Evidence map›Paper›PMID 37287944›Full record

ArticleJournal of scleroderma and related disorders2023

Altered pathways of keratinization, extracellular matrix generation, angiogenesis, and stromal stem cells proliferation in patients with systemic sclerosis.

Amelia Spinella, Domenico Lo Tartaro, Lara Gibellini, Marco de Pinto, Valentina Pinto, Elisa Bonetti, Francesca Lolli, Melba Lattanzi, Federica Lumetti, Gabriele Amati and 4 more

Abstract read
In one paragraph

Article in Journal of scleroderma and related disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Article
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.

Amelia SpinellaScleroderma Unit and Rheumatology Unit, Medical School, University of Modena and Reggio Emilia, University Hospital of Modena Policlinico of Modena, Modena, Italy.
Domenico Lo TartaroDepartment of Medical and Surgical Sciences of Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
Lara GibelliniDepartment of Medical and Surgical Sciences of Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
Marco de PintoScleroderma Unit and Rheumatology Unit, Medical School, University of Modena and Reggio Emilia, University Hospital of Modena Policlinico of Modena, Modena, Italy.ORCID https://orcid.org/0000-0002-0947-8663
Valentina PintoDivision of Plastic Surgery, University Hospital of Modena and Reggio Emilia Policlinico of Modena, Modena, Italy.
Elisa BonettiDivision of Plastic Surgery, University Hospital of Modena and Reggio Emilia Policlinico of Modena, Modena, Italy.
Francesca LolliDivision of Plastic Surgery, University Hospital of Modena and Reggio Emilia Policlinico of Modena, Modena, Italy.
Melba LattanziDivision of Plastic Surgery, University Hospital of Modena and Reggio Emilia Policlinico of Modena, Modena, Italy.ORCID https://orcid.org/0000-0003-1230-7539
Federica LumettiScleroderma Unit and Rheumatology Unit, Medical School, University of Modena and Reggio Emilia, University Hospital of Modena Policlinico of Modena, Modena, Italy.
Gabriele AmatiScleroderma Unit and Rheumatology Unit, Medical School, University of Modena and Reggio Emilia, University Hospital of Modena Policlinico of Modena, Modena, Italy.
Giorgio De SantisDepartment of Medical and Surgical Sciences of Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
Andrea CossarizzaDepartment of Medical and Surgical Sciences of Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
Carlo SalvaraniScleroderma Unit and Rheumatology Unit, Medical School, University of Modena and Reggio Emilia, University Hospital of Modena Policlinico of Modena, Modena, Italy.
Dilia GiuggioliScleroderma Unit and Rheumatology Unit, Medical School, University of Modena and Reggio Emilia, University Hospital of Modena Policlinico of Modena, Modena, Italy.ORCID https://orcid.org/0000-0002-0041-3695

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Systemic sclerosis is characterized by endothelial dysfunction, autoimmunity abnormalities, and fibrosis of the skin and internal organs. The pathogenetic mechanisms underlying systemic sclerosis vasculopathy are still not clarified. A complex cellular and extracellular network of interactions has been studied, but it is currently unclear what drives the activation of fibroblasts/myofibroblasts and the extracellular matrix deposition. Methods: Using RNA sequencing, the aim of the work was to identify potential functional pathways implied in systemic sclerosis pathogenesis and markers of endothelial dysfunction and fibrosis in systemic sclerosis patients. RNA-sequencing analysis was performed on RNA obtained from biopsies from three systemic sclerosis patients and three healthy controls enrolled in our University Hospital. RNA was used to generate sequencing libraries that were sequenced according to proper transcriptomic analyses. Subsequently, we performed gene set enrichment analysis of differentially expressed genes on the entire list of genes that compose the RNA-sequencing expression matrix. Results: Gene set enrichment analysis revealed that healthy controls were characterized by gene signatures related to stromal stem cells proliferation, cytokine-cytokine receptor interaction, macrophage-enriched metabolic network, whereas systemic sclerosis tissues were enriched in signatures associated with keratinization, cornification, retinoblastoma 1 and tumor suppressor 53 signaling. Conclusion: According to our data, RNA-sequencing and pathway analysis revealed that systemic sclerosis subjects display a discrete pattern of gene expression associated with keratinization, extracellular matrix generation, and negative regulation of angiogenesis and stromal stem cells proliferation. Further analysis on larger numbers of patients is needed; however, our findings provide an interesting framework for the development of biomarkers useful to explore potential future therapeutic approaches.

Indexed as

gene expressionpathogenetic pathwaysRNA-sequencing analysisSystemic sclerosis

Identifiers

PMID37287944
PMCPMC10242696

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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.