Autoimmune activation and hypersensitization of the AT1 and ETA receptors contributes to vascular injury in scleroderma renal crisis.
Björn HegnerTobias KretzschmarNan ZhuGunnar KleinauHongfan ZhaoJulian Kamhieh-MilzJulia HilgerRalf SchindlerPatrick ScheererGabriela RiemekastenAurélie PhilippeRusan CatarPublished in: Rheumatology (Oxford, England) (2022)
We provide experimental evidence that agonistic Abs may contribute to SRC. This effect is presumably related to direct receptor stimulation and additional allosteric effects, at least in heterodimeric receptor constellations. Novel therapies targeted at autoimmune hyperactivation of AT1R and ETAR might improve outcomes in severe cases of SRC.