Evidence map›Paper›PMID 22328737›Full record

ArticleAnnals of the rheumatic diseases2012

β-catenin is a central mediator of pro-fibrotic Wnt signaling in systemic sclerosis.

Christian Beyer, Amelie Schramm, Alfiya Akhmetshina, Clara Dees, Trayana Kireva, Kolja Gelse, Sonali Sonnylal, Benoit de Crombrugghe, Makoto Mark Taketo, Oliver Distler and 2 more

Open access · greenAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 1 synthesis or guideline pooled it, 201 citations in OpenAlex.

  1. Pooled it
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  8. Research progress on scar-free healing.Annals of medicine · 2025
    Review
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  10. Wnt Activation in Mature Dermal Adipocytes Leads to Lipodystrophy and Skin Fibrosis via ATGL-Dependent Lipolysis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
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48 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 4 countries.

Christian BeyerDepartment of Internal Medicine III and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.
Amelie Schramm
Alfiya Akhmetshina
Clara Dees
Trayana Kireva
Kolja Gelse
Sonali Sonnylal
Benoit de Crombrugghe
Makoto Mark Taketo
Oliver Distler
Georg Schett
Jörg H W Distler
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEThe University of Texas MD Anderson Cancer Center · USKyoto University · JPUniversitätsklinikum Erlangen · DEUniversity Hospital of Zurich · CH

Funding

Role of TGF-beta and CTGF Signaling Transgenic Mouse Models of SclerodermaP50AR054144 · NIAMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI CROMBRUGGHE, BENOIT DE · 2006 to 2010
$7.7M
NIAMS NIH HHS P50 AR054144
6 · The paper itself

Abstract

objectivesPathologic fibroblast activation drives fibrosis of the skin and internal organs in patients with systemic sclerosis (SSc). β-catenin is an integral part of adherens junctions and a central component of canonical Wnt signaling. Here, the authors addressed the role of β-catenin in fibroblasts for the development of SSc dermal fibrosis.

methodsNuclear accumulation of β-catenin in fibroblasts was assessed by triple staining for β-catenin, prolyl-4-hydroxylase-β and 4',6-diamidino-2-phenylindole (DAPI). The expression of Wnt proteins in the skin was analysed by real-time PCR and immunohistochemistry. Mice with fibroblast-specific stabilisation or fibroblast-specific depletion were used to evaluate the role of β-catenin in fibrosis.

resultsThe auhors found significantly increased nuclear levels of β-catenin in fibroblasts in SSc skin compared to fibroblasts in the skin of healthy individuals. The accumulation of β-catenin resulted from increased expression of Wnt-1 and Wnt-10b in SSc. The authors further showed that the nuclear accumulation of β-catenin has direct implications for the development of fibrosis: Mice with fibroblast-specific stabilisation of β-catenin rapidly developed fibrosis within 2 weeks with dermal thickening, accumulation of collagen and differentiation of resting fibroblasts into myofibroblasts. By contrast, fibroblast-specific deletion of β-catenin significantly reduced bleomycin-induced dermal fibrosis.

conclusionsThe present study findings identify β-catenin as a key player of fibroblast activation and tissue fibrosis in SSc. Although further translational studies are necessary to test the efficacy and tolerability of β-catenin/Wnt inhibition in SSc, the present findings may have clinical implications, because selective inhibitors of β-catenin/Wnt signaling have recently entered clinical trials.

Indexed as

Wnt Signaling PathwayAdultAgedbeta CateninCell NucleusFemaleFibroblastsFibrosisHumansMaleMiddle AgedScleroderma, SystemicSkinWnt ProteinsYoung Adultbeta CateninCTNNB1 protein, humanCTNNB1 protein, mouseWnt Proteins

Identifiers

PMID22328737
PMCPMC3951949
OpenAlexW2106544674

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.