2021
DOI: 10.1002/adbi.202000168
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Engineering Advanced In Vitro Models of Systemic Sclerosis for Drug Discovery and Development

Abstract: Systemic sclerosis (SSc) is a complex multisystem disease with the highest case‐specific mortality among all autoimmune rheumatic diseases, yet without any available curative therapy. Therefore, the development of novel therapeutic antifibrotic strategies that effectively decrease skin and organ fibrosis is needed. Existing animal models are cost‐intensive, laborious and do not recapitulate the full spectrum of the disease and thus commonly fail to predict human efficacy. Advanced in vitro models, which closel… Show more

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Cited by 11 publications
(11 citation statements)
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References 326 publications
(303 reference statements)
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“…In accordance with previous publications, several other organ-specific fibrotic models induced by MMC supplementation have been developed ( Chen et al, 2009 ; Graupp et al, 2015 ; Graupp et al, 2018 ; Fan et al, 2019 ; Good et al, 2019 ; Fan et al, 2020 ; Rønnow et al, 2020 ; De Pieri et al, 2021 ). It is worth noting that cocktails of pro-inflammatory cytokines have been used for more accurate recapitulation of fibrosis in vitro ( Chawla and Ghosh, 2018 ) and such approach should be studied further in the future in combination with MMC.…”
Section: Discussionmentioning
confidence: 59%
“…In accordance with previous publications, several other organ-specific fibrotic models induced by MMC supplementation have been developed ( Chen et al, 2009 ; Graupp et al, 2015 ; Graupp et al, 2018 ; Fan et al, 2019 ; Good et al, 2019 ; Fan et al, 2020 ; Rønnow et al, 2020 ; De Pieri et al, 2021 ). It is worth noting that cocktails of pro-inflammatory cytokines have been used for more accurate recapitulation of fibrosis in vitro ( Chawla and Ghosh, 2018 ) and such approach should be studied further in the future in combination with MMC.…”
Section: Discussionmentioning
confidence: 59%
“…When addressing the role of the epidermis and dermis in SSc pathogenesis, it has to be taken into consideration that these anatomical structures are not faithfully reproduced in in vitro systems in which both keratinocytes and fibroblasts are cultured in 2D systems and when the respective conditioned media are used to stimulate the cell counterpart. Although a method for isolating and culturing skin cells, including endothelial cells, fibroblasts, keratinocytes, and melanocytes from small SSc skin biopsies has been published [ 7 ], increased efforts in the field of tissue engineering have recently led to the development of 3D human models with improved intercellular interactions and tissue microenvironment observed in skin fibrosis [ 8 ]. Self-assembled or scaffold-based models exploit the ability of fibroblasts to generate 3D dermal-like constructs, producing their own ECM.…”
Section: Progress In Reconstituted Skin Modelsmentioning
confidence: 99%
“…An in vitro model is a logical first experiment to test the response of the OC scaffold as it is the cheapest, lowest risk and fastest way to generate biological results (Table 3) [230][231][232]. Greater cell density, proliferation, and migration in the subchondral bone phase over the cartilage.…”
Section: Functional Evaluation: In Vitro and In Vivomentioning
confidence: 99%