2005
DOI: 10.1007/s11926-005-0069-9
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Scleroderma, fibroblasts, signaling, and excessive extracellular matrix

Abstract: Excessive extracellular matrix (ECM) deposition in the skin, lung, and other organs is a hallmark of systemic sclerosis (SSc). The pathogenesis of SSc is still poorly understood, but increasing evidence suggests that various cytokines such as transforming growth factor (TGF)-beta and their signaling pathways are key mediators of tissue fibrosis as a consequence of ECM accumulation in the pathogenesis of fibrosis such as SSc. TGF-beta regulates diverse biologic activities including cell growth, cell death or ap… Show more

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Cited by 41 publications
(29 citation statements)
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“…Fibrosis is a hallmark of many connective tissue diseases, including scleroderma and systemic sclerosis (reviewed by Ihn 2005;Krieg et al 2007;Olson and Soriano 2009). One of the factors expressed by keratinocytes that promotes fibroblast activation in systemic sclerosis is IL1-a (Aden et al 2010).…”
Section: Fibrosismentioning
confidence: 99%
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“…Fibrosis is a hallmark of many connective tissue diseases, including scleroderma and systemic sclerosis (reviewed by Ihn 2005;Krieg et al 2007;Olson and Soriano 2009). One of the factors expressed by keratinocytes that promotes fibroblast activation in systemic sclerosis is IL1-a (Aden et al 2010).…”
Section: Fibrosismentioning
confidence: 99%
“…TGF-b is a key mediator of fibrosis and acts by stimulating fibroblast proliferation and ECM synthesis (Ihn 2005;Trojanowska 2002). TGF-b also inhibits ECM degradation by downregulating MMP-1, which mediates collagen degradation, and up-regulating tissue inhibitors of matrix metalloproteinases (TIMPs) (Ihn 2005).…”
Section: Fibrosismentioning
confidence: 99%
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“…As the disease progresses, the vascular inflammation becomes more fibrotic in nature with the accumulation of extracellular matrix composed of different collagen types, proteoglycans, and elastic fibers such as fibrillin (3,4) The mechanisms that promote immune dysfunction and fibrosis are poorly understood. In recent years, experimental models focusing on the fibrotic remodeling component of SSc have highlighted a role for the TGF-b pathway (5)(6)(7)(8). Direct targeting of this critical pathway has proved a complex undertaking due to anti-inflammatory and wound healing activities of TGF-b (9), but recent demonstration of clinical improvement in SSc patients treated with fresolimumab supports a fibrogenic role for TGF-b in human disease (10).…”
mentioning
confidence: 99%