Lung Involvement in Systemic Sclerosis—From Pathogenesis to Prediction

Author:

Kaouri Issa El1ORCID,Bakopoulou Konstantina1ORCID,Padjen Ivan2ORCID,Lazarov Velik3ORCID,Sdralis Paraskevas Panagiotis1ORCID,Velikova Tsvetelina4ORCID,Shumnalieva Russka145ORCID

Affiliation:

1. Faculty of Medicine, Medical University of Sofia, Boulevard “Akademik Ivan Evstratiev Geshov” 15, 1431 Sofia, Bulgaria

2. Division of Clinical Immunology and Rheumatology, Department of Internal Medicine, University Hospital Centre Zagreb, School of Medicine, University of Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia

3. Second Specialised Hospital for Obstetrics and Gynaecology “Sheynovo”, ul. Sheinovo 19, 1504 Sofia, Bulgaria

4. Medical Faculty, Sofia University, St. Kliment Ohridski, 1 Kozyak Str., 1407 Sofia, Bulgaria

5. Department of Rheumatology, Clinic of Rheumatology, University Hospital St Ivan Rilski, Urvich Str. 13, 1612 Sofia, Bulgaria

Abstract

Systemic sclerosis (SSc) is a rare, multifactorial autoimmune disease characterized by widespread vascular damage and fibrosis. Pulmonary involvement is a significant manifestation of SSc, contributing to considerable morbidity and mortality. Therefore, identifying reliable biomarkers is of the utmost importance. This review explores emerging biomarkers to enhance diagnostic accuracy, prognostic assessment, and disease monitoring in SSc lung involvement. We discuss recent findings in immunological biomarkers, inflammatory indicators, and other parameters that can function as potential diagnostic and prognostic tools. A comprehensive understanding of these biomarkers could result in earlier and more accurate detection of pulmonary complications in SSc, aiding in timely intervention. Furthermore, we explore the advances in disease monitoring through innovative biomarkers, focusing on their roles in disease activity and treatment response. Integrating these novel biomarkers into current clinical practice and therapeutic protocols through clinical trials can revolutionize the management of SSc-related lung disease, ultimately improving patient outcomes and quality of life.

Funder

European Union-NextGenerationEU

Publisher

MDPI AG

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