Revista Paulista de Reumatologia,
Год журнала:
2024,
Номер
23(3), С. 28 - 35
Опубликована: Сен. 30, 2024
O
fenômeno
de
Raynaud
é
um
sintoma
que
corresponde
a
episódios
vasoespasmo
com
alterações
da
coloração
pele
em
extremidades,
principalmente
mãos
e
pés,
resposta
ao
frio
ou
estresse.
Clinicamente,
composto
por
três
fases
consecutivas:
palidez
(vasoconstrição),
cianose
(desoxigenação)
hiperemia
(reperfusão).
Está
presente
cerca
3%
15%
população
geral
mais
95%
dos
pacientes
esclerose
sistêmica,
podendo
ser
classificado
primário,
quando
ocorre
isoladamente,
secundário,
está
associado
uma
doença
subjacente
vasculopatia
periférica.
Desequilíbrio
do
tônus
vascular,
disfunção
endotelial,
ativação
plaquetária
estresse
oxidativo
compõem
patogênese
secundário
à
sistêmica.
A
capilaroscopia
periungueal
desempenha
papel
fundamental
na
diferenciação
entre
o
primário
secundário.
presença
áreas
desvascularização
acentuado
grau
dilatação
capilar
região
caracterizam
padrão
SD
(scleroderma
pattern),
encontrado
Em
indivíduos
Raynaud,
positividade
para
autoanticorpos
específicos
sistêmica
(anticentrômero,
anti-Scl-70
anti-RNA
polimerase
III)
representam
passo
inicial
identificação
estágio
incipiente
doença.
Com
isso,
permite-se
seja
realizada
abordagem
terapêutica
precoce
demais
sintomas
cutâneos
viscerais
longo
seguimento,
portanto
chances
melhor
prognóstico.
Unitermos:
Raynaud;
autoanticorpos;
periungueal;
sistêmica;
diagnóstico.
Egyptian Rheumatology and Rehabilitation,
Год журнала:
2025,
Номер
52(1)
Опубликована: Март 31, 2025
Abstract
Background
Systemic
sclerosis
(SSc)
is
a
long-standing
autoimmune
disease
identified
by
vascular
and
fibrotic
changes
related
to
injury
of
endothelium.
Pentraxin
(PTX3)
has
important
role
in
innate
immune
processes.
Recently,
it
been
implicated
microvascular
alterations
various
diseases.
Nailfold
capillaroscopy
(NFC)
noninvasive
technique
used
study
microvasculature.
The
aim
this
current
research
demonstrate
the
relationship
between
serum
PTX3
clinical
NFC
findings
patients
with
SSc.
Results
Patients’
levels
were
raised
compared
healthy
controls
(
P
<
0.001).
There
was
positive
correlation
PXT3
creatinine,
pulmonary
artery
pressure
(PAP),
nailfold
capillary
loop
diameter
r
=
0.926,
0.947,
0.986,
0.001,
respectively).
However,
negatively
correlated
density
−
0.927
SSc
experiencing
digital
ulcers
had
considerably
elevated
than
not
level,
modified
Rodnan
skin
score,
PAP
shown
be
correlated.
Conclusion
Serum
level
associated
high
PAP,
larger
diameter,
less
patients.
might
an
indicator
involvement
Pulmonary
fibrosis
(PF)
is
a
progressive
interstitial
lung
disease
characterized
by
excessive
extracellular
matrix
deposition
and
tissue
scarring,
leading
to
impaired
function
respiratory
failure.
Although
current
treatments,
such
as
pirfenidone
nintedanib,
slow
progression,
they
fail
completely
halt
or
reverse
fibrosis.
Therefore,
innovative
therapeutic
strategies
are
needed.
Targeted
drug
delivery
systems
(TDDSs)
emerging
promising
solutions.
Biomaterials
play
critical
roles
in
these
enhancing
specificity,
availability,
efficacy,
while
minimizing
systemic
toxicity.
The
most
notable
biomaterials
include
nanotechnology-based
systems,
including
liposomes
polymeric
nanoparticles,
which
facilitate
penetration
release
fibrotic
tissues.
Hydrogels
have
three-dimensional
structures
providing
controlled
sustained
at
inflammation
sites,
therefore
particularly
valuable
PF
treatment.
Furthermore,
biological
carriers
stem
cells
vesicles
biocompatibility
anti-inflammatory
effects
that
improve
outcomes.
Despite
the
potential
of
clinical
translation
hindered
several
challenges,
immune
clearance,
stability
platforms,
optimization
retention
within
diseased
Interdisciplinary
approaches
integrating
precision
medicine
with
advancements
may
provide
solutions
opening
new
avenues
for
This
review
discusses
developments
targeted
PF,
emphasizing
importance
biomaterials,
mechanisms
barriers
involved
pulmonary
delivery,
future
perspectives
overcoming
limitations.
ultimate
goal
patient
outcomes
revolutionizing
approach
treatment
through
advanced
technologies.
Biomedicines,
Год журнала:
2024,
Номер
12(6), С. 1331 - 1331
Опубликована: Июнь 14, 2024
In
systemic
sclerosis
(SSc,
or
scleroderma),
defective
angiogenesis,
clinically
manifesting
with
abnormal
capillary
architecture
and
severe
reduction,
represents
a
hallmark
of
early-stage
disease,
usually
preceding
the
onset
tissue
fibrosis,
is
caused
by
several
cellular
molecular
mechanisms
affecting
microvascular
endothelial
cells
different
outcomes.
