Alterations of ROS pathways in scleroderma begin at stem cell level
M Orciani1, S Svegliati, S Gorbi
1Department of Clinical and Molecular Sciences and Histology, Università Politecnica delle Marche, Ancona, Italy.
Abstract:
Scleroderma is a chronic systemic autoimmune disease (primarily of the skin) characterized by fibrosis (or hardening), vascular alterations and autoantibodies production.There are currently no effective therapies against this devastating and often lethal disorder. Despite the interest for the immunomodulatory effects of mesenchymal stem cells (MSCs) in autoimmune diseases, the role of MSCs in scleroderma is still unknown. A pivotal role in scleroderma onset is played by oxidative stress associated with the accumulation of great amounts of reactive oxygen species (ROS). This study depicts some phenotypic and functional features of MSCs isolated from the skin of healthy and scleroderma patients; the ROS production and accumulation, the expression of ERK1/2 and the effects of the stimulation with PDGF, were analyzed in MSCs; results were compared to those observed in primary fibroblasts (Fbs) isolated from the same subjects. We found that the pro-oxidant environment exerted by scleroderma affects MSCs, which are still able to counteract the ROS accumulation by improving the antioxidant defenses. On the contrary, scleroderma fibroblasts show a disruption of these mechanisms, with consequent ROS increase and the activation of the cascade triggered by scleroderma auto-antibodies against PDGFR.
Insights
Mesenchymal stem cells (MSCs) from scleroderma patients maintain antioxidant defenses against oxidative stress, unlike scleroderma fibroblasts. This suggests MSCs could be a potential therapy for scleroderma, a fibrotic autoimmune disease.
Area of Science:
- Immunology
- Dermatology
- Cell Biology
Background:
- Scleroderma is a severe autoimmune disease causing skin fibrosis and vascular issues.
- Current scleroderma therapies are limited, highlighting the need for novel treatments.
- Oxidative stress, marked by reactive oxygen species (ROS), is crucial in scleroderma pathogenesis.
Purpose of the Study:
- To investigate the role and function of mesenchymal stem cells (MSCs) in scleroderma.
- To compare ROS production and antioxidant defenses in MSCs and fibroblasts from scleroderma patients versus healthy individuals.
- To analyze the impact of the scleroderma environment on MSCs and fibroblasts.
Main Methods:
- Isolation and characterization of MSCs and fibroblasts from scleroderma and healthy skin.
- Measurement of reactive oxygen species (ROS) production and antioxidant capacity.
- Analysis of ERK1/2 expression and response to platelet-derived growth factor (PDGF) stimulation.
- Comparison of cellular responses between MSCs and fibroblasts.
Main Results:
- Scleroderma-associated oxidative stress affects MSCs, but they retain the ability to enhance antioxidant defenses.
- Scleroderma fibroblasts exhibit impaired antioxidant mechanisms, leading to increased ROS.
- Fibroblasts show activation of pathways triggered by autoantibodies against PDGFR in scleroderma patients.
Conclusions:
- MSCs demonstrate resilience to the scleroderma pro-oxidant environment, maintaining functional antioxidant capacity.
- Scleroderma fibroblasts display a breakdown in oxidative stress management, contributing to disease progression.
- These findings suggest MSCs hold therapeutic potential for managing oxidative stress in scleroderma.
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