RT Journal Article SR Electronic T1 Blockade of canonical Wnt signalling ameliorates experimental dermal fibrosis JF Annals of the Rheumatic Diseases JO Ann Rheum Dis FD BMJ Publishing Group Ltd and European League Against Rheumatism SP 1255 OP 1258 DO 10.1136/annrheumdis-2012-202544 VO 72 IS 7 A1 Christian Beyer A1 Helena Reichert A1 Hümeyra Akan A1 Tatjana Mallano A1 Amelie Schramm A1 Clara Dees A1 Katrin Palumbo-Zerr A1 Neng Yu Lin A1 Alfiya Distler A1 Kolja Gelse A1 John Varga A1 Oliver Distler A1 Georg Schett A1 Jörg H W Distler YR 2013 UL http://ard.bmj.com/content/72/7/1255.abstract AB Background and objectives Fibrosis is a major socioeconomic burden, but effective antifibrotic therapies are not available in the clinical routine. There is growing evidence for a central role of Wnt signalling in fibrotic diseases such as systemic sclerosis, and we therefore evaluated the translational potential of pharmacological Wnt inhibition in experimental dermal fibrosis. Methods We examined the antifibrotic effects of PKF118-310 and ICG-001, two novel inhibitors of downstream canonical Wnt signalling, in the models of prevention and treatment of bleomycin-induced dermal fibrosis as well as in experimental dermal fibrosis induced by adenoviral overexpression of a constitutively active transforming growth factor (TGF)-β receptor I. Results PKF118-310 and ICG-001 were well tolerated throughout all experiments. Both therapeutic approaches showed antifibrotic effects in preventing and reversing bleomycin-induced dermal fibrosis as measured by skin thickness, hydroxyproline content and myofibroblast counts. PKF118-310 and ICG-001 were effective in inhibiting TGF-β receptor I-driven fibrosis as assessed by the same outcome measures. Conclusions Blockade of canonical Wnt signalling by PKF118-310 and ICG-001 showed antifibrotic effects in different models of skin fibrosis. Both therapies were well tolerated. Although further experimental evidence for efficacy and tolerability is necessary, inhibition of canonical Wnt signalling is a promising treatment approach for fibrosis.