Intriguing Relationships Between Cancer and Systemic Sclerosis: Role of the Immune System and Other Contributors

Front Immunol. 2019 Jan 10:9:3112. doi: 10.3389/fimmu.2018.03112. eCollection 2018.

Abstract

Systemic sclerosis (SSc) is an autoimmune connective tissue disorder, characterized by multisystem involvement, vasculopathy, and fibrosis. An increased risk of malignancy is observed in SSc (including breast and lung cancers), and in a subgroup of patients with specific autoantibodies (i.e., anti-RNA polymerase III and related autoantibodies), SSc could be a paraneoplastic syndrome and might be directly related to an immune response against cancer. Herein, we reviewed the literature, focusing on the most recent articles, and shed light onto the potential relationship between cancer and scleroderma regarding temporal and immunological dimensions.

Keywords: Systemic sclerosis (scleroderma); autoimmunity; cancer; immunoediting of cancer; immunosurveillance; paraneopastic syndrome.

Publication types

  • Review

MeSH terms

  • Autoantibodies / immunology*
  • Autoimmune Diseases / complications
  • Autoimmune Diseases / genetics
  • Autoimmune Diseases / immunology*
  • Autoimmune Diseases / pathology
  • Fibrosis
  • Humans
  • Neoplasms / complications
  • Neoplasms / genetics
  • Neoplasms / immunology*
  • Paraneoplastic Syndromes / complications
  • Paraneoplastic Syndromes / genetics
  • Paraneoplastic Syndromes / immunology*
  • RNA Polymerase III / immunology
  • Scleroderma, Systemic / complications
  • Scleroderma, Systemic / genetics
  • Scleroderma, Systemic / immunology*
  • Scleroderma, Systemic / pathology
  • Skin / immunology
  • Skin / pathology

Substances

  • Autoantibodies
  • RNA Polymerase III