Related Experiment Video
Updated: Nov 8, 2025

Vasodilation of Isolated Vessels and the Isolation of the Extracellular Matrix of Tight-skin Mice
Published on: March 24, 2017
X-linked inhibitor of apoptosis protein (XIAP) inhibition in systemic sclerosis (SSc)
Christina Bergmann1, Ludwig Hallenberger2, Sara Chenguiti Fakhouri2
1Department of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Universitätsklinikum Erlangen, Erlangen, Bayern, Germany christina.bergmann@uk-erlangen.de.
Objective:
X-linked inhibitor of apoptosis protein (XIAP) is a multifunctional protein with important functions in apoptosis, cellular differentiation and cytoskeletal organisation and is emerging as potential target for the treatment of various cancers. The aim of the current study was to investigate the role of XIAP in the pathogenesis of systemic sclerosis (SSc).
Methods:
The expression of XIAP in human skin samples of patients with SSc and chronic graft versus host disease (cGvHD) and healthy individuals was analysed by quantitative PCR, immunofluorescence (IF) and western blot. XIAP was inactivated by siRNA-mediated knockdown and pharmacological inhibition. The effects of XIAP inactivation were analysed in cultured fibroblasts and in the fibrosis models bleomycin-induced and topoisomerase-I-(topoI)-induced fibrosis and in Wnt10b-transgenic mice.
Results:
The expression of XIAP, but not of other inhibitor of apoptosis protein family members, was increased in fibroblasts in SSc and sclerodermatous cGvHD. Transforming growth factor beta (TGF-β) induced the expression of XIAP in a SMAD3-dependent manner. Inactivation of XIAP reduced WNT-induced fibroblast activation and collagen release. Inhibition of XIAP also ameliorated fibrosis induced by bleomycin, topoI and overexpression of Wnt10b in well-tolerated doses. The profibrotic effects of XIAP were mediated via WNT/β-catenin signalling. Inactivation of XIAP reduces binding of β-catenin to TCF to in a TLE-dependent manner to block WNT/β-catenin-dependent transcription.
Conclusions:
Our data characterise XIAP as a novel link between two core pathways of fibrosis. XIAP is overexpressed in SSc and cGvHD in a TGF-β/SMAD3-dependent manner and in turn amplifies the profibrotic effects of WNT/β-catenin signalling on fibroblasts via transducin-like enhancer of split 3. Targeted inactivation of XIAP inhibits the aberrant activation of fibroblasts in murine models of SSc.
Insights
X-linked inhibitor of apoptosis protein (XIAP) is elevated in systemic sclerosis (SSc) and amplifies fibrosis by linking TGF-β and WNT signaling pathways. Targeting XIAP effectively reduces fibroblast activation and ameliorates SSc in mouse models.
Area of Science:
- Molecular Biology
- Immunology
- Dermatology
Background:
- X-linked inhibitor of apoptosis protein (XIAP) is a key regulator of apoptosis and cellular processes.
- XIAP is implicated in various cancers and is an emerging therapeutic target.
- The role of XIAP in fibrotic diseases like systemic sclerosis (SSc) remains largely unexplored.
Purpose of the Study:
- To investigate the role of XIAP in the pathogenesis of systemic sclerosis (SSc).
- To determine if XIAP is a potential therapeutic target for SSc.
Main Methods:
- Quantitative PCR, immunofluorescence, and western blot were used to analyze XIAP expression in human skin samples from SSc patients, chronic graft-versus-host disease (cGvHD) patients, and healthy controls.
- XIAP was inactivated using siRNA-mediated knockdown and pharmacological inhibition.
- Effects of XIAP inactivation were assessed in cultured fibroblasts and in bleomycin- and topoisomerase-I-induced fibrosis mouse models, as well as in Wnt10b-transgenic mice.
Main Results:
- XIAP expression was significantly increased in fibroblasts from SSc and sclerodermatous cGvHD skin samples compared to controls.
- Transforming growth factor beta (TGF-β) induced XIAP expression in a SMAD3-dependent manner.
- XIAP inactivation reduced WNT-induced fibroblast activation and collagen production, ameliorating fibrosis in multiple mouse models.
- Profibrotic effects of XIAP were mediated via WNT/β-catenin signaling, with XIAP inactivation blocking β-catenin binding to TCF in a TLE-dependent manner.
Conclusions:
- XIAP acts as a novel link between TGF-β/SMAD3 and WNT/β-catenin signaling pathways in fibrosis.
- XIAP is overexpressed in SSc and cGvHD, amplifying profibrotic signaling.
- Targeted inactivation of XIAP shows promise in inhibiting aberrant fibroblast activation and treating SSc in preclinical models.
Related Concept Videos
The JAK-STAT Signaling Pathway
X-Inactivation
The Intrinsic Apoptotic Pathway
Inheritance of Chromatin Structures

