doi: 10.1002/art.24494, Henke, C., Fiegel, V., Peterson, M., Wick, M., Knighton, D., McCarthy, J., et al. https://doi.org/10.1038/s41577-021-00540-z (2021). Another source of myofibroblasts during fibrosis has been hypothesized to originate from endothelial cells by a process of endothelial-mesenchymal transition (EndoMT) (Piera-Velazquez et al., 2011). Fibroblasts are cells that are easily identified by their distinctive spindle shape, a characteristic that delineates them from other structural cells of tissues, such as epithelial cells. 38, 761769. J. Clin. 15, 774780. WebFibroblasts produce tropocollagen, which is the forerunner of collagen, and ground substance, an amorphous gel-like matrix that fills the spaces between cells and fibres in connective tissue. Care Med.
Ann. Fibroblasts produce both matrix degrading enzymes (such as metalloproteinases, aka MMPs) as well as their inhibitors (the tissue inhibitors of metalloproteinases, aka TIMPs). A., Kapoun, A. M., Damm, D., et al. However, vitamin D deficiency has also been found to correlate with many extra-osseous disorders. Nephrol. The contractile biology of myofibroblasts facilitates ECM fiber manipulation and wound contraction at sites of injury.
Nephrol. Int. However, myofibroblasts have also been observed to differentiate from various other precursor cells, including epithelial cells, endothelial cells, pericytes, multipotent monocytes, and fibrocytes. Reading time: 1 minute.
J. Biol. Read more. Tubular phenotypic change in progressive tubulointerstitial fibrosis in human glomerulonephritis. PDGF is important for wound healing, inflammation, angiogenesis, embryonic development, and fibrosis.
Akt participation in the Wnt signaling pathway through Dishevelled. NAD(P)H oxidase mediates TGF-beta1-induced activation of kidney myofibroblasts. J.
doi: 10.1091/mbc.E11-05-0393, Ng, Y. Y., Huang, T. P., Yang, W. C., Chen, Z. P., Yang, A. H., Mu, W., et al. In these contexts, fibroblasts contribute to injury responses in both the initiation and the resolution phases.
Moreover, the pathological histology of fibrosis includes an increase in the relative balance of collagen (Gilbane et al., 2013; McKleroy et al., 2013). Proc. Insulin-like growth factor binding proteins-3 and -5: central mediators of fibrosis and promising new therapeutic targets.
WebA fibroblast is a type of biological cell that synthesizes the extracellular matrix and collagen, produces the structural framework for animal tissues, and plays a critical role in wound healing. Am. doi: 10.1371/journal.pone.0049278, Gharaee-Kermani, M., McCullumsmith, R. E., Charo, I. F., Kunkel, S. L., and Phan, S. H. (2003). J. Pathol. Interestingly, the amino terminus portion of endostatin contains the anti-angiogenic functionality (Tjin Tham Sjin et al., 2005), whereas the carboxy terminus portion contains the antifibrotic activity, suggesting that the two biological functions can be attributed to dissociable domains (Yamaguchi et al., 2012). This study highlights the importance of a personalized medicine approach to the multifactorial group of fibrotic disorders. Am. doi: 10.1038/sj.bjp.0707487, Fu, R., Wu, J., Ding, J., Sheng, J., Hong, L., Sun, Q., et al. Read the paper: Cross-tissue organization of the fibroblast lineage, An antiviral response beyond immune cells, Ready-made cellular plugs heal skin wounds, The WHO at 75: what doesnt kill you makes you stronger, The NKcell receptor NKp46 recognizes ecto-calreticulin on ER-stressed cells, When influenza viruses dont play well with others, Surveillance of SARS-CoV-2 at the Huanan Seafood Market, Air pollutions role in the promotion of lung cancer, Blinded, randomized trial of sonographer versus AI cardiac function assessment, Postdoctoral position to study mechanisms of cytokine signaling and develop novel therapeutic approaches in brain tumors and other malignancies, Northwestern University Robert H. Lurie Comprehensive Cancer Center. Based