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Updated: May 28, 2025

Author Spotlight: Understanding Cytokine-Induced Cell Death in Intestinal Epithelial Cells Using Human Organoids
Published on: August 2, 2024
The complexities of cell death mechanisms: a new perspective in systemic sclerosis therapy
Xue Xia1, Chenfei Kong2, Xiaoming Zhao2
1Department of Rheumatology and Immunology, China-Japan Union Hospital, Jilin University, Changchun, 130033, China.
Abstract:
Systemic sclerosis, also termed scleroderma, is a severe and debilitating autoimmune disease characterized by fibrosis, an aberrant immune response, and vascular dysfunction. Cell death is essential to the body's continued normal development as it removes old or damaged cells. This process is governed by several mechanisms, including programmed cell death through apoptosis, necrosis, and pyroptosis, as well as metabolic processes, such as ferroptosis and cuproptosis. This review describes the signaling pathways associated with each form of cell death, examining the linkages between these pathways, and discussing how the dysregulation of cell death processes is involved in the development of autoimmune disorders such as systemic sclerosis. Existing and promising therapeutic strategies aimed at restoring the balance of cell death in systemic sclerosis and other autoimmune disorders are also emphasized.
Insights
Systemic sclerosis involves abnormal cell death processes. This review explores cell death pathways and their role in autoimmune diseases, highlighting therapeutic strategies for scleroderma.
Area of Science:
- Immunology
- Cell Biology
- Pathology
Background:
- Systemic sclerosis (scleroderma) is a severe autoimmune disease marked by fibrosis, immune dysregulation, and vascular issues.
- Cell death is crucial for tissue homeostasis, involving mechanisms like apoptosis, necrosis, pyroptosis, ferroptosis, and cuproptosis.
Purpose of the Study:
- To review cell death signaling pathways in systemic sclerosis.
- To examine the links between various cell death mechanisms.
- To discuss the role of dysregulated cell death in autoimmune disease pathogenesis.
Main Methods:
- Literature review of cell death signaling pathways.
- Analysis of the involvement of cell death dysregulation in systemic sclerosis.
- Evaluation of therapeutic strategies targeting cell death.
Main Results:
- Detailed description of signaling pathways for apoptosis, necrosis, pyroptosis, ferroptosis, and cuproptosis.
- Identification of connections between these cell death pathways.
- Evidence linking dysregulated cell death to systemic sclerosis development.
Conclusions:
- Dysregulation of cell death pathways is implicated in systemic sclerosis pathogenesis.
- Targeting cell death mechanisms offers potential therapeutic avenues for systemic sclerosis and other autoimmune disorders.
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