Systemic sclerosis & Raynaud's

Mesenchymal stromal cells ameliorate systemic sclerosis-interstitial lung disease via PD-1/PD-L1 signalling axis

RMD OpenPublished Mechanistic study

Authors' conclusion

CD4+PD-1+ T cells drive fibrosis in SSc-ILD, and MSCs ameliorate disease by suppressing PD-1+ T cells through PD-L1-mediated mechanisms.

Study context

Population
Patients with SSc (SSc-ILD and SSc-nILD subgroups), healthy controls, and bleomycin (BLM)-induced SSc-ILD mice30 SSc patients · 15 healthy controls (HCs)
Comparison
MSCs vs untreated BLM-induced mice; SSc-ILD vs SSc-nILD vs HCs
  • HCsn = 15reference
Methodological detailsflow cytometry of patient T cells, BLM-induced SSc-ILD mouse model, PD-L1 knockdown (siPD-L1), in vitro co-culture
  • Flow cytometry of patient T cells
  • BLM-induced SSc-ILD mouse model
  • PD-L1 knockdown (siPD-L1)
  • In vitro co-culture

Main finding

As reported in the abstract

  • PD-1 expression significantly elevated in CD3+ and CD4+ T cells of SSc-ILD vs HCs and SSc-nILD
  • In BLM-induced mice, lung CD4+PD-1+ T cells increased progressively, correlated with severity of lung fibrosis
  • CD4+PD-1+ T cells directly stimulated fibroblasts to upregulate collagen and transforming growth factor β1
  • MSCs reduced pulmonary inflammation, fibrosis and PD-1+ T cell frequencies in lungs of BLM-induced mice
  • Therapeutic effect was PD-L1-dependent, mediated by MSC-induced suppression

Original publication

Mesenchymal stromal cells ameliorate systemic sclerosis-interstitial lung disease via PD-1/PD-L1 signalling axis. RMD Open. Published 6 January 2026. doi:10.1136/rmdopen-2025-006324

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