on the phenotypes of genetically modified mice and spatio-temporal expression levels during bone fracture healing, FGF2, FGF9, and FGF18 are regarded as possible candidates useful for bone regeneration. The cells can be grown in an incubator and then later frozen and revived when we need them to study DNA and proteins without having to bring the patient back in for new samples. Chem. Biol. Sources Fibroblasts can regenerate functional tissue. FASEB J. doi: 10.1096/fj.02-0204fje, Strehlow, D., and Korn, J. H. (1998). Characteristics and outcomes of patients with sarcoidosis listed for lung transplantation. Chem. doi: 10.4081/reumatismo.2009.90, Fang, X., Yu, S. X., Lu, Y., Bast, R. C., Woodgett, J. R., and Mills, G. B. 96, 280291. Am. J. Am. the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Diversity, topographic differentiation, and positional memory in human fibroblasts. Arthritis Rheum. Cell 88, 277285. Fibroblast. Mol. J. Biol. Am. doi: 10.1681/ASN.2011080851, Scotton, C. J., and Chambers, R. C. (2007). Acad. doi: 10.1038/249123a0, Hashimoto, N., Jin, H., Liu, T., Chensue, S. W., and Phan, S. H. (2004). Cancer 129, 17951805. (2003). WebFibroblasts produce tropocollagen, which is the forerunner of collagen, and ground substance, an amorphous gel-like matrix that fills the spaces between cells and fibres in connective tissue. doi: 10.1097/00002281-199811000-00011, Sumi, M., Satoh, H., Kagohashi, K., Ishikawa, H., and Sekizawa, K. (2005). doi: 10.1371/journal.pone.0043049. J. Clin. 294, L891L901. 113, 243252. Examples of TAF-derived ECM components include Tenascin and Thrombospondin-1 (TSP-1), which can be found in sites of chronic inflammation and carcinomas, respectively. [8] In many tumor types, especially those related to the epithelial cells, ECM remodeling is common. Am. Pulmonary hypertension can be a complication of IPF and SSc and is a significant contributor to mortality (Lee et al., 1992; Arcasoy et al., 2001; King et al., 2001). TAF-derived ECM components cause alterations in the ECM composition and initiate the ECM remodeling.
(2012). Like corneal fibroblasts, dermal fibroblast proliferation can be stimulated by the presence of fibroblast growth factor (FGF). Indeed, fibrosis plays a significant contributory role in most cases of organ failure. Natl. The human integrin alpha 8 beta 1 functions as a receptor for tenascin, fibronectin, and vitronectin. Role of insulin-like growth factor binding protein-3 in allergic airway remodeling. Natl. Gospodarowicz, D. (1974). (2013). The three types of site-specific nucleases, namely, zinc-finger nucleases, transcription activator-like effector nucleases . (1999). 22, 671676. In the meantime, to ensure continued support, we are displaying the site without styles Davidson, S. et al. Vitamin D deficiency and insufficiency in 2 independent cohorts of patients with systemic sclerosis. J. Pharmacol. Felbor, U., Dreier, L., Bryant, R. A., Ploegh, H. L., Olsen, B. R., and Mothes, W. (2000). doi: 10.1097/BOR.0b013e32833de1a7, Wynn, T. A. As such, these cells have important roles in resolving pathological fibrosis. Regulation of ribosomal S6 protein kinase-p90(rsk), glycogen synthase kinase 3, and beta-catenin in early Xenopus development. 19, 11871194. doi: 10.1016/j.jdermsci.2011.09.012, Liu, M., Xu, J., and Deng, H. (2011b). beta-Catenin pathway is required for TGF-beta1 inhibition of PPARgamma expression in cultured hepatic stellate cells. Fibroblasts do not typically express and release the angiogenic hormone angiotensin II (AngII), however both activated macrophages and myofibroblasts produce AngII during the pathology of fibrosis (Berk et al., 2007). [6], Fibroblasts, like the tumor-associated host fibroblasts (TAF), play a crucial role in immune regulation through TAF-derived extracellular matrix (ECM) components and modulators. doi: 10.1016/j.bbamcr.2007.05.016. A., Goustin, A. S., Shipley, G. D., DiCorleto, P. E., and