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Idiopathic pulmonary fibrosis ([PF) is a chronic, progressive, and often fatal lung disease of unknown etiology, characterized by (myo)fibroblasts accumulation and extracellular matrix (ECM) deposition.Fstl1 (follistatin-like1), an inducible extracellular glycoprotein by transforming growth factor β1 (TGF-β1), has been observed increased expression in lung tissues from IPF patients compared with controls by rnicroarray analysis.