Evidence map›Paper›PMID 32134204›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2020

Profibrotic Activation of Human Macrophages in Systemic Sclerosis.

Rajan Bhandari, Michael S Ball, Viktor Martyanov, Dillon Popovich, Evelien Schaafsma, Saemi Han, Mohamed ElTanbouly, Nicole M Orzechowski, Mary Carns, Esperanza Arroyo and 4 more

Open access · greenAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
6.5field-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

51 citing papers in PubMed, 85 citations in OpenAlex.

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  14. The Multifaceted Role of Macrophages in Biology and Diseases.International journal of molecular sciences · 2025
    Review
  15. Article
  16. Immune network · 2024
    Article
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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

14 authors at 3 institutions in 1 country.

Rajan BhandariGeisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Michael S BallGeisel School of Medicine at Dartmouth, Lebanon, New Hampshire.ORCID 0000-0001-7322-7642
Viktor MartyanovGeisel School of Medicine at Dartmouth, Hanover, New Hampshire.ORCID 0000-0002-7964-425X
Dillon PopovichGeisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Evelien SchaafsmaGeisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Saemi HanGeisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Mohamed ElTanboulyGeisel School of Medicine at Dartmouth, Lebanon, New Hampshire.ORCID 0000-0001-7985-3839
Nicole M OrzechowskiDartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.ORCID 0000-0001-7494-5240
Mary CarnsNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Esperanza ArroyoNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Kathleen ArenNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Monique HinchcliffNorthwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID 0000-0002-8652-9890
Michael L WhitfieldGeisel School of Medicine at Dartmouth, Hanover and Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.ORCID 0000-0002-0862-6003
Patricia A PioliGeisel School of Medicine at Dartmouth, Lebanon, New Hampshire.ORCID 0000-0001-6896-7259
Dartmouth College · USNorthwestern University · USDartmouth–Hitchcock Medical Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Rheumatic Diseases Research Core CentersP30AR061271 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BHAWAN, JAG · 2011 to 2015
$3.1M
Regulation of Macrophage Activation and Inflammation in SclerodermaR03AR068097 · NIAMS · DARTMOUTH COLLEGE · PI PIOLI, PATRICIA A. · 2016 to 2018
$243k
Mechanisms of Macrophage Activation and Function in SclerodermaR56AR063985 · NIAMS · DARTMOUTH COLLEGE · PI PIOLI, PATRICIA A. · 2014 to 2014
$81k
Congressionally Directed Medical Research Programs W81XWH-14-1-0224NCATS NIH HHS UL1 TR001863NIAMS NIH HHS P30 AR061271NIAMS NIH HHS R03 AR068097NIAMS NIH HHS R56 AR063985
6 · The paper itself

Abstract

objectiveGenome-wide gene expression studies implicate macrophages as mediators of fibrosis in systemic sclerosis (SSc), but little is known about how these cells contribute to fibrotic activation in SSc. We undertook this study to characterize the activation profile of SSc monocyte-derived macrophages and assessed their interaction with SSc fibroblasts.

methodsPlasma and peripheral blood mononuclear cells (PBMCs) were obtained from whole blood from SSc patients (n = 24) and age- and sex-matched healthy controls (n = 12). Monocytes were cultured with autologous or allogeneic plasma to differentiate cells into macrophages. For reciprocal activation studies, macrophages were cocultured with fibroblasts using Transwell plates.

resultsThe gene expression signature associated with blood-derived human SSc macrophages was enriched in SSc skin in an independent cohort and correlated with skin fibrosis. SSc macrophages expressed surface markers associated with activation and released CCL2, interleukin-6, and transforming growth factor β under basal conditions (n = 8) (P < 0.05). Differentiation of healthy donor monocytes in plasma from SSc patients conferred the immunophenotype of SSc macrophages (n = 13) (P < 0.05). Transwell experiments demonstrated that coculture of SSc macrophages with SSc fibroblasts induced fibroblast activation (n = 3) (P < 0.05).

conclusionThese data demonstrate that the activation profile of SSc macrophages is profibrotic. SSc macrophages are activated under basal conditions and release mediators and express surface markers associated with both alternative and inflammatory macrophage activation. These findings also suggest that activation of SSc macrophages arises from soluble factors in local microenvironments. These studies implicate macrophages as likely drivers of fibrosis in SSc and suggest that therapeutic targeting of these cells may be beneficial in ameliorating disease in SSc patients.

Indexed as

AdultAntigens, CDAntigens, Differentiation, MyelomonocyticCD163 AntigenCell DifferentiationChemokine CCL2Coculture TechniquesFemaleFibroblastsFibrosisHLA-DR AntigensHumansImmunophenotypingInterleukin-6Lectins, C-TypeLeukocytes, MononuclearAntigens, CDAntigens, Differentiation, MyelomonocyticCCL2 protein, humanCD163 AntigenChemokine CCL2HLA-DR AntigensIL6 protein, humanInterleukin-6Lectins, C-TypeMannose-Binding LectinsMannose ReceptorReceptors, Cell SurfaceReceptor, Transforming Growth Factor-beta Type IReceptor, Transforming Growth Factor-beta Type IIRNA, MessengerSTAT3 protein, humanSTAT3 Transcription FactorTGFBR1 protein, humanTGFBR2 protein, humanTransforming Growth Factor beta

Identifiers

PMID32134204
PMCPMC7329566
OpenAlexW3009803846

What OpenQuestion holds

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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.