“…The levels of receptors for TGF-β are elevated on SSc fibroblasts, permitting them to mount a robust response to endogenously produced TGF-β or to subthreshold levels of exogenous TGF-β in their environment (112,113). Furthermore, thrombospondin and α v β 3 integrins, both of which can mediate latent TGF-β activation, are elevated on SSc fibroblasts (114,115). Consistent with the autocrine TGF-β hypothesis, SSc fibroblasts show evidence of ligand-independent intracellular TGF-β signaling, with elevated expression and nuclear accumulation of activated SMAD3 (99,116) and its constitutive interaction with the p300/CBP coactivator (117,118).…”