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Interleukin-17 pathways in systemic sclerosis-associated fibrosis.

Sakir Ahmed1, Durga Prasanna Misra2, Vikas Agarwal3

  • 1Department of Clinical Immunology and Rheumatology, Kalinga Institute of Medical Sciences (KIMS), KIIT University, Bhubaneswar, 751024, India.

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Summary

Fibrosis, a key feature of systemic sclerosis (SSc), involves complex pathways. Understanding novel targets like Interleukin-17 (IL-17) and its related molecules is crucial for developing effective antifibrotic therapies.

Keywords:
FibrosisInterleukin 17STAT3Systemic sclerosisT helper 17

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Area of Science:

  • Immunology
  • Pathology
  • Molecular Biology

Background:

  • Fibrosis, characterized by unregulated tissue repair, impairs organ function and is central to systemic sclerosis (SSc).
  • Previous therapeutic targets for SSc, including TGF-β and IL-6, have shown limited success.
  • Emerging evidence links Interleukin-17 (IL-17) and its downstream pathways to fibrosis across multiple organs.

Purpose of the Study:

  • To review the current understanding of fibrotic mechanisms in SSc.
  • To highlight the role of IL-17 and newly identified signaling molecules in fibrosis.
  • To emphasize the need for further research into these pathways for therapeutic development.

Main Methods:

  • Literature review of studies on fibrosis, SSc, and related molecular pathways.
  • Analysis of evidence linking IL-17, PD-1, SHP2, STAT3, Ras/Erk, mTOR, and complement components to fibrotic processes.
  • Synthesis of data from patient cohorts and animal models of SSc.

Main Results:

  • IL-17 and its downstream effectors are strongly implicated in the initiation and progression of fibrosis in SSc.
  • Novel molecules such as Programmed Death-protein1 (PD-1) and SHP2, alongside STAT3, Ras/Erk, mTOR, and complement, are involved in fibrotic pathogenesis.
  • These pathways exhibit complex interactions, redundancies, and potential for off-target effects.

Conclusions:

  • IL-17 and associated molecular pathways represent promising targets for antifibrotic therapies in SSc.
  • A comprehensive understanding of the interplay between these newly identified molecules and IL-17 is essential.
  • Further elucidation of these complex biological networks is required to optimize therapeutic strategies for modulating fibrosis.