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2017 ; 8
(ä): 638
Nephropedia Template TP
gab.com Text
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English Wikipedia
Searching Novel Therapeutic Targets for Scleroderma: P2X7-Receptor Is
Up-regulated and Promotes a Fibrogenic Phenotype in Systemic Sclerosis
Fibroblasts
#MMPMID28955239
Gentile D
; Lazzerini PE
; Gamberucci A
; Natale M
; Selvi E
; Vanni F
; Alì A
; Taddeucci P
; Del-Ry S
; Cabiati M
; Della-Latta V
; Abraham DJ
; Morales MA
; Fulceri R
; Laghi-Pasini F
; Capecchi PL
Front Pharmacol
2017[]; 8
(ä): 638
PMID28955239
show ga
Objectives: Systemic sclerosis (SSc) is a connective tissue disorder presenting
fibrosis of the skin and internal organs, for which no effective treatments are
currently available. Increasing evidence indicates that the P2X7 receptor
(P2X7R), a nucleotide-gated ionotropic channel primarily involved in the
inflammatory response, may also have a key role in the development of tissue
fibrosis in different body districts. This study was aimed at investigating P2X7R
expression and function in promoting a fibrogenic phenotype in dermal fibroblasts
from SSc patients, also analyzing putative underlying mechanistic pathways.
Methods: Fibroblasts were isolated by skin biopsy from 9 SSc patients and 8
healthy controls. P2X7R expression, and function (cytosolic free Ca(2+) fluxes,
?-smooth muscle actin [?-SMA] expression, cell migration, and collagen release)
were studied. Moreover, the role of cytokine (interleukin-1?, interleukin-6) and
connective tissue growth factor (CTGF) production, and extracellular
signal-regulated kinases (ERK) activation in mediating P2X7R-dependent
pro-fibrotic effects in SSc fibroblasts was evaluated. Results: P2X7R expression
and Ca(2+) permeability induced by the selective P2X7R agonist
2'-3'-O-(4-benzoylbenzoyl)ATP (BzATP) were markedly higher in SSc than control
fibroblasts. Moreover, increased ?SMA expression, cell migration, CTGF, and
collagen release were observed in lipopolysaccharides-primed SSc fibroblasts
after BzATP stimulation. While P2X7-induced cytokine changes did not affect
collagen production, it was completely abrogated by inhibition of the ERK
pathway. Conclusion: In SSc fibroblasts, P2X7R is overexpressed and its
stimulation induces Ca(2+)-signaling activation and a fibrogenic phenotype
characterized by increased migration and collagen production. These data point to
the P2X7R as a potential, novel therapeutic target for controlling exaggerated
collagen deposition and tissue fibrosis in patients with SSc.