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Table 1 Scleroderma Genetics Models (Lakos et al. 2004; Jimenez and Christner 2002)

From: Mesenchymal stem cell as a novel approach to systemic sclerosis; current status and future perspectives

Genetic Model

Category

Specific Features

Site of Fibrosis

Tight skin 1 mouse models(Tsk1/+)

Models with spontaneous mutations

- They are bred as heterozygotes because of lethal homozygous mutation.

- They have thickened skin which is tightly joined to the subcutaneous tissue.

- The deposition of elastin has risen but there isn’t elasticity in the skin.

- They present an emphysema-like pathology in the lung due to the increased elastin.

- They have an enlarged heart and skeleton.

- There is partial duplication of the fibrillin-1 gene as a mutation on chromosome 2 which seems to suppress raised levels of TGFβ in the extracellular matrix and following stimulating collagen synthesis.

Skin

Tight skin 2 mouse models (Tsk2/+)

Models with spontaneous mutations

- They are generated via mutagenic agent ethylnitrosourea.

- Tight skin can be found in the interscapular region.

- The mutation is placed on chromosome 1.

- They can mimic many characteristics of systemic sclerosis subjects, containing increased deposition of the dermal extracellular matrix, tight skin, and autoantibodies.

- They present enhanced transcription percentages of dermal fibroblasts type I and III collagen.

- Increased autoimmunity have reported in Tsk2/+ models.

Skin

UCD-200 chickens

Models with spontaneous mutations

- They are identified by infiltration of perivascular lymphocytic, vascular occlusion caused by endothelial injuries, fibrosis of the skin and visceral organs, and spotted antinuclear antibodies.

- There is a genetic defect with an autosomal recessive mode of inheritance or multiple loci interactions.

- Five genes including which have been reported to have importance in the pathology of systemic sclerosis including (TGFBR1, IGFBP3, EXOC2/IRF4, CCR8 (located on chromosome 2), and SOCS1(located at chromosome 14) have been recognized to present a high association with the disease.

- Mutation of COL1A2 gene (located on chromosome 2) may play a role in avian systemic sclerosis.

Skin and Visceral organs

Endothelin-1 mouse models

Transgenic models of fibrosis

- There is increased expression of endothelin-1.

- They have endothelial dysfunction.

- They develop glomerulosclerosis and interstitial fibrosis.

Kidney and Lung

Fos-related antigen-2 mouse models

Transgenic models of fibrosis

- There is overexpressing the Fos-related antigen-2 (FRA-2)

- They show microangiopathy along with progression of skin fibrosis.

Skin and Lung

Type I TGFβ receptor transgenic models

Transgenic models of fibrosis

- There is upregulating of the type I TGFβ receptor in fibroblasts on a Cre-ER transgenic background.

- There are increasing levels of collagen deposition in the skin of through the aging.

Skin

Kinase-deficient type II TGFβ receptor transgenic models

Transgenic models of fibrosis

- There is a fibroblast-specific transcriptional enhancer (applied to specifically express a kinase-deficient mutant type II TGFβ receptor which can involve TGFβ) upstream of the COL1A2 collagen gene.

- There is the lack of immune activation and autoantibodies.

Skin and Lung

PDGF receptor-α transgenic models of fibrosis

Transgenic models of fibrosis

- There is conditionally expressed PDGF receptor-α activating mutations.

Skin and Internal organs

Caveolin-1 deficient models

Knockout models of fibrosis

- There are raised collagen and fibronectin accumulation along with increased amounts of myofibroblasts.

- There is oxidative stress condition.

Skin

Early growth response protein-1 knockout mouse models

Knockout models of fibrosis

- There are reduced amounts of infiltrating inflammatory cells in the skin along with the reduced dermal thickness and expression of collagen.

Skin and Lung

Friend leukemia integration factor-1 conditional knockout mouse models

Knockout models of fibrosis

- There is risen vascular permeability.

- They mimic the collagen fibril formation abnormalities in systemic sclerosis.

Skin

Macrophage chemoattractant protein-1 mouse models

Knockout models of fibrosis

- There are reduced fibrotic replies after the injection of basic fibroblast growth factor and connective tissue growth factor into the skin.

- There are fewer mast cells, reduction of macrophage recruitment, and fewer CD4+ T-cell amounts.

Skin

Microsomal prostaglandin E2 synthase-1 knockout models

Knockout models of fibrosis

- There are bleomycin-induced fibrosis resistant, α-smooth muscle actin levels reduction, and macrophages numbers reduction.

Skin and Lung

Peroxisome proliferator-activated receptor-gamma deficient models

Knockout models of fibrosis

- There is more extensive skin thickening with bleomycin compared to wild-type.

- They can help to determine the function of this protein in collagen synthesis.

Skin

PTEN conditional knockout mouse models

Knockout models of fibrosis

- There are developed thickened skin and collagen deposition along with raised α-smooth muscle actin-bearing fibroblasts numbers, connective tissue growth factor-positive fibroblasts, and proliferating cell nuclear antigen-positive fibroblasts.

Skin

Relaxin knockout mouse models

Knockout models of fibrosis

- There is developed skin collagen deposition over time.

Skin

  1. Tsk1/+ Tight skin1 mouse, Tsk2/+ Tight skin2 mouse, TGFβ Transforming growth factor beta, TGFBR1 Transforming Growth Factor Beta Receptor 1, IGFBP3 Insulin-like growth factor-binding protein 3, CCR3 C-C chemokine receptor type 3, SOCS1 Suppressor of cytokine signaling 1, COL1A2 Collagen Type I Alpha 2 Chain, FRA-2 Fos-related antigen-2, ER Estrogen Receptor, PDGF Platelet-derived growth factor