Moses, H. L. (1986). Trans. Selective expression of connective tissue growth factor in fibroblasts in vivo promotes systemic tissue fibrosis. PAR1 receptors have well documented roles in the process of fibrosis, and PAR1 receptor antagonists as well as thrombin inhibitors could be beneficial for treating SSc and IPF (Atanelishvili et al., 2014). Fibroblasts synthesize and secrete the extracellular matrix (ECM) proteins, particularly collagen and elastin, that are used to maintain a structural framework in many tissues. Saltzman, L. E., Moss, J., Berg, R. A., Hom, B., and Crystal, R. G. (1982). and grab your free ultimate anatomy study guide! Cysteinyl leukotrienes regulate TGF-beta(1) and collagen production by bronchial fibroblasts obtained from asthmatic subjects. 188, 14421450. Friends or foesbipolar effects of the tumour stroma in cancer. doi: 10.1002/(SICI)1097-4652(199910)181:1<153::AID-JCP16>3.0.CO;2-K, Mueller, M. M., and Fusenig, N. E. (2004). Similarly, using an SMA promoter-driven GFP transgenic mouse, no kidney or bone marrow stromal expression was observed in chimeric wild-type mice (Yokota et al., 2006). doi: 10.1016/j.jsbmb.2009.11.004, Richter, A. G., McKeown, S., Rathinam, S., Harper, L., Rajesh, P., McAuley, D. F., et al. CTGF interacts with a wide variety of receptors, extracellular ligands, as well as ECM proteins (Liu et al., 2011a). Int. (1991). doi: 10.1016/j.cell.2007.11.041, Beaulieu, J. M., Sotnikova, T. D., Marion, S., Lefkowitz, R. J., Gainetdinov, R. R., and Caron, M. G. (2005). 222, 703712. In these contexts, fibroblasts contribute to injury responses in both the initiation and the resolution phases. Circulating fibrocytes: collagen-secreting cells of the peripheral blood. These fibroblasts have the capacity to become activated by inflammatory cytokines to myofibroblasts that display up-regulated cellular migration, exaggerated ECM production, the endowment of a contractile apparatus, and increased chemical signaling secretion and responsiveness. J. Pathol.
Indeed, a 48 amino acid portion of endostatin's carboxy terminus has strong antifibrotic actions in vitro, in vivo, and ex vivo in human tissue (Yamaguchi et al., 2012). Pearson, C. A., Pearson, D., Shibahara, S., Hofsteenge, J., and Chiquet-Ehrismann, R. (1988). WebAt this stage, fibroblasts get to work by both producing and building a new, temporary extracellular matrix that supports the protective cover (or scab) created by epithelial cells. These findings suggest that AngII could contribute to fibrosis in other tissues. (1998). J. Clin. (2011). Enter your email address to receive updates about the latest advances in genomics research. Production of collagen, elastin and other ECM proteins.
23, 868883. Distinct PKC isoforms mediate cell survival and DNA synthesis in thrombin-induced myofibroblasts. High amounts of active FGF2 are found in bronchoalveolar lavage fluid and in lung tissues of patients with pulmonary fibrosis (Henke et al., 1991; Inoue et al., 1996). *Correspondence: Carol A. Feghali-Bostwick, Division of Rheumatology and Immunology, Department of Medicine, Medical University of South Carolina, 96 Jonathan Lucas St, Ste 912, MSC 637, Charleston, SC 29425, USA e-mail: feghalib@musc.edu, View all
Cell Res. Fibroblasts have close interactions with endothelial cells and facilitate angiogenesis into tissues beyond the reach of existing blood vessels. Decorin directly interacts with TGF and inhibits its profibrotic biological activity. Sci. doi: 10.1002/art.30647. As the wound heals, a specialized type of fibroblast begins to pull the wound back together, and hopefully leaves the area without permanent scarring. Cyclooxygenase-2 deficiency results in a loss of the anti-proliferative response to transforming growth factor-beta in human fibrotic lung fibroblasts and promotes bleomycin-induced pulmonary fibrosis in mice. Role of lung pericytes and resident fibroblasts in the pathogenesis of pulmonary fibrosis.
