Systemic sclerosis & Raynaud's

Targeting CD13/Aminopeptidase N as a Novel Therapeutic Approach for Scleroderma Fibrosis

Arthritis RheumatolPublished Mechanistic study

Authors' conclusion

These results are the first to demonstrate a key role for sCD13 in SSc skin fibrosis

Study context

Population
Systemic sclerosis (SSc) skin biopsies and explanted dermal fibroblasts from patients with dcSSc; mice with bleomycin-induced skin fibrosis
Comparison
Targeting the sCD13-B1R axis in SSc fibrosis models
Methodological detailsin vitro, in vivo, bleomycin-induced skin fibrosis mouse model, single-cell analysis
  • In vitro
  • In vivo
  • Bleomycin-induced skin fibrosis mouse model
  • Single-cell analysis

Main finding

As reported in the abstract

  • Gene expression of CD13, B1R and MMP14 elevated in dcSSc skin biopsies
  • Single-cell analysis: highest BDKRB1 expression in COL8A1-positive myofibroblasts, a population exclusively seen in SSc
  • TGFβ induced BDKRB1 expression and Soluble CD13 (sCD13) production by dcSSc skin fibroblasts
  • sCD13 promoted fibrotic gene expression, signalling, proliferation, migration and gel contraction in dcSSc fibroblasts
  • Pro-fibrotic responses of sCD13 or TGFβ prevented by a B1R antagonist
  • Cd13- or Bdkrb1-deficient mice resistant to bleomycin-induced skin fibrosis and inflammation
  • Pharmacological B1R inhibition had a comparable antifibrotic effect

Original publication

Targeting CD13/Aminopeptidase N as a Novel Therapeutic Approach for Scleroderma Fibrosis. Arthritis Rheumatol. Published 18 September 2024. doi:10.1002/art.42973

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