4.4 Review

Contribution of keratinocytes to dermal fibrosis

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Current Concepts on the Pathogenesis of Systemic Sclerosis

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Summary: Systemic sclerosis (SSc) is a disease characterized by skin and internal organ fibrosis, vascular modifications, and autoimmunity. It predominantly affects women and has heterogeneous clinical presentations and courses. The pathogenesis involves genetic predisposition, environmental factors, and epigenetic modifications that lead to immune-inflammatory dysregulation and abnormal cell behavior. Myofibroblasts play a crucial role in the disease by promoting fibrosis and matrix deposition. Other cell types, such as pericytes, platelets, and keratinocytes, are also involved. T cell subsets and autoantibodies contribute to fibroblast and endothelial cell dysfunction. Recent studies have revealed heterogeneity in SSc cell differentiation and functional states. Understanding the heterogeneity and pathogenic mechanisms will aid in developing personalized therapeutic approaches.

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Single-Cell and Bulk Transcriptome Data Integration Reveals Dysfunctional Cell Types and Aberrantly Expressed Genes in Hypertrophic Scar

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Summary: In this study, the biological characteristics during Hypertrophic scar (HS) formation were investigated through the integrative analysis of single-cell RNA sequencing (scRNA-seq) and bulk RNA-seq data. The study revealed that FB-1 fibroblasts were significantly expanded in HS, while the proportion of KC-2 keratinocytes was reduced. Cell-cell communication analysis showed changes in the autocrine signaling of HB-1 and the intercellular contacts between FB-1/FB-5 and KC-2 in HS. The transcriptionally regulatory network involved CREB3L1 and TWIST2 as critical transcription factors in myofibroblast formation in HS.

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Summary: This study developed and tested a self-assembled skin equivalent (saSE) system that mimics the cross-talk between macrophages and fibroblasts in systemic sclerosis (SSc). The researchers found that reciprocal activation between macrophages and fibroblasts increases tissue thickness and stiffness, which is partly dependent on TGF-β activation.

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Jun Inamo

Summary: This study investigated the relationship between different types of autoantibodies and gene expression profiles in skin lesions of patients with Systemic Sclerosis (SSc), identifying specific dysregulated pathways associated with each autoantibody type. By analyzing gene expression data, the study revealed potential new therapeutic targets for SSc based on specific autoantibody profiles.

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Dysfunctional Keratinocytes Increase Dermal Inflammation in Systemic Sclerosis: Results From Studies Using Tissue-Engineered Scleroderma Epidermis

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Summary: Objective evidence suggests that keratinocyte-fibroblast interactions are abnormal in systemic sclerosis (SSc). This study found that SSc epidermal equivalents (EEs) exhibited aberrant differentiation and enhanced expression of activation markers, replicating the abnormalities seen in SSc epidermis. The dysregulation of genes from the homeobox family and increased metabolic and oxidative stress in SSc EEs may contribute to chronic inflammation and dermal fibrosis.

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IFN-γ-Stimulated Apoptotic Keratinocytes Promote Sclerodermatous Changes in Chronic Graft-Versus-Host Disease

Akimasa Saito et al.

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Epithelial Fli1 deficiency drives systemic autoimmunity and fibrosis: Possible roles in scleroderma

Takehiro Takahashi et al.

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Epithelial Cells Promote Fibroblast Activation via IL-1α in Systemic Sclerosis

Nima Aden et al.

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Inhibition of dermal fibrosis in self-assembled skin equivalents by undifferentiated keratinocytes

Xinwen Wang et al.

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