A potential new approach for treating systemic sclerosis: Dedifferentiation of SSc fibroblasts and change in the

Ching-Ying Wu1,2,3, Wen-Li Hsu2,4, Ming-Hsien Tsai5

  • 1Department of Dermatology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

Plos One
|March 15, 2019
PubMed

Insights

Systemic sclerosis (SSc) treatment requires targeting store-operated calcium entry (SOCE). Inhibiting SOCE in SSc fibroblasts reduces fibrosis and promotes dedifferentiation, offering a novel therapeutic strategy for SSc.

Area of Science:

  • Cell Biology
  • Biochemistry
  • Immunology

Background:

  • Transforming growth factor-β (TGF-β) is a key target for systemic sclerosis (SSc), but its inhibition alone is insufficient.
  • Previous clinical trials targeting TGF-β for SSc have yielded disappointing results.
  • This study explores novel therapeutic targets for SSc beyond TGF-β.

Purpose of the Study:

  • To investigate the role of store-operated calcium entry (SOCE) in SSc pathogenesis.
  • To evaluate the therapeutic potential of SOCE inhibitors in SSc fibroblasts.
  • To elucidate the mechanism by which SOCE influences fibroblast differentiation and extracellular matrix (ECM) remodeling in SSc.

Main Methods:

  • Ingenuity Pathway Analysis (IPA) to identify SSc-associated pathways.
  • Assessing SOCE activity in SSc fibroblasts.
  • Treating SSc fibroblasts with SOCE inhibitors (2APB, SKF96365, indomethacin).
  • Analyzing fibrosis markers, cell morphology, cytoskeleton remodeling, collagen secretion, and cell mobility.

Main Results:

  • IPA revealed a strong association between SSc pathology and SOCE-regulated signals.
  • SOCE activity was significantly increased in SSc fibroblasts.
  • SOCE inhibitors selectively reduced fibrosis markers, altered cell morphology, and induced fibroblast dedifferentiation.
  • Inhibitors also modulated collagen secretion and restored cell mobility, suggesting a role for SOCE in fibroblast differentiation.

Conclusions:

  • Increased SOCE activity in SSc fibroblasts drives disease pathogenesis.
  • Blocking SOCE in SSc fibroblasts promotes dedifferentiation and alters ECM structure.
  • SOCE inhibitors represent a promising novel therapeutic strategy for systemic sclerosis.

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