Systemic sclerosis & Raynaud's

Endothelial Response to Type I Interferon Contributes to Vasculopathy and Fibrosis and Predicts Disease Progression of Systemic Sclerosis

Arthritis RheumatolPublished Mechanistic study

Authors' conclusion

The EC IFN-1 signature distinguished SSc skin subtypes and disease progression and may contribute to vasculopathy and fibrosis.

Study context

Population
Skin biopsies from patients with systemic sclerosis (SSc) and controls; discovery (4 SSc, 2 controls), validation data sets GSE138,669 and GSE195452, and an SSc cohortSSc cohort n = 61
Comparison
SSc skin vs controls
Methodological detailssingle-cell RNA sequencing, public data set validation, bleomycin plus IFNα-2 adenovirus-associated virus (AAV)-induced model, clinical cohort verification
  • Single-cell RNA sequencing
  • Public data set validation
  • Bleomycin plus IFNα-2 AAV-induced model
  • Clinical cohort verification

Main finding

As reported in the abstract

  • Endothelial cells (ECs) had the most prominent IFN-1 signature among dermal nonimmune cells
  • EC IFN-1 signature increased in SSc vs controls and in dcSSc vs lcSSc
  • Capillary EC IFN-1 signature statistically higher in dcSSc > lcSSc > healthy controls (HCs); Endothelial-to-mesenchymal transition (EndoMT) scores increased in parallel
  • In the bleomycin plus IFNα-2 AAV model: deteriorated dermal fibrosis, EndoMT and perivascular fibrosis, and blood vessel loss with EC apoptosis
  • Vascular MX1 significantly increased in total SSc vs HC skin and in dcSSc vs lcSSc skin
  • Baseline vascular MX1 performed similarly to skin score in predicting disease progression over 6 to 34 months in total SSc and was superior in dcSSc
  • Discovery and validation data sets showed similar findings

Original publication

Endothelial Response to Type I Interferon Contributes to Vasculopathy and Fibrosis and Predicts Disease Progression of Systemic Sclerosis. Arthritis Rheumatol. Published 27 December 2023. doi:10.1002/art.42662

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