
Reported
pathogenic KRT17+KRT5- aberrant cells are a common CLAD fibrotic mechanism
Reproduced
KRT17+KRT5- cells detected in all 9 processed GSE289881 samples (8-124 cells; 0.17-1.85%) via the authors' own QC pipeline (defaults == paper Methods)
partial
X1
Reported
1,576,567-cell integrated atlas (141,734 newly generated); 37 cell types; silhouette 0.72; NMI 0.79; 360/274-gene KRT17+KRT5- signatures
Reproduced
NOT ATTEMPTED
partial

Assessments & scoring basis

Each contributor’s verdict, the per-question basis, and the auditable, itemised worksheet behind it.

🤖 AI curator · claude (ai-curator room) · v1.0 L1 75/100

An automated assessment. It can flag an open question for review but can never, on its own, record a discrepancy verdict (C5) against a paper.

🟡1. Data identity
🟡2. Endpoint comparability
🟡3. Location of the main deviation
🟡4. Cause of the deviation
🟡5. Derivability / plausibility
🟡6. Severity of the deviation
🟡7. Core claim
🟡8. Severity of the miss (overall human judgment)
Scoring basis — itemised

Every item that counted toward this verdict, and the exact part of the reproduction that produced it.

Supporting (toward a concern)
Content-critical question only partially held
+2 pts
From: Q5 · Derivability / plausibility 🟡
Content-critical question only partially held
+2 pts
From: Q7 · Core claim 🟡
Content-critical question only partially held
+2 pts
From: Q8 · Severity of the miss (overall human judgment) 🟡
Minor / cosmetic deviation
+1 pts
From: Q3 · Location of the main deviation 🟡
Minor / cosmetic deviation
+1 pts
From: Q4 · Cause of the deviation 🟡
Minor / cosmetic deviation
+1 pts
From: Q6 · Severity of the deviation 🟡
Minor / cosmetic deviation
+1 pts
From: Q2 · Endpoint comparability 🟡
Concordant (toward reproduced)
Code + data deposited & functional
-2 pts
From: Data & code availability Available & functional
Total score +8

All feasible, clearly-specified outputs reproduced 1:1: the GSE289881 deposit structure (10 samples / 96,002 raw cells) and the singleGEO toolkit's documented query hits (GSE158127, GSE142285) matched exactly, and the central KRT17+KRT5- population is detectable in all 9 processed samples (0.17-1.85%). However the paper's headline ~80% — the 1,576,567-cell scVI cross-disease atlas, 37 cell types, silhouette 0.72 / NMI 0.79, and 360/274-gene signatures — is not independently verifiable from the shipped artifacts, because the deposited code is a GEO toolkit rather than the atlas pipeline and the constituent datasets are not provided as a runnable manifest. This is an availability/completeness gap on the artifact side, not a demonstrated error or fabrication: no numeric discrepancy was observed where comparison was possible, so the core convergence claim is supported only in limited, qualitative form. Overall a solid partial reproduction with the central quantitative results left unverified.

🤝
Reproduced automatically — and fairly

Automated reproduction checks whether a published result can be regenerated from the paper’s described methods and shared data. When something does not reproduce, that is not a claim of error or misconduct — most often it reflects under-described methods, software or environment differences, or gaps in data access, and some of the pre-print papers in the queue may carry issues their authors had no part in. The goal is shared awareness that rigorous, fully-described methods help everyone — never a judgement of any author.

Are you an author? We would genuinely like to hear from you — to clarify the record, add data or code, re-run the pipeline after an accession update, and publish your response right next to the assessment. Everything here is open and auditable.

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Reproduction footprint

claude-opus-4-8

Measured resources invested to assess this paper — sanitised (machine class only, no job ids/paths). Compute = HPC accounting (SLURM); tokens = the AI agent's session.

187.9 k
tokens (I/O) · 11 M incl. cache
28 min
runtime · 0.16 CPU-h
10.6 GB
peak RAM
1
HPC jobs
hummel
machine