Environmental risk factors of systemic sclerosis

Marie, I; Gehanno, JF

HERO ID

2965840

Reference Type

Journal Article

Subtype

Review

Year

2015

Language

English

PMID

26141606

HERO ID 2965840
Material Type Review
In Press No
Year 2015
Title Environmental risk factors of systemic sclerosis
Authors Marie, I; Gehanno, JF
Journal Seminars in Immunopathology
Volume 37
Issue 5
Page Numbers 463-473
Abstract Systemic sclerosis (SSc) has a complex pathogenesis. Although, there is a growing evidence that environmental factors have an impact on alterations and modulation of epigenetic determinants, resulting in SSc onset and progression. A marked correlation has thus been found between SSc onset and occupational exposure to crystalline silica and the following organic solvents: white spirit, aromatic solvents, chlorinated solvents, trichloroethylene, and ketones; the risk associated with high cumulative exposure to silica and organic solvents further appears to be strongly increased in SSc. Altogether, occupational exposure should be systematically checked in all SSc patients at diagnosis, as (1) exposed patients seem to develop more severe forms of SSc and (2) the identification of the occupational agents will allow its interruption, which may lead to potential improvement of SSc outcome. By contrast, based on current published data, there is insufficient evidence that exposure to other chemical agents (including notably pesticides as well as personal care such as silicone and hair dye), physical agents (ionizing radiation, ultraviolet radiation, electric and magnetic fields), and biological agents (infections and diet, foods, and dietary contaminants) is a causative factor of SSc. Further investigations are still warranted to identify other environmental factors that may be associated with SSc onset and progression.
Doi 10.1007/s00281-015-0507-3
Pmid 26141606
Wosid WOS:000363271500004
Url /www.springer.com
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword Systemic sclerosis; Epigenetics; Environmental factors; Occupational factors; Crystalline silica; Solvents; Trichloroethylene; Ketones; Welding fumes; Pesticides