Elevated serum levels of sonic hedgehog are associated with fibrotic and vascular manifestations in systemic sclerosis

Autor: Serena Vettori, Andreas Ramming, Gabriele Valentini, Jérôme Avouac, Ulf Müller-Ladner, Britta Maurer, Jörg H W Distler, Serena Guiducci, Marco Matucci-Cerinic, Dörte Huscher, Yannick Allanore, Oliver Distler, Veronika K. Jaeger, Florian M P Meier, Georg Schett, Ulrich A Walker, Gabriela Riemekasten, Elise Siegert, Christian Beyer, Christina Bergmann
Přispěvatelé: Beyer, Christian, Huscher, Dörte, Ramming, Andrea, Bergmann, Christina, Avouac, Jerome, Guiducci, Serena, Meier, Florian, Vettori, Serena, Siegert, Elise, Jaeger, Veronika K, Maurer, Britta, Riemekasten, Gabriela, Walker, Ulrich, Müller Ladner, Ulf, Valentini, Gabriele, Matucci Cerinic, Marco, Allanore, Yannick, Distler, Oliver, Schett, Georg, Distler, Jörg H. W., University of Zurich, Distler, Jörg H W
Jazyk: angličtina
Rok vydání: 2018
Předmět:
0301 basic medicine
medicine.medical_specialty
Pathology
animal structures
2745 Rheumatology
Immunology
610 Medicine & health
Genetics and Molecular Biology
Systemic Sclerosis
Autoimmune Disease
General Biochemistry
Genetics and Molecular Biology

Scleroderma
Pathogenesis
03 medical and health sciences
0302 clinical medicine
Rheumatology
Fibrosis
1300 General Biochemistry
Genetics and Molecular Biology

Internal medicine
medicine
Immunology and Allergy
Sonic hedgehog
skin and connective tissue diseases
030203 arthritis & rheumatology
2403 Immunology
integumentary system
biology
business.industry
Case-control study
10051 Rheumatology Clinic and Institute of Physical Medicine
medicine.disease
Phenotype
Pulmonary hypertension
030104 developmental biology
embryonic structures
General Biochemistry
biology.protein
2723 Immunology and Allergy
Fibroblast
business
Popis: Fibrotic tissue remodelling and vascular alterations cause high morbidity and mortality in patients with systemic sclerosis (SSc).1 2 While the pathogenesis of SSc is only partially understood, recent evidence demonstrates a fundamental role of hedgehog signalling in fibrotic disease manifestations. Hedgehog signalling is activated in fibrotic SSc skin, and it induces an SSc-like phenotype in resting fibroblasts.3 Overexpression of sonic hedgehog (SHH) induces skin fibrosis, whereas inhibition of hedgehog signalling ameliorates experimental fibrosis.4 Based on these experimental findings, this European Scleroderma Trials and Research group (EUSTAR) multicentre cooperative study investigates whether circulating SHH may serve as a surrogate marker for a more severe disease phenotype in patients with SSc. We decided to evaluate SHH serum levels rather than total circulating SHH. Measurements of SHH serum levels are easy and robust but may not assess particulated SHH in various different extracellular vesicles. …
Databáze: OpenAIRE