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IL-6 trans-signaling in a humanized mouse model of scleroderma
Ian D Odell1,2, Kriti Agrawal3,4, Esen Sefik2
1Department of Dermatology, Yale University School of Medicine, New Haven, CT 06520.
Summary
A new humanized mouse model (MISTRG6) shows that healthy immune cells can reduce scleroderma fibrosis. This highlights the role of IL-6 trans-signaling in fibrosis and suggests immune cell therapy potential.
Area of Science:
- Immunology
- Fibrosis Research
- Humanized Mouse Models
Background:
- Fibrosis pathogenesis involves complex immune and mesenchymal cell interactions.
- Understanding human fibrosis requires fully humanized model systems, which are currently lacking.
- MISTRG6 mice offer a novel platform for studying human immune responses in disease.
Purpose of the Study:
- To develop and utilize a humanized MISTRG6 mouse model to investigate scleroderma fibrosis.
- To identify cellular and molecular mechanisms driving human fibrosis in vivo.
- To assess the therapeutic potential of healthy immune cells in mitigating fibrosis.
Main Methods:
- Engineered MISTRG6 mice with human gene replacements for immune system development.
- Engrafted MISTRG6 mice with human hematopoietic stem cells (HSCs) and scleroderma/healthy skin grafts.
- Analyzed cellular composition, gene expression (collagen, interferon), and T cell activation markers in skin grafts.
- Investigated the role of IL-6 trans-signaling in fibrosis development and resolution.
Main Results:
- Scleroderma skin grafts in humanized mice showed human immune cells, endothelial cells, pericytes, and mouse fibroblasts.
- HSC engraftment significantly reduced fibrosis markers, including collagen and interferon gene expression.
- Fibrosis improvement correlated with decreased T cell activation and reduced human IL-6 expression by mesenchymal cells.
- Identified IL-6 trans-signaling, driven by CD4 T cells and fibroblasts, as a key mechanism in fibrosis.
Conclusions:
- MISTRG6 mice successfully modeled human scleroderma fibrosis, demonstrating IL-6 trans-signaling as a critical driver.
- Healthy bone marrow-derived immune cells mitigated fibrosis, suggesting potential for immune-based therapies.
- This model provides new insights into fibrosis regulation and therapeutic strategies for scleroderma.

