2021
DOI: 10.1111/wrr.12889
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The hard problem: Mechanotransduction perpetuates the myofibroblast phenotype in scleroderma fibrosis

Abstract: The effector cells ultimately responsible for fibrosis are myofibroblasts. In the fibrotic autoimmune connective tissue disease scleroderma, myofibroblasts are autonomously activated, and retain their phenotype upon culturing. Since the 1990s, researchers have exploited this fact to use scleroderma fibroblasts as a model system to uncover the fundamental mechanisms underlying myofibroblast persistence in fibrotic conditions. These studies have suggested that an autocrine transforming growth factor (TGF)beta si… Show more

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Cited by 17 publications
(8 citation statements)
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“…For example, the excessive fibroblast activity, often occurring in large burns and severe injuries, results in hypertrophic scarring and keloid formation (i.e., dysfunctional and disfiguring scar tissue) ( Hinz, 2016 ; Arif et al, 2021 ). The persistence of myofibroblast activity can also be caused by altered signaling pathways ( Leask, 2021 ), apoptosis failure ( Hinz and Lagares, 2020 ), and excessive mechanical stress, as in the case of high strains at the wound edges ( Wong et al, 2011a ) or ECM stiffness ( Sawant et al, 2021 ).…”
Section: Fibroblast Dysfunction In Wound Healingmentioning
confidence: 99%
“…For example, the excessive fibroblast activity, often occurring in large burns and severe injuries, results in hypertrophic scarring and keloid formation (i.e., dysfunctional and disfiguring scar tissue) ( Hinz, 2016 ; Arif et al, 2021 ). The persistence of myofibroblast activity can also be caused by altered signaling pathways ( Leask, 2021 ), apoptosis failure ( Hinz and Lagares, 2020 ), and excessive mechanical stress, as in the case of high strains at the wound edges ( Wong et al, 2011a ) or ECM stiffness ( Sawant et al, 2021 ).…”
Section: Fibroblast Dysfunction In Wound Healingmentioning
confidence: 99%
“…[14][15][16][17] Fibrosis and scarring ensue when normal skin repair persists, for instance when myofibroblast fail to die 18,19 or when danger signals and inflammation become chronic like in systemic sclerosis. 20,21 Functional skin becomes then replaced by dysfunctional and disfiguring scar tissue. In other organs, fibrous ECM can confuse and stress fibroblasts and other cells to the point of organ dysfunction or failure, like in lung fibrosis, 22,23 palmar fascia in Dupuytren disease 24,25 , glaucoma, 26 and heart fibrosis.…”
Section: Introductionmentioning
confidence: 99%
“…The proin ammatory transition is gated by retinoic acid Progression of wound healing phases is associated with dynamic biochemical and biomechanical signals such as TGFβ and Wnt 48 , cytokines such as Interleukins and Tumor necrosis factor 49 , cell-cell interactions [50][51] , and extracellular matrix mechano-transduction 4,52 .…”
Section: Sequential Checkpoints Control Cd201 + Progenitor Differenti...mentioning
confidence: 99%