Evidence map›Paper›PMID 27390295›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2016

An Autotaxin/Lysophosphatidic Acid/Interleukin-6 Amplification Loop Drives Scleroderma Fibrosis.

Flavia V Castelino, Gretchen Bain, Veronica A Pace, Katharine E Black, Leaya George, Clemens K Probst, Lance Goulet, Robert Lafyatis, Andrew M Tager

Open access · greenAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

56 citing papers in PubMed, 96 citations in OpenAlex.

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  12. Lysophosphatidic acid receptor 1 inhibition: a potential treatment target for pulmonary fibrosis.European respiratory review : an official journal of the European Respiratory Society · 2024
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  15. Role of Interleukin-6 Family Cytokines in Organ Fibrosis.Kidney diseases (Basel, Switzerland) · 2023
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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

9 authors at 4 institutions in 1 country.

Flavia V CastelinoMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Gretchen BainPharmAkea, San Diego, California.
Veronica A PaceMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Katharine E BlackMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Leaya GeorgeMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Clemens K ProbstMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Lance GouletPharmAkea, San Diego, California.
Robert LafyatisBoston University, Boston, Massachusetts.
Andrew M TagerMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Harvard University · USMassachusetts General Hospital · USPatara Pharma (United States) · USBoston University · US

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI ANDREW D LUSTER · 1991 to 2026
$35.3M
The LPA Pathway in Lung Fibrosis: Novel Mediators and New Therapeutic TargetsR01HL095732 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI TAGER, ANDREW M · 2009 to 2010
$922k
The Role Of Lysophosphatidic Acid (LPA) And Its Receptor, LPA1 In SclerodermaK08AR062592 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI CASTELINO, FLAVIA V · 2012 to 2016
$694k
NHLBI NIH HHS R01 HL095732NIAMS NIH HHS K08 AR062592NIDDK NIH HHS P30 DK043351
6 · The paper itself

Abstract

objectiveWe previously implicated the lipid mediator lysophosphatidic acid (LPA) as having a role in dermal fibrosis in systemic sclerosis (SSc). The aim of this study was to identify the role of the LPA-producing enzyme autotaxin (ATX), and to connect the ATX/LPA and interleukin-6 (IL-6) pathways in SSc.

methodsWe evaluated the effect of a novel ATX inhibitor, PAT-048, on fibrosis and IL-6 expression in the mouse model of bleomycin-induced dermal fibrosis. We used dermal fibroblasts from SSc patients and control subjects to evaluate LPA-induced expression of IL-6, and IL-6-induced expression of ATX. We next evaluated whether LPA-induced ATX expression is dependent on IL-6, and whether baseline IL-6 expression in fibroblasts from SSc patients is dependent on ATX. Finally, we compared ATX and IL-6 expression in the skin of patients with SSc and healthy control subjects.

resultsPAT-048 markedly attenuated bleomycin-induced dermal fibrosis when treatment was initiated before or after the development of fibrosis. LPA stimulated expression of IL-6 in human dermal fibroblasts, and IL-6 stimulated fibroblast expression of ATX, connecting the ATX/LPA and IL-6 pathways in an amplification loop. IL-6 knockdown abrogated LPA-induced ATX expression in fibroblasts, and ATX inhibition attenuated IL-6 expression in fibroblasts and the skin of bleomycin-challenged mice. Expression of both ATX and IL-6 was increased in SSc skin, and LPA-induced IL-6 levels and IL-6-induced ATX levels were increased in fibroblasts from SSc patients compared with controls.

conclusionATX is required for the development and maintenance of dermal fibrosis in a mouse model of bleomycin-induced SSc and enables 2 major mediators of SSc fibrogenesis, LPA and IL-6, to amplify the production of each other. Our results suggest that concurrent inhibition of these 2 pathways may be an effective therapeutic strategy for dermal fibrosis in SSc.

Indexed as

AnimalsBenzoatesBleomycinCase-Control StudiesDisease Models, AnimalEnzyme-Linked Immunosorbent AssayFemaleFibroblastsFibrosisHumansImmunohistochemistryInterleukin-6Lysophospholipase DLysophospholipidsMicePhosphodiesterase InhibitorsBenzoatesBleomycinIL6 protein, humanInterleukin-6interleukin-6, mouselysophosphatidic acidLysophospholipase DLysophospholipidsPAT-048Phosphodiesterase InhibitorsPhosphoric Diester HydrolasesRNA, Small Interfering

Identifiers

PMID27390295
PMCPMC5125861
OpenAlexW2460467379

What OpenQuestion holds

Textmetadata
LicenceTDM
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.