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Original Article| Volume 99, ISSUE 1, P44-52, July 2020

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Involvement of Disabled-2 on skin fibrosis in systemic sclerosis

  • Xueqian Mei
    Affiliations
    Ministry of Education Key Laboratory of Contemporary Anthropology, Department of Anthropology and Human Genetics, School of Life Sciences, Fudan University, Shanghai, China
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  • Han Zhao
    Affiliations
    Ministry of Education Key Laboratory of Contemporary Anthropology, Department of Anthropology and Human Genetics, School of Life Sciences, Fudan University, Shanghai, China
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  • Yan Huang
    Affiliations
    Ministry of Education Key Laboratory of Contemporary Anthropology, Department of Anthropology and Human Genetics, School of Life Sciences, Fudan University, Shanghai, China
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  • Yulong Tang
    Affiliations
    Ministry of Education Key Laboratory of Contemporary Anthropology, Department of Anthropology and Human Genetics, School of Life Sciences, Fudan University, Shanghai, China
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  • Xiangguang Shi
    Affiliations
    Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China
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  • Weilin Pu
    Affiliations
    Ministry of Education Key Laboratory of Contemporary Anthropology, Department of Anthropology and Human Genetics, School of Life Sciences, Fudan University, Shanghai, China

    Human Phenome Institute, Fudan University, Shanghai, China
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  • Shuai Jiang
    Affiliations
    Ministry of Education Key Laboratory of Contemporary Anthropology, Department of Anthropology and Human Genetics, School of Life Sciences, Fudan University, Shanghai, China
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  • Yanyun Ma
    Affiliations
    Human Phenome Institute, Fudan University, Shanghai, China

    Six-Sector Industries Institute, Fudan University, Shanghai, China
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  • Yuting Zhang
    Affiliations
    Ministry of Education Key Laboratory of Contemporary Anthropology, Department of Anthropology and Human Genetics, School of Life Sciences, Fudan University, Shanghai, China
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  • Lu Bai
    Affiliations
    Ministry of Education Key Laboratory of Contemporary Anthropology, Department of Anthropology and Human Genetics, School of Life Sciences, Fudan University, Shanghai, China
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  • Wenzhen Tu
    Affiliations
    Division of Rheumatology, Shanghai TCM-Integrated Hospital, Shanghai, China
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  • Yinhuan Zhao
    Affiliations
    Division of Rheumatology, Shanghai TCM-Integrated Hospital, Shanghai, China
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  • Li Jin
    Affiliations
    Human Phenome Institute, Fudan University, Shanghai, China
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  • Wenyu Wu
    Correspondence
    Corresponding authors at: Department of Dermatology, Huashan Hospital, Fudan University, 12 Mid-Wulumuqi Rd, Shanghai, 200040, China.
    Affiliations
    Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China

    Department of Dermatology, Jing’an District Central Hospital, Shanghai, China
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  • Jiucun Wang
    Correspondence
    Corresponding authors at: Department of Dermatology, Huashan Hospital, Fudan University, 12 Mid-Wulumuqi Rd, Shanghai, 200040, China.
    Affiliations
    Human Phenome Institute, Fudan University, Shanghai, China

    Research unit of dividing the population genetics and developing new technologies for treatment and prevention of skin types and mathematical diseases, Shanghai, China
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  • Qingmei Liu
    Correspondence
    Corresponding authors at: Department of Dermatology, Huashan Hospital, Fudan University, 12 Mid-Wulumuqi Rd, Shanghai, 200040, China.
    Affiliations
    Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China
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      Highlights

      • DAB2 expression was enhanced in the skin of SSc patients and DAB2 knockdown ameliorated skin fibrosis induced by BLM.
      • DAB2 knockdown suppressed the number of inflammatory cells and inflammatory gene expression in BLM-induced mouse skin.
      • DAB2 knockdown suppressed the activation of skin fibroblasts.
      • Transcriptome analysis of DAB2 siRNA transfected SSc skin fibroblasts.

      Abstract

      Background

      Systemic sclerosis (SSc) is a connective tissue disease characterized by inflammation and fibrosis. Our previous research found Disabled-2 (DAB2) expression was significantly downregulated by salvianolic acid B, a small molecular medicine which attenuated experimental skin fibrosis of SSc. These suggest that DAB2 plays an important role in SSc skin fibrosis, but the role of DAB2 in SSc remains unclear.

      Objectives

      To investigate the role of DAB2 in SSc.

      Methods

      DAB2 expression level was detected in the skin and peripheral blood mononuclear cells of SSc patients. Bleomycin (BLM)-induced SSc mice and primary SSc skin fibroblasts were used to investigate the effect of DAB2 downregulation on fibrosis. RNA-seq transcriptome analysis was performed to underlie the mechanism of DAB2 in fibroblasts.

      Results

      DAB2 expression was enhanced in SSc lesion skin and was positively correlated with fibrotic genes, such as α-SMA and PAI-1. The in vivo study revealed that DAB2 downregulation alleviated skin fibrosis, alleviating skin thickness and reducing collagen deposition, and DAB2 knockdown ameliorated the inflammatory cell infiltration. The in vitro study showed that DAB2 knockdown reduced extracellular matrix genes and proteins expression. Moreover, Transcriptome analysis revealed TGF-β and focal adhesion signaling pathways were the main downregulated pathways involved in DAB2 siRNA treated fibroblasts.

      Conclusions

      Taken together, our results revealed that DAB2 was increased in SSc skin, and DAB2 downregulation inhibited BLM-induced mouse skin fibrosis and SSc skin fibroblasts activation. DAB2 played an important role in the pathogenesis of SSc and DAB2 modulation may represent a potential therapeutic method for SSc.

      Keywords

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