Evidence map›Paper›PMID 34750102›Full record

ArticleAnnals of the rheumatic diseases2022

Antifibrotic factor KLF4 is repressed by the miR-10/TFAP2A/TBX5 axis in dermal fibroblasts: insights from twins discordant for systemic sclerosis.

Maya Malaab, Ludivine Renaud, Naoko Takamura, Kip D Zimmerman, Willian A da Silveira, Paula S Ramos, Sandra Haddad, Marc Peters-Golden, Loka R Penke, Bethany Wolf and 4 more

Open access · greenAbstract readTwin Study
In one paragraph

Article in Annals of the rheumatic diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

27 citing papers in PubMed, 36 citations in OpenAlex.

  1. Review
  2. Article
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  4. Sex Disparity in Systemic Sclerosis-Associated Pulmonary Fibrosis.International journal of molecular sciences · 2026
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  10. Distinct cAMP Regulation in Scleroderma Lung and Skin Myofibroblasts Governs Their Dedifferentiation via p38α Inhibition.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
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  11. Review
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  19. Role of sPD-1 and sPD-Ls in the pathogenesis of connective tissue disease.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 2 countries.

Maya Malaab *Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Ludivine Renaud *Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID 0000-0002-9300-5032
Naoko Takamura *Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Kip D ZimmermanBiostatistical Sciences and Center for Public Health Genomics, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Willian A da SilveiraSchool of Biological Sciences, Institute for Global Food Security, Queen's University Belfast, Belfast, UK.
Paula S RamosMedicine, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID 0000-0002-9433-6634
Sandra HaddadScience, Bay Path University, Longmeadow, Massachusetts, USA.
Marc Peters-GoldenInternal Medicine, University of Michigan Michigan Medicine, Ann Arbor, Michigan, USA.
Loka R PenkeInternal Medicine, University of Michigan Michigan Medicine, Ann Arbor, Michigan, USA.
Bethany WolfPublic Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
Gary HardimanSchool of Biological Sciences, Institute for Global Food Security, Queen's University Belfast, Belfast, UK.
Carl D LangefeldBiostatistical Sciences and Center for Public Health Genomics, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Thomas A MedsgerMedicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Carol A Feghali-BostwickMedicine, Medical University of South Carolina, Charleston, South Carolina, USA feghalib@musc.edu.ORCID 0000-0002-6750-6407
Medical University of South Carolina · USMichigan Medicine · USNorth Carolina Division of Public Health · USQueen's University Belfast · GBBay Path University · USUniversity of Pittsburgh · US

Funding

Novel Functions of Lung Macrophages and Fibroblasts in Pulmonary Inflammation and FibrosisR35HL144979 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PETERS-GOLDEN, MARC L · 2019 to 2025
$6.5M
Training Grant in Inflammatory and Fibrosing DiseasesT32AR050958 · NIAMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DIANE L KAMEN · 2005 to 2026
$4.2M
Scleroderma Twin Study and analysis of Estrogen in patients with dcSScK24AR060297 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FEGHALI-BOSTWICK, CAROL A. · 2013 to 2025
$1.4M
The role of natural selection in SLE risk among African-AmericansK01AR067280 · NIAMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI RAMOS, PAULA SOFIA · 2015 to 2018
$516k
NHLBI NIH HHS R35 HL144979NIAMS NIH HHS K01 AR067280NIAMS NIH HHS K24 AR060297NIAMS NIH HHS T32 AR050958
6 · The paper itself

Abstract

objectivesSystemic sclerosis (SSc) is a complex disease of unknown aetiology in which inflammation and fibrosis lead to multiple organ damage. There is currently no effective therapy that can halt the progression of fibrosis or reverse it, thus studies that provide novel insights into disease pathogenesis and identify novel potential therapeutic targets are critically needed.

methodsWe used global gene expression and genome-wide DNA methylation analyses of dermal fibroblasts (dFBs) from a unique cohort of twins discordant for SSc to identify molecular features of this pathology. We validated the findings using in vitro, ex vivo and in vivo models.

resultsOur results revealed distinct differentially expressed and methylated genes, including several transcription factors involved in stem cell differentiation and developmental programmes (

conclusionsOur data support a role for epigenetic dysregulation in mediating SSc susceptibility in dFBs, illustrating the intricate interplay between CpG methylation, miRNAs and transcription factors in SSc pathogenesis, and highlighting the potential for future use of epigenetic modifiers as therapies.

Indexed as

Scleroderma, SystemicCells, CulturedFibroblastsGene Expression RegulationHumansKruppel-Like Factor 4MicroRNAsSkinT-Box Domain ProteinsTranscription Factor AP-2TranscriptomeKruppel-Like Factor 4MicroRNAsMIRN10 microRNA, humanT-Box Domain ProteinsT-box transcription factor 5TFAP2A protein, humanTranscription Factor AP-2fibroblastssclerodermasystemicsystemic sclerosis

Identifiers

PMID34750102
PMCPMC8758541
OpenAlexW3212309622

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.