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Systemic Sclerosis Dermal Fibroblasts Induce Cutaneous Fibrosis Through Lysyl Oxidase-like 4: New Evidence From Three-Dimensional Skin-like Tissues

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单位: [1]Tufts Univ, Sch Dent Med, Boston, MA 02111 USA [2]Geisel Sch Med Dartmouth, Hanover, NH USA [3]Huazhong Univ Sci & Technol, Tongji Hosp, Wuhan, Peoples R China [4]Univ South Carolina, Arnold Sch Publ Hlth, Columbia, SC 29208 USA [5]Tufts Univ, Medford, MA 02155 USA [6]Zhejiang Univ, Coll Opt Sci & Engn, Hangzhou, Peoples R China [7]Geisel Sch Med Dartmouth, Lebanon, NH USA [8]Boston Univ, Sch Med, Boston, MA 02118 USA [9]Tufts Univ, Sch Med, Sackler Sch Grad Biomed Sci, Boston, MA 02111 USA
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Objective Systemic sclerosis (SSc) is a clinically heterogeneous disease characterized by increased collagen accumulation and skin stiffness. Our previous work has demonstrated that transforming growth factor beta (TGF beta) induces extracellular matrix (ECM) modifications through lysyl oxidase-like 4 (LOXL-4), a collagen crosslinking enzyme, in bioengineered human skin equivalents (HSEs) and self-assembled stromal tissues (SAS). We undertook this study to investigate cutaneous fibrosis and the role of LOXL-4 in SSc pathogenesis using HSEs and SAS. Methods SSc-derived dermal fibroblasts (SScDFs; n = 8) and normal dermal fibroblasts (NDFs; n = 6) were incorporated into HSEs and SAS. These 3-dimensional skin-like microenvironments were used to study the effects of dysregulated LOXL-4 on ECM remodeling, fibroblast activation, and response to TGF beta stimulation. Results SScDF-containing SAS showed increased stromal thickness, collagen deposition, and interleukin-6 secretion compared to NDF-containing SAS (P < 0.05). In HSE, SScDFs altered collagen as seen by a more mature and aligned fibrillar structure (P < 0.05). With SScDFs, enhanced stromal rigidity with increased collagen crosslinking (P < 0.05), up-regulation of LOXL4 expression (P < 0.01), and innate immune signaling genes were observed in both tissue models. Conversely, knockdown of LOXL4 suppressed rigidity, contraction, and alpha-smooth muscle actin expression in SScDFs in HSE, and TGF beta-induced ECM aggregation and collagen crosslinking in SAS. Conclusion A limitation to the development of effective therapeutics in SSc is the lack of in vitro human model systems that replicate human skin. Our findings demonstrate that SAS and HSE can serve as complementary in vitro skin-like models for investigation of the mechanisms and mediators that drive fibrosis in SSc and implicate a pivotal role for LOXL-4 in SSc pathogenesis.

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出版当年[2019]版:
大类 | 1 区 医学
小类 | 1 区 风湿病学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 风湿病学
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出版当年[2018]版:
Q1 RHEUMATOLOGY
最新[2023]版:
Q1 RHEUMATOLOGY

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第一作者单位: [1]Tufts Univ, Sch Dent Med, Boston, MA 02111 USA [2]Geisel Sch Med Dartmouth, Hanover, NH USA [3]Huazhong Univ Sci & Technol, Tongji Hosp, Wuhan, Peoples R China
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通讯机构: [1]Tufts Univ, Sch Dent Med, Boston, MA 02111 USA [*1]136 Harrison Ave,South Cove,Room 116, Boston, MA 02111 USA
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