Systemic sclerosis & Raynaud's

CD7 activation regulates cytotoxicity-driven pathology in systemic sclerosis, yielding a target for selective cell depletion

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

Together, the findings imply costimulatory molecules as key regulators of cytotoxicity-driven pathology in systemic autoimmune disease, yielding CD7 as a novel target for selective depletion of pathogenic cells.

Study context

Population
Affected skin and blood samples from 4 systemic sclerosis (SSc) patient cohorts and healthy individuals4 SSc cohorts
Participants
165 vs 80
Comparison
SSc vs healthy individuals
  • SScn = 165
  • Healthy individualsn = 80reference
Methodological detailsex vivo analysis, single-cell transcriptomics, flow cytometry, multiplex immunofluorescence staining, functional assays, compassionate-use case
  • Ex vivo analysis
  • Single-cell transcriptomics
  • Flow cytometry
  • Multiplex immunofluorescence staining
  • Functional assays
  • Compassionate-use case

Main finding

As reported in the abstract

  • SSc-affected skin contains elevated numbers of proliferating T cells, cytotoxic T cells and natural killer (NK) cells
  • These cells selectively express costimulatory molecule CD7 with cytotoxic, proinflammatory and profibrotic genes, especially in recent-onset and severe disease
  • CD7 regulates the cytolytic activity of T cells and NK cells
  • Selective depletion of CD7+ cells prevents cytotoxic cell-induced fibroblast contraction and inhibits their profibrotic phenotype
  • Anti-CD3/CD7 depletive treatment eliminated CD7+ skin cells and stabilised disease manifestations in a severely affected SSc patient

Original publication

CD7 activation regulates cytotoxicity-driven pathology in systemic sclerosis, yielding a target for selective cell depletion. Ann Rheum Dis. Published 12 March 2024. doi:10.1136/ard-2023-224827

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