Evidence mapPaperPMID 41588245Full record

ReviewNature reviews. Rheumatology2026

Mechanisms of fibrotic tissue remodelling: insights from systemic sclerosis.

Jörg H W Distler, David Launay, Carol Feghali-Bostwick, Alexandru-Emil Matei, Maria Trojanowska, Johann E Gudjonsson

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. CD8MedComm · 2026
    Review
  4. Review
  5. Article
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

6 authors.

Jörg H W Distler *Department of Rheumatology, University Hospital Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany. joerg.distler@med.uni-duesseldorf.de.ORCID http://orcid.org/0000-0001-7408-9333
David Launay *Department of Internal Medicine and Clinical Immunology, CHU Lille, Lille, France.ORCID http://orcid.org/0000-0003-1840-1817
Carol Feghali-Bostwick *Division of Rheumatology, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA.ORCID http://orcid.org/0000-0002-6750-6407
Alexandru-Emil Matei *Department of Rheumatology, University Hospital Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany.ORCID http://orcid.org/0000-0003-1248-3145
Maria Trojanowska *Arthritis & Autoimmune Diseases Research Center, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9550-7178
Johann E Gudjonsson *Department of Dermatology, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0002-0080-0812

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic sclerosis (SSc) is a prototypical systemic immune-mediated fibrosing disease that affects the skin, the lungs, the heart, the kidneys and the intestinal tract. Similar to many other fibrotic diseases, SSc is associated with high morbidity and mortality and therapeutic options are limited. Fibrosis arises from a complex interplay of vascular damage, inflammation and prolonged, misdirected repair responses. The progressive accumulation of extracellular matrix perturbs the physiological tissue architecture and commonly leads to failure of the affected organs. Understanding the mechanisms of fibrotic tissue remodelling can lead to the identification of preclinical targets. Novel fibrosis-promoting cell subpopulations, the interplay of fibroblasts with B cells and macrophages, the nerve-fibroblast axis, matrikines and matricryptins, senescence, profibrotic transcription factors, developmental pathways and epigenetic tissue memory are all important drivers of fibrotic tissue remodelling that might offer potential for novel therapies to improve outcomes for patients with SSc and possibly other fibrotic conditions.

Indexed as

Scleroderma, SystemicAnimalsExtracellular MatrixFibroblastsFibrosisHumans

Identifiers

PMID41588245

What Socratic holds

Textmetadata
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.