ObjectiveTANGO1 (Transport ANd Golgi Organization protein 1) is a protein that regulates the export of procollagen from the endoplasmic reticulum and has a role in the organization of exit sites for general protein export. What regulates the expression of TANGO1, and its role in fibrosis, is poorly understood, and has never been studied in systemic sclerosis (SSc). We undertook these studies to determine the role for TANGO1 in SSc fibrosis.MethodsSSc (n=15) and healthy (n=12) primary fibroblast lung cell lines were investigated for the expression of TANGO1. Histological analyses for TANGO1 were performed on lung biopsies (n=12 SSc and n=8 healthy).ResultsSSc fibroblasts show increased TANGO1 protein in cultured fibroblasts. TANGO1 colocalizes with α‐SMA positive cells in SSc lung tissue and is highly upregulated in the neointima of SSc vessels. TANGO1 expression was dependent on the inflammasome activation of caspase‐1. It was also dependent on signaling from the IL‐1 and TGF‐β receptors. The decrease in TANGO1 downregulated export of larger cargos including collagen, and laminin. Reduced TANGO1 protein had no effect on smaller molecular weight cargoes, however, the secretion of elastin was significantly reduced.ConclusionTANGO1 is markedly increased in SSc fibroblasts and found elevated in lung tissue in association with α‐SMA positive cells. TANGO1 expression is driven by inflammasome‐dependent caspase‐1 activation and is mediated by IL‐1 and TGF‐β downstream signaling. These observations suggest that during fibrosis, caspase‐1 promotes the upregulation of TANGO1, and the organization of ER exits sites, ultimately contributing to procollagen export and fibrosis.This article is protected by copyright. All rights reserved.image