2014
DOI: 10.1111/iwj.12283
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Dynamic biological changes in fibroblasts during hypertrophic scar formation and regression

Abstract: The human hypertrophic scar undergoes hyperplasia and regression during progression. This study aimed to investigate whether fibroblasts in scar tissue undergo biological changes during the formation and regression of human hypertrophic scar. Using 32 scar samples, we measured collagen production by Masson's staining and the expression levels of transforming growth factor (TGF)-β1 and vascular endothelial growth factor (VEGF) by immunohistochemistry. In addition, fibroblasts from scar tissue were isolated and … Show more

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Cited by 54 publications
(45 citation statements)
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“…VEGF is an essential factor in the angiogenetic response in hypertrophic scar management. The expression of VEGF increases in early scars, peaks in proliferative scars and decreases in regressive scars [22]. Anti-Vascular Endothelial Growth Factor (Bevacizumab) therapy could reduce hypertrophic scar formation in a rabbit ear wounding model [23].…”
Section: Discussionmentioning
confidence: 99%
“…VEGF is an essential factor in the angiogenetic response in hypertrophic scar management. The expression of VEGF increases in early scars, peaks in proliferative scars and decreases in regressive scars [22]. Anti-Vascular Endothelial Growth Factor (Bevacizumab) therapy could reduce hypertrophic scar formation in a rabbit ear wounding model [23].…”
Section: Discussionmentioning
confidence: 99%
“…They originate from a process of activation and transdifferentiation mainly involving the monocyte lineage, mesenchymal stem cells and circulating fibrocytes. The switch from PMF to MF is possibly related to TGF-β1 produced by a large set of cell types involved in wound healing [17,18,19]. Natural resolution of abnormal scarring possibly follows the complete epithelialization.…”
Section: Discussionmentioning
confidence: 99%
“…Switching PMF to mature MF probably relies on the effect of transforming growth factor-β1 (TGF-β1) produced and released by a series of inflammatory cells, and possibly by fibroblast-like cells [17,18,19]. Thus, MF differentiation is regulated by the combination of specific cells and a series of ECM molecular components [20,21,22].…”
Section: Introductionmentioning
confidence: 99%
“…Fibroblasts are spindle-shaped cells, and initially appear at the location of injury at the end of the inflammatory phase and beginning of the proliferative phase of healing wound [4]. Commonly, fibroblasts are activated and differentiate into myofibroblasts, which are a phenotypically intermediate cell type between fibroblasts and smooth muscle cells.…”
Section: Cellular Basis Of Hypertrophic Scarsmentioning
confidence: 99%
“…Hypertrophic scars have been shown to express high levels of VEGF [82,83], and the skin biopsies of human presternal wound healing had higher microvessel densities postoperatively concomitant with upregulation of VEGF [84]. Moreover, VEGF was dynamically correlated with the progression of hypertrophic scars, because VEGF expression was increased in early scars, peaked in proliferative scars and decreased in regressive scars [4]. In addition, mast cells that contain tryptase exhibited moderate expression of VEGF in hypertrophic and surgical scars in patients with active scar lesions [85].…”
Section: Vascular Endothelial Growth Factor Pathwaymentioning
confidence: 99%