Evidence map›Paper›PMID 31840182›Full record

ArticleRheumatology (Oxford, England)2020

Extracellular SPARC cooperates with TGF-β signalling to induce pro-fibrotic activation of systemic sclerosis patient dermal fibroblasts.

Tiago Carvalheiro, Beatriz Malvar Fernández, Andrea Ottria, Barbara Giovannone, Wioleta Marut, Kris A Reedquist, Samuel Garcia, Timothy R Radstake

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Key regulatory elements of the TGFβ-LRRC15 axis predict disease progression and immunotherapy resistance across cancer types.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  16. Human Metabolites ofFrontiers in pharmacology · 2021
    Article
  17. Emerging Roles of Matricellular Proteins in Systemic Sclerosis.International journal of molecular sciences · 2020
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  18. Review
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

8 authors at 1 institution in 1 country.

Tiago CarvalheiroDepartment of Rheumatology and Clinical Immunology.
Beatriz Malvar FernándezDepartment of Rheumatology and Clinical Immunology.
Andrea OttriaDepartment of Rheumatology and Clinical Immunology.
Barbara GiovannoneDepartment of Dermatology, University Medical Centre Utrecht, University of Utrecht, Utrecht, The Netherlands.
Wioleta MarutDepartment of Rheumatology and Clinical Immunology.
Kris A ReedquistDepartment of Rheumatology and Clinical Immunology.
Samuel GarciaDepartment of Rheumatology and Clinical Immunology.
Timothy R RadstakeDepartment of Rheumatology and Clinical Immunology.
University Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSSc is an autoimmune disease characterized by inflammation, vascular injury and excessive fibrosis in multiple organs. Secreted protein acidic and rich in cysteine (SPARC) is a matricellular glycoprotein that regulates processes involved in SSc pathology, such as inflammation and fibrosis. In vivo and in vitro studies have implicated SPARC in SSc, but it is unclear if the pro-fibrotic effects of SPARC on fibroblasts are a result of intracellular signalling or fibroblast interactions with extracellular SPARC hampering further development of SPARC as a potential therapeutic target. This study aimed to analyse the potential role of exogenous SPARC as a regulator of fibrosis in SSc.

methodsDermal fibroblasts from both healthy controls and SSc patients were stimulated with SPARC alone or in combination with TGF-β1, in the absence or presence of a TGF receptor 1 inhibitor. mRNA and protein expression of extracellular matrix components and other fibrosis-related mediators were measured by quantitative PCR and western blot.

resultsExogenous SPARC induced mRNA and protein expression of collagen I, collagen IV, fibronectin 1, TGF-β and SPARC by dermal fibroblasts from SSc patients, but not from healthy controls. Importantly, exogenous SPARC induced the activation of the tyrosine kinase SMAD2 and pro-fibrotic gene expression induced by SPARC in SSc fibroblasts was abrogated by inhibition of TGF-β signalling.

conclusionThese results indicate that exogenous SPARC is an important pro-fibrotic mediator contributing to the pathology driving SSc but in a TGF-β dependent manner. Therefore, SPARC could be a promising therapeutic target for reducing fibrosis in SSc patients, even in late states of the disease.

Indexed as

Case-Control StudiesCells, CulturedExtracellular MatrixExtracellular Matrix ProteinsFibroblastsFibrosisHumansOsteonectinRNA, MessengerScleroderma, SystemicSignal TransductionSkinTranscriptional ActivationTransforming Growth Factor beta1Extracellular Matrix ProteinsOsteonectinRNA, MessengerSPARC protein, humanTGFB1 protein, humanTransforming Growth Factor beta1dermal fibroblastsfibrosissignallingSPARCSScTGF-β

Identifiers

PMID31840182
PMCPMC7449812
OpenAlexW2995512753

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Registered trials

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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.