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Updated: Jun 10, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Recent advances in pulmonary fibrosis: implications for scleroderma.
Robert J Homer1, Erica L Herzog
1Department of Pathology, Yale University School of Medicine, New Haven, Connecticut 06510, USA.
Understanding pulmonary fibrosis, a lung scarring disease, is crucial. Recent studies reveal key mechanisms involving cell injury, immune cells, and aging, offering hope for new scleroderma-related treatments.
Area of Science:
- Pulmonary Medicine
- Immunology
- Cell Biology
Background:
- Pulmonary fibrosis is a group of lung diseases marked by scarring.
- Its causes are not fully understood, and effective treatments are lacking.
- It is a major cause of death in systemic sclerosis patients.
Purpose of the Study:
- To explore the mechanisms driving pulmonary fibrosis, particularly in systemic sclerosis.
- To identify potential therapeutic targets for scleroderma-related lung disease.
Main Methods:
- Review of animal models and translational human studies.
- Analysis of recent developments in fibrotic lung disease research.
Main Results:
- Epithelial cell injury, endoplasmic reticulum stress, and Wnt signaling are implicated.
- Alternatively activated macrophages, efferocytosis, and fibroblast origins (including EMT) are key.
- Cellular senescence, aging, and lymphocyte roles in fibrosis are emerging.
Conclusions:
- Understanding epithelial cell injury, macrophage activation, fibroblast sources, senescence, and lymphocyte function is vital.
- These insights may illuminate the pathogenesis of scleroderma-related pulmonary fibrosis.
- Novel therapeutic strategies may arise from these mechanistic discoveries.
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