Robert A. Lafyatis, MD Adjunct Professor, Boston University Chobanian & Avedisian School of Medicine Biography Dr. Lafyatis carries out patient oriented research into the cause and treatment of systemic sclerosis. This includes early phase clinical trials into new therapeutic agents in patients with systemic sclerosis. He has been investigating the mechanisms of actions and markers of response for novel therapeutics, such as the B cell depleting agent, rituximab and the immunosuppressant agent, mycophenlate. Additional studies are aimed at identifying biomarkers in systemic sclerosis using microarray gene expression analysis of skin and blood in scleroderma patients. Ongoing biomarker studies include investigation into molecular markers of pulmonary hypertension in systemic sclerosis. Dr. Lafyatis also carries out basic research into the cause of fibrosis and vasculopathy in systemic sclerosis using patient samples and murine disease models. His studies have provided key insights into one widely used model of systemic sclerosis, the tight skin mouse. His studies are currently focused on understanding how autoimmunity and the innate immune system lead to fibrosis and vascular damage. This has recently led to the discovery of increased interferon-regulated gene expression in white blood cells of patients with systemic sclerosis. Ongoing research is aimed at better understanding the cause of altered gene expression by monocytes and other cells in the innate immune system. Publications Published 8/7/2025 Padilla CM, Lafyatis R, Gibson KF, Morse C, Valenzi E, Chen X, Li X, Zhao Y, Park Y, Ascherman D, Minden J, Domsic R, Zhang Y, Kass DJ. LOXHD1 and RHOB Expression by Monocytes Predicts Progressive Systemic Sclerosis associated Interstitial Lung Disease. Arthritis Care Res (Hoboken). 2025 Aug 07. PMID: 40771159. Read at: PubMed Published 8/1/2025 Padilla C, Katikineni V, Park Y, Freno L, Laffoon M, Reichbaum L, Lafyatis R, Domsic R. Effects of Audio-Guided Imagery on Raynaud Phenomenon in Connective Tissue Disease. ACR Open Rheumatol. 2025 Aug; 7(8):e70074. PMID: 40878837. Read at: PubMed Published 7/25/2025 Dinc MT, El-Adili F, Lui JK, Kripesh S, York M, Trojanowski M, Ligresti G, Lafyatis R, Trojanowska M, Bujor AM. Transcriptomic profiling of scleroderma monocytes reveals links with cardiovascular complications, implicating Notch and interferon pathways. J Scleroderma Relat Disord. 2025 Jul 25; 23971983251356123. PMID: 40735732. Read at: PubMed Published 6/5/2025 Lafyatis R, Valenzi E. Yapping about macrophages in fibrotic lung disease. Eur Respir J. 2025 Jun; 65(6). PMID: 40473297. Read at: PubMed Published 6/1/2025 Hukara A, Bonazza GA, Tabib T, Micheroli R, Jordan S, Bürki K, Rudnik M, Ciurea A, Distler O, Lafyatis R, Blyszczuk P, Kania G. Elevated Fcy receptor expression augments pro-inflammatory macrophage phagocytosis in systemic sclerosis and associated rheumatic diseases. Rheumatology (Oxford). 2025 Jun 01; 64(6):3975-3988. PMID: 39672802. Read at: PubMed View All 273 Publications: View Full Profile in BUMC Other Positions Member, Evans Center for Interdisciplinary Biomedical ResearchBoston University Websites BU Profile Program in Inflammatory Disorders Faculty Scleroderma Center of Research Translation National Scleroderma Core Centers LinkedIn Education University of Cincinnati, MD Massachusetts Institute of Technology, BS View all profiles