Indeed,
once
damaged,
can
be
dysfunctionally
activated,
thus
becoming
unable
to
undergo
angiogenesis
promoting
perivascular
inflammation.
They
also
apoptosis,
transdifferentiate
into
profibrotic
myofibroblasts,
acquire
senescence-associated
secretory
phenotype
characterized
release
exosomes
proinflammatory
mediators.
this
narrative
review,
we
aimed
give
comprehensive
overview
recent
studies
dealing
underlying
SSc
related
cell
dysfunctions,
mainly
endothelial-to-mesenchymal
transition
process.
We
discussed
potential
novel
vascular
treatment
strategies
able
restore
angiogenic
process
reduce
in
complex
disease.
International Journal of Molecular Sciences,
Год журнала:
2025,
Номер
26(6), С. 2421 - 2421
Опубликована: Март 7, 2025
Systemic
sclerosis
(SSc)
is
an
autoimmune
disease
characterized
by
specific
autoantibodies,
vasculopathy
and
fibrosis
of
the
skin
internal
organs.
In
SSc,
chronic
activation
immune
system
largely
sustained
endogenous
inflammatory
mediators
that
act
as
damage-associated
molecular
patterns
(DAMPs),
which
activate
Toll-like
receptors
(TLRs).
Major
autoantigens
are
nucleic
acids
or
molecules
able
to
bind
acids.
It
important
identify
solid
predictive
biomarkers
both
activity
subtype.
CXCL4
has
been
regarded
a
new
biomarker
for
early
SSc
in
recent
years,
here,
we
discuss
its
modulation
over
course
after
pharmacological
interventions.
Moreover,
provide
evidence
CXCL4,
addition
being
subtypes
prognostic
marker
severity,
dual
pathogenic
role
SSc:
on
one
hand,
complex
with
self-nucleic
acids,
acts
DAMP
IFN-I
pro-inflammatory
cytokines’
release
innate
cells
(such
dendritic
cells);
other
target
antibodies
T
cells,
functioning
autoantigen.
certainly
interesting
molecule
inflammation
autoimmunity,
not
only
it
may
also
be
considered
therapy
target.
Frontiers in Cardiovascular Medicine,
Год журнала:
2024,
Номер
11
Опубликована: Апрель 30, 2024
The
establishment
of
new
blood
vessels,
and
their
subsequent
stabilization,
is
a
critical
process
that
facilitates
tissue
growth
organ
development.
Once
established,
vessels
need
to
diversify
meet
the
specific
needs
local
maintain
homeostasis.
These
processes
are
tightly
regulated
fundamental
normal
vessel
function.
mechanisms
orchestrate
angiogenesis
maturation
have
been
widely
studied,
with
signaling
crosstalk
between
endothelium
perivascular
cells
being
identified
as
an
essential
component.
In
disease,
however,
develop
abnormally,
existing
lose
specialization
function,
which
invariably
contributes
disease
progression.
Despite
considerable
research
into
vasculopathic
in
our
knowledge
remains
incomplete.
Accordingly,
identification
angiocrine
angiopathic
molecules
secreted
by
within
vascular
microenvironment,
effect
on
behaviour,
major
objective.
Over
last
decade
glycoprotein
leucine-rich
α-2
1
(LRG1),
has
emerged
significant
molecule,
stimulating
defective
angiogenesis,
destabilizing
vasculature
mainly,
but
not
uniquely,
altering
both
canonical
non-canonical
TGF-β
highly
cell
context
dependent
manner.
Whilst
LRG1
does
possess
any
overt
homeostatic
role
development
maintenance,
growing
evidence
provides
compelling
case
for
playing
pleiotropic
disrupting
many
settings.
Thus,
now
reported
damage
various
disorders
including
cancer,
diabetes,
chronic
kidney
ocular
lung
drive
this
dysfunction
defined.
Moreover,
therapeutic
targeting
proposed
re-establish
quiescent
normalized
vasculature.
review,
we
consider
current
status
understanding
pathology,
its
potential
target.
Scientific Reports,
Год журнала:
2024,
Номер
14(1)
Опубликована: Ноя. 27, 2024
Abstract
We
explored
effective
therapeutic
targets
for
systemic
sclerosis
(SSc)
patients
with
high
risk
pulmonary
arterial
hypertension
(PAH)
by
plasma
proteomics
analysis.
A
total
of
fifty-seven
SSc
were
enrolled
in
the
study
and
prevalence
PAH
was
19.3%.
On
other
hand,
75.4%
showed
ratio
forced
vital
capacity
percentage/diffusing
lungs
carbon
monoxide
percentage>
1.6
met
criteria
PAH.
Identification
elevated
proteins
PAH,
followed
upstream
regulator
analysis,
predicted
interleukin
(IL)-17A
as
a
major
molecule.
Furthermore,
we
performed
vitro
neutralization
using
MT-6194,
bispecific
antibody
targeting
both
IL-17A
IL-6
receptor.
found
that
MT-6194
broadly
suppressed
increased
expression
downstream
molecules
including
IL-17A-related
cytokines/chemokines,
IL-17A-driven
NF
$$\kappa$$
B
pathway
IL-6-driven
JAK/STAT
which
shown
to
be
proteomics.
Consequently,
it
is
revealed
promising
target
early
intervention