Systemic sclerosis & Raynaud's

The Role of the Pulmonary Microenvironment in Driving Transition From Systemic Sclerosis to Systemic Sclerosis–Associated Interstitial Lung Disease

J RheumatolPublished Systematic review and meta-analysis

Authors' conclusion

Due to the limited number of studies, we were unable to perform a metaanalysis on mediators between SSc and SSc-ILD, highlighting the need for further studies. However, our review strongly highlights the involvement of the pulmonary epithelium in SSc-ILD, contributing to positive feedback between injured epithelial cells and fibroblast activation/fibrosis.

Study context

Population
Adult patients with systemic sclerosis (SSc); publications 2000–2024 in Web of Science and PubMed20 publications included
Comparison
BAL fluid soluble mediators in SSc-ILD vs SSc only
Outcome
Soluble mediators in bronchoalveolar lavage fluid differentiating SSc-ILD from SSc only
Methodological detailspreregistered study protocol, functional pathway enrichment (STRING-DB/G:Profiler)
  • Preregistered study protocol
  • Functional pathway enrichment (STRING-DB/G:Profiler)

Pooled result

As reported in the abstract

Soluble mediators in bronchoalveolar lavage fluid

Different mediators identified

30

Mediators available for SSc vs SSc-ILD comparison

17

Original publication

The Role of the Pulmonary Microenvironment in Driving Transition From Systemic Sclerosis to Systemic Sclerosis–Associated Interstitial Lung Disease. J Rheumatol. Published 15 November 2025. doi:10.3899/jrheum.2025-0322

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