Evidence map›Paper›PMID 28807667›Full record

Trial reportThe Journal of investigative dermatology2017

Inhibition of β-Catenin Signaling in the Skin Rescues Cutaneous Adipogenesis in Systemic Sclerosis: A Randomized, Double-Blind, Placebo-Controlled Trial of C-82.

Robert Lafyatis, Julio C Mantero, Jessica Gordon, Nina Kishore, Mary Carns, Howard Dittrich, Robert Spiera, Robert W Simms, John Varga

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of investigative dermatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Skin Fibrosis and Recovery Is Dependent on Wnt Activation via DPP4.The Journal of investigative dermatology · 2022
    Article
  10. Review
  11. Article
  12. Article
  13. Myofibroblast transcriptome indicates SFRP2Nature communications · 2021
    Article
  14. Review
  15. Article
  16. CrossTORC and WNTegration in Disease: Focus on Lymphangioleiomyomatosis.International journal of molecular sciences · 2021
    Review
  17. Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Robert LafyatisDivision of Rheumatology and Clinical Immunology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. Electronic address: lafyatis@pitt.edu.
Julio C ManteroDivision of Rheumatology, Boston University Medical Center, Boston, Massachusetts, USA.
Jessica GordonRheumatology Division, Hospital for Special Surgery, New York, New York, USA.
Nina KishoreDivision of Rheumatology, Boston University Medical Center, Boston, Massachusetts, USA.
Mary CarnsRheumatology Division, Feinberg School of Medicine, Chicago, Illinois, USA.
Howard DittrichAbboud CV Research Center, University of Iowa, Carver College of Medicine, Iowa City, Iowa, USA.
Robert SpieraRheumatology Division, Hospital for Special Surgery, New York, New York, USA.
Robert W SimmsDivision of Rheumatology, Boston University Medical Center, Boston, Massachusetts, USA.
John VargaRheumatology Division, Feinberg School of Medicine, Chicago, Illinois, USA.
Boston University · USHospital for Special Surgery · USUniversity of Iowa · USUniversity of Pittsburgh Medical Center · US

Funding

Translational studies for identifying and targeting novel pathways in systemic sclerosis pathogenesisP50AR060780 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DOMSIC, ROBYN THERESE · 2011 to 2021
$14.9M
Rheumatic Diseases Research Core CentersP30AR061271 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI LAFYATIS, ROBERT A., SIMMS, ROBERT W · 2011 to 2015
$3.1M
Innate immunity in dermal fibrosis and systemic sclerosisR01AR051089 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LAFYATIS, ROBERT A. · 2005 to 2015
$2.8M
NIAMS NIH HHS P30 AR061271NIAMS NIH HHS P50 AR060780NIAMS NIH HHS R01 AR051089
6 · The paper itself

Abstract

Several studies have suggested that Wnts might contribute to skin fibrosis in systemic sclerosis (SSc) by affecting the differentiation of pluripotent dermal cells. We tested C-82, a therapeutic that inhibits canonical Wnt signaling by blocking the interaction of the protein CBP with β-Catenin and inhibiting Wnt-activated genes. We used a trial design formulating C-82 for topical application and conducting a placebo-controlled, double-blinded clinical trial in which patients with diffuse cutaneous SSc were treated with C-82 or placebo on opposite forearms. C-82- compared with placebo-treated forearms did not show any clinical effect. Skin biopsies performed before and after treatment showed a very weak trend toward improvement in the C-82-treated skin of biomarkers of local skin disease, THBS1 and COMP. However, on microarray analysis C-82 treatment strongly up-regulated two clusters of genes that correlate negatively with the severity of SSc skin disease. These clusters are highly associated with metabolism and one gene, PLIN2, expressed only by sebocytes and subcutaneous fat cells. These changes in gene expression strongly support a role for Wnts in differentiation of pluripotent cells into profibrotic fibroblasts and the potential for C-82 with longer treatment to promote fat regeneration in SSc skin.

Indexed as

AdipogenesisAdultAgedAged, 80 and overbeta CateninBiomarkersBiopsyCell DifferentiationCluster AnalysisDouble-Blind MethodEpidermisFemaleFibroblastsGene Expression ProfilingGene Expression RegulationHeterocyclic Compounds, 2-Ringbeta CateninBiomarkersC82 compoundCTNNB1 protein, humanHeterocyclic Compounds, 2-RingPiperazinesWnt Proteins

Identifiers

PMID28807667
PMCPMC5701831
OpenAlexW2743678472

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.