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Publication : The Antifibrotic Effect of α2AP Neutralization in Systemic Sclerosis Dermal Fibroblasts and Mouse Models of Systemic Sclerosis.

First Author  Kanno Y Year  2016
Journal  J Invest Dermatol Volume  136
Issue  4 Pages  762-9
PubMed ID  26743600 Mgi Jnum  J:231545
Mgi Id  MGI:5771735 Doi  10.1016/j.jid.2015.12.028
Citation  Kanno Y, et al. (2016) The Antifibrotic Effect of alpha2AP Neutralization in Systemic Sclerosis Dermal Fibroblasts and Mouse Models of Systemic Sclerosis. J Invest Dermatol 136(4):762-9
abstractText  Systemic sclerosis (SSc) is a connective tissue disease of autoimmune origin characterized by the fibrosis of skin and visceral organs, and peripheral circulatory disturbance. We recently demonstrated that alpha2-antiplasmin (alpha2AP), which is the physiological inhibitor of plasmin, is associated with the development of fibrosis. The aim of this study was to clarify the role of alpha2AP in the pathogenesis of SSc. The administration of alpha2AP in mice induced profibrotic changes, such as increased dermal thickness, collagen production, and myofibroblast differentiation. Conversely, the alpha2AP neutralization prevented not only profibrotic changes, but also the production of autoantibodies in bleomycin-induced mouse models of SSc. The expression of alpha2AP was elevated in dermal fibroblasts obtained from patients with SSc. Furthermore, alpha2AP treatment promoted profibrotic changes in human normal dermal fibroblasts, and alpha2AP neutralization reversed a profibrotic phenotype of SSc dermal fibroblasts, in the absence of plasmin. Our findings demonstrated that alpha2AP has a profibrotic effect probably not by the action as a plasmin inhibitor, and that the blocking of alpha2AP exerts an antifibrotic effect in humans and mice with SSc.
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