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Immunopathogenesis of Juvenile Systemic Sclerosis
Anne M Stevens1, Kathryn S Torok2, Suzanne C Li3
1Division of Rheumatology, Department of Pediatrics, University of Washington, Seattle, WA, United States.
Frontiers in Immunology
|July 12, 2019
Summary
Juvenile-onset systemic sclerosis (jSSc) is a rare autoimmune disease. Research suggests targeting dermal white adipose tissue dendritic cells may reverse fibrosis in jSSc.
Area of Science:
- Rheumatology
- Immunology
- Pediatrics
Background:
- Juvenile-onset systemic sclerosis (jSSc) is a rare, severe autoimmune condition.
- jSSc involves life-threatening organ inflammation and fibrosis, yet shows better outcomes than adult SSc.
- jSSc shares etiological similarities with adult SSc, including inflammatory mediators and autoantibodies, but has unique genetic factors.
Purpose of the Study:
- To summarize the current understanding of juvenile-onset systemic sclerosis.
- To highlight the differences and similarities between jSSc and adult-onset SSc.
- To explore potential new therapeutic targets for the fibrotic stage of jSSc.
Main Methods:
- Review of existing literature on jSSc.
- Comparison of jSSc characteristics with adult-onset SSc.
- Analysis of genetic and immunological data.
Main Results:
- jSSc organ manifestations resemble adult SSc but with improved survival.
- jSSc genetics differ from adult female SSc, aligning more with adult male SSc, with unique childhood-specific HLA genes.
- A significant subset of jSSc patients exhibit uncharacterized anti-nuclear antibodies.
Conclusions:
- jSSc presents unique genetic associations compared to adult SSc.
- Current treatments focus on inflammation, but fibrotic mechanisms offer novel therapeutic avenues.
- Dermal white adipose tissue dendritic cells represent a potential target for reversing fibrosis in jSSc.
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