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Published on: February 15, 2019
Fibrosis mechanisms and updates in potential therapeutic targets in systemic sclerosis
Xue Han1, Xiuyuan Wang1, Junxia Huang1
1Department of Dermatology, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Abstract:
Systemic sclerosis (SSc) is a rare, multisystem autoimmune connective tissue disease characterized by microvascular dysfunction, inflammation, and progressive fibrosis. The pathogenesis of SSc is regulated by both epigenetic and genetic factors. Although the pathogenesis is being explored, treatment options, especially for fibrosis, remain limited. Recent clinical trials have made significant progress in targeting key pathways in fibrosis. This review discusses emerging therapeutic strategies, focusing on targets such as TGF-β signaling, oncostatin M/OSM receptor β axis, lysophosphatidic acid, nuclear receptor superfamily, endocannabinoid system, soluble guanylate cyclase, and mesenchymal stem cells, and highlights the potential of these targets to improve patient outcomes in combination with relevant clinical trials.
Insights
Systemic sclerosis (SSc) treatments are limited, especially for fibrosis. This review explores novel therapeutic strategies targeting key fibrotic pathways to improve patient outcomes.
Area of Science:
- Immunology and Rheumatology
- Fibrosis Research
- Autoimmune Diseases
Background:
- Systemic sclerosis (SSc) is a rare autoimmune disease affecting multiple organs.
- Characterized by microvascular issues, inflammation, and progressive fibrosis.
- Current treatment options for SSc, particularly fibrosis, are limited.
Purpose of the Study:
- To review emerging therapeutic strategies for Systemic Sclerosis (SSc).
- To focus on novel targets in fibrosis pathways.
- To highlight potential improvements in patient outcomes.
Main Methods:
- Literature review of recent clinical trials and research.
- Analysis of emerging therapeutic targets.
- Discussion of SSc pathogenesis and fibrosis mechanisms.
Main Results:
- Significant progress has been made in targeting key fibrotic pathways.
- Several novel therapeutic targets show promise for SSc treatment.
- Combination therapies may enhance patient outcomes.
Conclusions:
- Emerging strategies targeting TGF-β signaling, OSM receptor β, and others offer new hope for SSc.
- Further research and clinical trials are crucial to validate these approaches.
- Targeting fibrosis pathways holds potential to significantly improve SSc patient care.
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