“…Since telomerase activity is transiently elevated for several days in fibroblasts following tissue damage (Minamino, Mitsialis, & Kourembanas, 2001; Nozaki, Liu, Hatano, Gharaee‐Kermani, & Phan, 2000; Tahara, Sato, Noda, & Ide, 1995), it was suggested that it promotes fibroblast proliferation while antagonizing myofibroblast transdifferentiation during the proliferative stage of tissue repair (Schissel & Layne, 2006). A decrease in telomerase activity is observed several weeks following tissue damage and during a period in which abundance of myofibroblasts increases (Liu et al, 2006; Liu, Nozaki, & Phan, 2002; Nozaki et al, 2000), raising the possibility that temporally emerging signals in damaged tissue eventually repress hTERT expression, thereby facilitating myofibroblast transdifferentiation. The likely factor that orchestrates all of the events critical for myofibroblast transdifferentiation during tissue repair and wound healing in humans is TGF‐β1, as it negatively regulates transactivation of hTERT expression (Cassar et al, 2016), promotes telomere dysfunction and p53‐dependent expression of αSMA (this study), and activates SMAD3‐dependent expression of αSMA (Hinz, 2007).…”