Department of Dermatology, Fukushima Medical University, Fukushima 960-1295, Japan.
J Dermatol. 2010 Jan;37(1):26-41. doi: 10.1111/j.1346-8138.2009.00764.x.
Scleroderma is a fibrotic condition characterized by immunological abnormalities, vascular injury and increased accumulation of extracellular matrix proteins in the skin. Although the etiology of scleroderma has not yet been fully elucidated, a growing body of evidence suggests that extracellular matrix overproduction by activated fibroblasts results from a complex interaction among endothelial cells, lymphocytes, macrophages and fibroblasts, through a number of mediators, such as cytokines, chemokines and growth factors. For a better understanding of the pathophysiology of scleroderma, animal models are important tools. These models reproduce several histological as well as biochemical aspects of human scleroderma, and we can learn a lot through animal studies. On the other hand, it must be emphasized that studying animal models cannot answer all the problems of human scleroderma. In this review, I introduce current insights into the pathogenesis and also recent updates of therapeutic approaches using several animal models of SSc, and discuss their contribution to our understanding of the pathogenesis of, and treatments for, human scleroderma.
硬皮病是一种纤维化疾病,其特征为免疫异常、血管损伤以及细胞外基质蛋白在皮肤中的过度积累。虽然硬皮病的病因尚未完全阐明,但越来越多的证据表明,激活的成纤维细胞通过多种介质(如细胞因子、趋化因子和生长因子)相互作用,导致细胞外基质过度产生。为了更好地理解硬皮病的病理生理学,动物模型是重要的工具。这些模型再现了人类硬皮病的几种组织学和生化方面,我们可以通过动物研究学到很多东西。另一方面,必须强调的是,研究动物模型并不能回答所有关于人类硬皮病的问题。在这篇综述中,我介绍了目前对硬皮病发病机制的认识,以及使用几种硬皮病动物模型的最新治疗方法,并讨论了它们对我们理解人类硬皮病发病机制和治疗方法的贡献。