Altered pathways of keratinization, extracellular matrix generation, angiogenesis, and stromal stem cells

Amelia Spinella1, Domenico Lo Tartaro2, Lara Gibellini2

  • 1Scleroderma Unit and Rheumatology Unit, Medical School, University of Modena and Reggio Emilia, University Hospital of Modena Policlinico of Modena, Modena, Italy.

Abstract

Insights

Systemic sclerosis involves distinct gene expression patterns related to skin keratinization and reduced stem cell proliferation. This study identifies key pathways for potential biomarkers and therapies in systemic sclerosis patients.

Area of Science:

  • Immunology
  • Dermatology
  • Genomics

Background:

  • Systemic sclerosis (SSc) is a complex autoimmune disease marked by endothelial dysfunction, immune system abnormalities, and progressive fibrosis affecting skin and internal organs.
  • The precise pathogenetic mechanisms driving SSc vasculopathy, fibroblast activation, and extracellular matrix deposition remain incompletely understood.
  • Existing research highlights a complex interplay of cellular and extracellular factors, yet the primary drivers are unclear.

Purpose of the Study:

  • To identify functional pathways and potential biomarkers associated with SSc pathogenesis, endothelial dysfunction, and fibrosis using transcriptomic analysis.
  • To compare gene expression profiles between SSc patients and healthy controls to uncover disease-specific molecular signatures.
  • To lay the groundwork for developing novel diagnostic markers and therapeutic strategies for SSc.

Main Methods:

  • RNA sequencing was performed on tissue biopsies from three SSc patients and three healthy controls.
  • Transcriptomic analysis involved generating sequencing libraries and performing gene set enrichment analysis on differentially expressed genes.
  • Pathway analysis was conducted on the complete RNA-sequencing expression matrix to identify enriched biological processes.

Main Results:

  • Healthy controls exhibited gene signatures related to stromal stem cell proliferation and immune cell metabolism.
  • SSc tissues showed enrichment in gene signatures associated with keratinization, cornification, and cell cycle regulation (RB1, TP53 signaling).
  • Differential gene expression in SSc was linked to keratinization, extracellular matrix generation, and negative regulation of angiogenesis and stem cell proliferation.

Conclusions:

  • RNA sequencing and pathway analysis reveal a distinct gene expression pattern in SSc patients, characterized by keratinization and impaired stromal stem cell proliferation.
  • The findings suggest a potential role for keratinization pathways and highlight the negative regulation of angiogenesis and stem cell proliferation in SSc.
  • While further validation in larger cohorts is necessary, these results offer a promising framework for developing SSc biomarkers and future therapeutic interventions.

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