Abstract

Physiology In the autoimmune disease systemic sclerosis (SSc), high collagen production by fibroblasts causes “scarring” of the skin and internal organs. During this process, called fibrosis, the Wnt signaling pathway is frequently activated. Svegliati et al. found that antibodies in the serum from SSc patients stimulated a pathway that suppressed the expression of WIF-1 , which encodes a Wnt inhibitor, and triggered collagen production in fibroblasts from normal individuals. Effects were similar when cells were treated with DNA-damaging agents. In fibroblasts from SSc patients, inhibiting this pathway caused the cells to express WIF-1 and produce less collagen. In a mouse model of fibrosis, inhibiting this pathway prevented fibrotic skin thickening. Sci. Signal. 7 , ra84 (2014).

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