Evidence map›Paper›PMID 42098768›Full record

ArticleArthritis research & therapy2026

Aurora A kinase activation contributes to the fibrotic phenotype in systemic sclerosis through primary cilia shortening.

Rebecca Wells, Begoña Caballero-Ruiz, Panji Mulipa, Alex J Timmis, Maria E Teves, John Varga, Francesco Del Galdo, Rebecca L Ross, Natalia A Riobo-Del Galdo

Abstract read
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Article in Arthritis research & therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Rebecca WellsLeeds Institute of Rheumatic and Musculoskeletal Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, LS9 7TF, UK.
Begoña Caballero-RuizLeeds Institute of Rheumatic and Musculoskeletal Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, LS9 7TF, UK.
Panji MulipaLeeds Institute of Rheumatic and Musculoskeletal Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, LS9 7TF, UK.
Alex J TimmisSchool of Molecular and Cellular Biology, Faculty of Biological Sciences, University of Leeds, Leeds, LS2 9JT, UK.
Maria E TevesDepartment of Obstetrics and Gynecology, Virginia Commonwealth University, Richmond, VA, 23298, USA.
John VargaDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, 48109, USA.
Francesco Del GaldoLeeds Institute of Rheumatic and Musculoskeletal Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, LS9 7TF, UK.
Rebecca L RossLeeds Institute of Rheumatic and Musculoskeletal Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, LS9 7TF, UK.
Natalia A Riobo-Del GaldoSchool of Molecular and Cellular Biology, Faculty of Biological Sciences, University of Leeds, Leeds, LS2 9JT, UK. n.a.riobo-delgaldo@leeds.ac.uk.

Funding

NIHR BRC NIHR213331
6 · The paper itself

Abstract

backgroundSystemic sclerosis (SSc) is a severe autoimmune disease characterised by progressive fibrosis driven by fibroblast activation. Primary cilia, key hubs for profibrotic signalling, are markedly shortened in SSc fibroblasts, but the mechanisms underlying this phenotype remain unclear. This study aimed to define the signalling pathways responsible for primary cilia shortening and fibroblast activation in SSc.

methodsPrimary dermal fibroblasts from SSc patients and healthy controls were analysed for cilia incidence and length by immunofluorescence, profibrotic marker expression by qPCR, and contractility using gel contraction assays. Cells were treated with TGFβ1 and pharmacological inhibitors targeting AURKA, HDAC6, ROCK2, and Smad3 signalling. CAV1-silenced fibroblasts were used as an in vitro model of SSc.

resultsMaintenance of the constitutively short primary cilia phenotype in SSc fibroblasts did not require active TGFβ signalling. However, TGFβ1 induced reversible cilia shortening in healthy fibroblasts and further shortened cilia in SSc fibroblasts to a similar final length, mediated by Rho/ROCK2 rather than canonical Smad3-dependent signalling. Constitutive cilia shortening in SSc was driven by aberrant AURKA activity upstream of HDAC6, promoting ciliary disassembly. Pharmacological inhibition of AURKA or HDAC6 selectively elongated cilia in SSc fibroblasts, reduced profibrotic marker expression, and abrogated fibroblast contractility, but it did not affect healthy control cells. CAV1-silenced fibroblasts similarly exhibited constitutive cilia shortening that was reversed by AURKA inhibition without affecting healthy cells.

conclusionsThe AURKA/HDAC6 axis maintains short primary cilia and promotes fibroblast activation in SSc. These findings reveal a mechanistic link between cilia morphology and fibrosis and identify AURKA as a potential therapeutic target for SSc-associated tissue remodelling.

Indexed as

Aurora Kinase ACiliaFibroblastsScleroderma, SystemicCaveolin 1Cells, CulturedEnzyme ActivationFemaleFibrosisHistone Deacetylase 6HumansMaleMiddle AgedPhenotypeSignal TransductionTransforming Growth Factor beta1AURKA protein, humanAurora Kinase ACAV1 protein, humanCaveolin 1Histone Deacetylase 6Transforming Growth Factor beta1Aurora A kinaseCaveolin-1FibrosisHDAC6Primary ciliaSystemic sclerosis

Identifiers

PMID42098768
PMCPMC13317384

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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.