During tissue repair, excess fibroblasts are eliminated by apoptosis. This physiologic process limits fibrosis and restores normal anatomic patterns. Replicating physiologic apoptosis associated with tissue repair, fibroblasts incorporated into type I collagen matrices undergo apoptosis in response to collagen matrix contraction. In this in vitro model of wound repair, fibroblasts first attach to collagen via ␣21 integrin. This provides a survival signal via activation of the phosphatidylinositol 3-kinase/Akt signal pathway. However, during subsequent collagen matrix contraction, the level of phosphorylated Akt progressively declines, triggering apoptosis. The mechanism underlying the fall in phosphorylated Akt is incompletely understood. Here we show that PTEN phosphatase becomes activated during collagen matrix contraction and is responsible for antagonizing phosphatidylinositol 3-kinase activity and promoting a decline in phosphorylated Akt and fibroblast apoptosis in response to collagen contraction. PTEN null fibroblasts displayed enhanced levels of phosphorylated Akt and were resistant to collagen matrix contraction-induced apoptosis. Reconstitution of PTEN in PTEN null cells conferred susceptibility to apoptosis in response to contraction of collagen matrices. Consistent with this, knockdown of PTEN in PTEN ؉/؉ embryonic fibroblasts by small interfering RNA augmented Akt activity and suppressed apoptosis in contractile collagen matrices. Furthermore, inhibition of Akt activity restored the sensitivity of PTEN null cells to collagen contraction-induced apoptosis, indicating that the mechanism by which PTEN alters fibroblast viability is through modulation of phosphorylated Akt levels. Our work suggests that collagen matrix contraction activates PTEN by a mechanism involving cytoskeletal disassembly. Our studies indicate a key role for PTEN in regulating fibroblast viability during tissue repair.Fibroblasts play an essential role in tissue repair. In response to injury, interstitial fibroblasts differentiate into myofibroblasts (1). Myofibroblasts synthesize and deposit type I collagen into the wound provisional matrix (2). They subsequently contract the type I collagen matrix, facilitating wound closure (3, 4).Following contraction of the type I collagen matrix, myofibroblasts are eliminated by apoptosis, reducing wound cellularity (3). The precise molecular mechanisms governing removal of fibroblasts during tissue repair are unclear.Using fibroblasts cultured in three-dimensional contractile type I collagen matrices as a model of wound/tissue repair, the molecular signals regulating fibroblast viability during collagen contraction have begun to be elucidated. When fibroblasts are incorporated into the type I collagen matrix, they utilize ␣21 integrin to attach and spread (5). This results in phosphorylation of serine 473 of Akt. Activation of Akt provides a survival signal that is mediated through phosphatidylinositol 3-kinase (PI3K) 3 (5-12). However, upon collagen matrix contraction, this integrin sur...