“…In patients with limited cutaneous systemic sclerosis, the expression of ER stress markers BiP, ATF4, ATF6, and XBP1s were relatively increased in peripheral blood mononuclear cells (Lenna et al, ). Anti‐chaperone antibodies have been discovered in a number of autoimmune diseases, including inflammatory bowel disease, myasthenia gravis, RA, SLE, systemic sclerosis, primary biliary cirrhosis, juvenile autoimmune arthritis, and autoimmune hepatitis (Nagayama et al, ; Kreisel et al, ; Eggleton et al, ; Bodman‐Smith et al, ; Watanabe et al, ; Goeb et al, ; Komurasaki et al, ; Tarr et al, ; Weber et al, ). However, the precise mechanism of how these antibodies are generated and how they contribute to the progression of the disease are still being studied.…”