Homeostatic fibroblast niche collapse in clinically uninvolved skin marks a pre-fibrotic stage of systemic sclerosis
Alex Hu, Lin Wei Tung, Thomas Pulliam, Cory L Simpson, Sandra Lord, Jeffrey S Carlin, Hannah A DeBerg, Daniel J Campbell, Peter J Morawski
The paper identifies a pre-fibrotic stage in scleroderma by analyzing spatial transcriptomic changes in clinically uninvolved skin, showing early reprogramming of fibroblasts and vascular smooth muscle cells.
bioRxiv · Nov 6, 2026 · PreprintImmunology