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Review
. 2024 Mar;75(3):218-224.
doi: 10.1007/s00105-024-05299-7. Epub 2024 Feb 13.

[Skin fibrosis : Novel insights in pathophysiology and treatment]

[Article in German]
Affiliations
Review

[Skin fibrosis : Novel insights in pathophysiology and treatment]

[Article in German]
Sebastian Willenborg et al. Dermatologie (Heidelb). 2024 Mar.

Abstract

The pathogenesis of fibrosing alterations in the skin and other organ systems is not yet sufficiently understood and current therapeutic options are limited. Fibrosing diseases of the skin lead to a loss of function, which can subsequently be accompanied by serious impairments in quality of life, increased morbidity and ultimately increased mortality. There are currently only a few pharmacological and therapeutic approaches approved to prevent or ameliorate fibrosing diseases. Furthermore, tissue-specific versus common, non-organ-specific pathophysiological cellular and molecular mechanisms are not resolved. The development of new, cause-based and therefore likely more efficient therapeutic approaches is urgently needed. This represents a major challenge, but also opens up the opportunity for special contributions to improve this medically unsolved problem. Here we present important findings from recent years with a focus on the role of the immune response in fibrogenesis.

Die Pathogenese fibrosierender Veränderungen der Haut und anderer Organsysteme ist bisher nicht ausreichend verstanden und die derzeitigen Therapiemöglichkeiten sind unzureichend. Fibrosierende Erkrankungen der Haut führen zu einem Funktionsverlust, der in der Folge mit schwerwiegenden Einschränkungen der Lebensqualität, gesteigerter Morbidität und letztlich auch mit einer erhöhten Mortalität einhergehen kann. Aktuell stehen nur wenige spezifisch für fibrosierende Erkrankungen zugelassene Medikamente zur Verfügung. Die Entwicklung neuer, ursachenbasierter und damit effizienter Therapieansätze ist dringend erforderlich. Die Erforschung von Gewebefibrose und die Entwicklung kausaler pharmakologischer Therapieansätze stellen einerseits eine große Herausforderung dar, eröffnen zugleich aber auch die Möglichkeit, einen besonderen Beitrag zur Aufklärung dieses medizinisch ungelösten Problems zu leisten. Im Folgenden sind wichtige Erkenntnisse der letzten Jahre mit Fokus auf die Rolle der Immunantwort in der Fibrogenese dargestellt.

Keywords: Fibroblasts; Immune response; Immunoregulation; Monocytes and macrophages; Type 2 immunity.

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