2008
DOI: 10.1016/j.semarthrit.2007.10.010
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The Immunobiology of Systemic Sclerosis

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Cited by 143 publications
(133 citation statements)
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References 243 publications
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“…The disease duration was calculated from the time of onset of the first non-Raynaud phenomenon. Skin sclerosis was evaluated with the modified Rodnan skin thickness score (MRSS) (19) and graded as mild (MRSS, [1][2][3][4][5][6][7][8][9][10][11][12][13][14] or moderateto-severe (MRSS, 15-39) (20). SSc-related interstitial lung disease (ILD) was classified as extensive or limited disease based on combined evaluation with chest high-resolution computed tomography (HRCT) and pulmonary functional tests (21).…”
Section: Patientsmentioning
confidence: 99%
See 1 more Smart Citation
“…The disease duration was calculated from the time of onset of the first non-Raynaud phenomenon. Skin sclerosis was evaluated with the modified Rodnan skin thickness score (MRSS) (19) and graded as mild (MRSS, [1][2][3][4][5][6][7][8][9][10][11][12][13][14] or moderateto-severe (MRSS, 15-39) (20). SSc-related interstitial lung disease (ILD) was classified as extensive or limited disease based on combined evaluation with chest high-resolution computed tomography (HRCT) and pulmonary functional tests (21).…”
Section: Patientsmentioning
confidence: 99%
“…S ystemic sclerosis (SSc) is an autoimmune disease characterized by vascular damage, inflammation, immune dysfunction, and fibrosis of the skin and internal organs (1)(2)(3). Endothelial vascular damage is an early event in SSc (1,4) and leads to activation of the immune response with release of various cytokines, autoantibody production, fibroblast activation, and enhanced collagen synthesis (5).…”
mentioning
confidence: 99%
“…Scleroderma is a chronic inflammatory disease characterized by widespread fibrosis of the skin and internal organs (1)(2)(3). Vasculopathy and immune activations are the main factors in the pathogenesis of scleroderma, although its pathogenesis is not yet fully understood (1)(2)(3)(4).…”
Section: Introductionmentioning
confidence: 99%
“…ing interleukin (IL)-4 and transforming growth factor (TGF)-β1 [1][2][3]. Activated fibroblasts (myofibroblasts), which are the key effectors of extracellular matrix (ECM) production, also express pro-fibrotic cytokines and growth factors, including IL-6, TGF-β1, platelet-derived growth factor, and connective tissue growth factor [1][2][3].…”
mentioning
confidence: 99%
“…Activated fibroblasts (myofibroblasts), which are the key effectors of extracellular matrix (ECM) production, also express pro-fibrotic cytokines and growth factors, including IL-6, TGF-β1, platelet-derived growth factor, and connective tissue growth factor [1][2][3]. Therefore, activated fibroblasts show autocrine behavior and require no exogenous stimuli for persistence in their activation [1][2][3]. In addition to the autonomy of fibroblasts, transformation of the non-fibroblastic cells to fibroblastic cells is the other possible pathogenic way leading to scleroderma.…”
mentioning
confidence: 99%