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. 2020 Apr 6;130(5):2451–2464. doi: 10.1172/JCI131700

Figure 8. Schematic model for the pathogenesis of SSc.

Figure 8

Infiltration of inflamed tissues by CD4+ CTLs and CD8+ CTLs and the apoptosis of endothelial cells may contribute to this disease. Reactivation of CD4+ CTLs may require antigen presentation by activated B cells in tissue sites. Cell apoptosis and macrophage and fibroblast activation by cytokines secreted by cytotoxic T cells may together contribute to fibrosis.