Fibrosis Research in Systemic Sclerosis (SSc)

Deadline for manuscript submissions: 30 April 2025.

Guest Editors (2)

Carol M.  Artlett
Prof. Carol M. Artlett 
Department of Microbiology & Immunology, College of Medicine, Drexel University, Philadelphia, 19129, PA, USA
Interests: Inflammasome Signaling; IL-1 Mediated Fibrosis; Collagen Export from the Endoplasmic Reticulum; miR-155; Small Molecule Therapeutic Development
Clara  Dees
Dr. Clara Dees 
Friedrich-Alexander-University (FAU) Erlangen-Nürnberg, Department of Internal Medicine 3—Rheumatology and Immunology, Universitätsklinikum Erlangen, Erlangen, Germany
Interests: Cell Signaling; Signal Transduction; Extracellular Matrix Biology; Cell Culture; Rheumatology; Fibrosis; Fibroblast; Systemic Sclerosis

Special Issue Information

Systemic sclerosis (SSc, scleroderma), is an autoimmune disease characterized by inflammation with vascular abnormalities. A major hallmark of SSc is the excessive accumulation of extracellular matrix (ECM) in the skin and visceral organs, leading to morbidity and mortality. The ECM products are released from fibroblasts activated by cytokines, growth factors, and/or epigenetic changes in the genome. Currently, there are no truly effective treatment options for fibrosis.

In this special issue of Fibrosis, we invite you to contribute original research articles, reviews, case reports, or expert perspectives/opinions on all aspects related to "Fibrosis Research in Systemic Sclerosis (SSc)".

Relevant topics related to SSc fibrosis might be:
  • Cellular and molecular mechanisms governing fibroblast activation
  • Recent advances in experimental models of fibrosis (in vitro or in vivo models)
  • SSc-related organ fibrosis (e.g. lung, gastrointestinal, cardiac, renal, skin)
  • Genetics/epigenetics mechanisms driving fibrosis in SSc
  • Translational studies or therapies targeting fibrogenesis

Published Papers (3 Papers)

Open Access

Review

22 May 2025

NLRP3 Inflammasome and IL-11 in Systemic Sclerosis Pulmonary Fibroblasts

Systemic sclerosis (SSc) is an autoimmune disease characterized by widespread fibrosis affecting multiple organ systems. There is clinical heterogeneity among patients with SSc in terms of the organs affected. However, the pathophysiology of the disease remains elusive. The NLRP3 inflammasome is upregulated in SSc and exerts its fibrotic effects through activation of caspase-1, which in turn activates a fibrotic signaling cascade, resulting in increased collagen deposition and myofibroblast transition. Recently, IL-11 has been shown to be elevated in disease and has been shown to participate in downstream signaling via the NLRP3 inflammasome. A significant number of patients with SSc will develop pulmonary involvement, termed interstitial lung disease (SSc-ILD). Though this type of pulmonary involvement is distinct from other types of pulmonary fibrosis (such as idiopathic pulmonary fibrosis), it may be a valuable model to study mechanisms of fibrosis that could apply to other fibrotic diseases. Here, we discuss recent advances in understanding the mechanisms of the NLRP3 inflammasome and IL-11 in SSc pulmonary fibroblasts. We tie together some of the recent findings, such as senescence, the unfolded protein response, and reactive oxygen species, that contribute to fibrotic pathology via modulating NLRP3 activation, possibly leading to IL-11 expression.

Caya M.McFalls*
Carol M.Artlett
Fibrosis
2025,
3
(2), 10006; 
Open Access

Review

27 June 2025

Targeting Collagen Secretion as a Potential Therapeutic Strategy to Modulate Fibrosis

Fibrotic diseases are driven by the excessive accumulation of extracellular matrix (ECM), particularly collagens, leading to progressive tissue stiffness and organ dysfunction. While many factors contribute to fibrosis—including cytokine signaling, integrin-mediated mechanotransduction, and altered ECM degradation—the synthesis and secretion of collagen remain central bottlenecks. Collagen biosynthesis is a complex process involving extensive post-translational modification and intracellular trafficking. The export of procollagen from the endoplasmic reticulum (ER) requires Transport and Golgi Organisation 1 (TANGO1), a transmembrane organizer of ER exit sites that coordinates cargo selection, membrane remodeling, and connectivity between the ER and the ER-Golgi-Intermediate-Comaprtment (ERGIC). By assembling into ring-like structures at ER exit sites, TANGO1 builds a secretory route for bulky cargoes that bypasses conventional vesicle constraints. Loss of TANGO1 disrupts collagen secretion and causes developmental defects across various species. In fibrotic tissues, TANGO1 expression is upregulated, linking secretory machinery to pathological matrix deposition. Recent work has identified specific interfaces within the complex of TANGO1 with its vertebrate paralogue Cutaneous T-cell lymphoma-associated antigen 5 (cTAGE5) as targets for cell-permeant peptide inhibitors. Inhibitors that selectively and specifically block TANGO1 complex formation reduce collagen secretion in fibroblasts and scar formation in vivo, offering a new strategy to modulate fibrotic processes.

Olivia  Tribillac
Anna  Bornikoel
Julian  Nüchel
Ines  Neundorf
Gerhard  Sengle
Beate  Eckes
Ishier  Raote*
Thomas  Krieg*
Fibrosis
2025,
3
(2), 10008; 
Open Access

Review

27 June 2025

Fibroblast Migration in Fibrosis

Fibroblast migration is a critical factor in wound healing, but also plays a fundamental role in fibrosis. For a fibroblast to migrate, the cell must be able to assemble factors that help it crawl across the extracellular matrix. Most of this movement is facilitated through the assembly and stability of the cytoskeleton that connects focal adhesion engagement with the extracellular matrix to intracellular stress fibers that wrap around the nucleus. These intracellular stress fibers help to polarize the fibroblast and orient the nucleus in the direction it is traveling. Changes in intracellular signaling for the fibroblast to move are also required, and this is necessitated by downstream signaling mediated by sonic hedgehog, WNT/β-catenin, ROCK/Rho, and PI3K/AKT. These changes regulate the stability of the cytoskeleton and, in addition, increase the expression of genes involved in cell migration. This review assimilates what is known about the function of the cytoskeleton in migration and the role of intracellular signaling pathways in fibrosis.

Betty T.Jackson
Carol M.Artlett*
Fibrosis
2025,
3
(2), 10009; 
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