“…Interestingly, it has been shown that, during their development, the nervous and vascular systems communicate with each other in a neurovascular crosstalk, with vessels producing signals that are able to attract axons to track alongside the pioneer vessels and, in turn, nerves releasing signals able to guide blood vessel growth [ 6 , 7 , 8 , 9 , 10 ]. In this context, several molecules with attractive and repulsive properties, here referred to as neurovascular guidance molecules, have been reported to regulate the sprouting of both nerves and blood vessels [ 8 , 9 , 10 ], and to be involved in different pathologic processes including tumor growth/metastasis, nephropathy, as well as autoimmune diseases such as rheumatoid arthritis and systemic lupus erythematosus [ 11 , 12 , 13 , 14 , 15 , 16 , 17 ]. As far as SSc is concerned, members of semaphorin/plexin/neuropilin and slit/roundabout families have been recently implicated in SSc-related disturbed neuroendothelial control of vascular tone, peripheral microvasculopathy, and defective angiogenesis, with their circulating levels being significantly associated with different vascular disease manifestations [ 9 , 18 , 19 , 20 , 21 , 22 ].…”