“…While research into the molecular pathology of DSLD has focused on structural extracellular matrix components, such as decorin [27] and aggrecan [1, 5], the studies described here indicate that the pathology is accompanied by a more general metabolic disturbance, characterized by an altered expression/activity of TGFβ-signaling target genes in fibroblastic type cells. While precise details of the metabolic disturbance are unknown, the most definitive data linking the DSLD pathology to TGFβ1-signaling is the approximate 4-fold deficiency (fold-difference in DSLD-Paso /NA-Paso about minus 4) in transcript abundance for 19 signaling target genes ( PTK2B , ATF3 , MAPK14 , ME2 , ACVRL1 , NFIB , EPHB2 , HMOX1 , SMAD6 , FOS , GLI2 , STC2 , ID2 , PPARA , ENG , CREBBP , NFKBIA , BRD2 , TGFBR2 ) in adipose-derived stromal fibroblasts (see Table 1).…”