Therefore, they require close proximity to ECM and the fibroblasts that secrete ECM. Mol. J. Basic fibroblast growth factor and its receptors in idiopathic pulmonary fibrosis and lymphangioleiomyomatosis. Cell Biol. J. Pathol. J. Med. Fibroblasts produce an interconnecting meshwork of extracellular protein fibers and connector proteins that provide structure to tissue. Although the phenomenon is not well characterized in most tissues, AngII is known to promote TGF-mediated cardiac remodeling (Rosenkranz, 2004) and the fibrosis observed in left ventricular cardiac hypertrophy (Rosenkranz, 2004). Regardless, it is an interesting observation that multiple targets belonging to this signaling pathway are currently being actively investigated as potential targets for fibrosis therapies. All content published on Kenhub is reviewed by medical and anatomy experts. Scleroderma: from cell and molecular mechanisms to disease models. Reciprocally, these proteins can promote the differentiation of profibrotic myofibroblasts through positive feedback regulation during fibrosis (Blaauboer et al., 2013). CTGF knock-out mice are less responsive to the induction of fibrotic skin lesions by bleomycin (Liu et al., 2011a). (2006a). Indomethacin suppresses the anti-proliferative effects of transforming growth factor-beta isoforms on fibroblast cell cultures. doi: 10.1074/jbc.M111.233080, Khan, K., Xu, S., Nihtyanova, S., Derrett-Smith, E., Abraham, D., Denton, C. P., et al. Fibroblasts/myofibroblasts that participate in cutaneous wound healing are not derived from circulating progenitor cells. 15, 112. doi: 10.1172/JCI200418847, Hebbar, M., Peyrat, J. P., Hornez, L., Hatron, P. Y., Hachulla, E., and Devulder, B. Scleroderma dermal fibroblasts overexpress vascular endothelial growth factor due to autocrine transforming growth factor beta signaling. J. Rheumatol. doi: 10.1016/S0002-9440(10)62518-7, Keywords: fibroblast, myofibroblast, fibrosis, scleroderma, idiopathic pulmonary fibrosis, extracellular matrix, endostatin, Citation: Kendall RT and Feghali-Bostwick CA (2014) Fibroblasts in fibrosis: novel roles and mediators. Curated learning paths created by our anatomy experts, 1000s of high quality anatomy illustrations and articles. Sustained Akt activation is critical for upregulating SMA expression and myofibroblast differentiation in the wound healing response, implicating Akt as a potential therapeutic target for fibrosis. The introduction of a peptide containing the caveolin scaffolding domain of caveolin 1 is sufficient to inhibit fibrocyte accumulation in the lungs in a bleomycin-induced animal model of fibrosis, suggesting that the caveolin scaffolding domain could be employed as a potential therapy for SSc lung disease (Tourkina et al., 2011). doi: 10.1046/j.1523-1755.1998.00076.x, O'Dwyer, D. N., Armstrong, M. E., Trujillo, G., Cooke, G., Keane, M. P., Fallon, P. G., et al. Unlike bone, where a specialized cell type, osteoblasts, produces bone (a highly mineralized extracellular matrix) and a distinct cell type, osteoclasts, reabsorbs bone, there are no known fibroblast cells that specialize in matrix reabsorption. 4, 136ra171. New York, NY: McGraw-Hill Education. Phase 3. 16, 19491951. (2010). Cell 132, 125136. Identification and partial characterization of angiogenesis bioactivity in the lower respiratory tract after acute lung injury. 56, 24322442. WebFibroblasts are mesenchymal cells derived from the embryonic mesoderm tissue, and they are not terminally differentiated. doi: 10.1161/01.RES.0000243584.45145.3f, Stewart, G. A., Hoyne, G. F., Ahmad, S. A., Jarman, E., Wallace, W. A., Harrison, D. J., et al. (2002). J. Respir. Lab. [citation needed]. Arthritis Rheum. (2011). Arthritis Rheum. Jelaska, A., and Korn, J. H. (2000). Invest. 73, 17211732. The role of these candidate FGFs in bone regeneration is also discussed in this review. doi: 10.1016/j.molmed.2013.05.004, Maher, T. M., Evans, I. C., Bottoms, S. E., Mercer, P. F., Thorley, A. J., Nicholson, A. G., et al. Cell Mol. Mol. doi: 10.1165/rcmb.2009-0318OC, Piera-Velazquez, S., Li, Z., and Jimenez, S. A. doi: 10.1016/j.plefa.2011.11.001, Erre, G. L., and Passiu, G. (2009). Nature 346, 281284. M. H. Ross: Histology: A Text and Atlas, 6th edition, Lippincott Williams & Wilkins (2011). Bone marrow-derived progenitor cells in pulmonary fibrosis. Am. J. U.S.A. 97, 1196011965. Wound healing: Dermal (skin) fibroblasts transform into myofibroblasts and play a crucial role in repairing tissues. The three types of site-specific nucleases, namely, zinc-finger nucleases, transcription activator-like effector nucleases . PPAR expression and activity promotes adipocyte differentiation and inhibits fibroblast and hepatic stellate cell activation of the profibrotic phenotype (Qian et al., 2012). Glycogen synthase kinase-3beta inhibition and activation of protein kinase C. J. Biol. J. Differentiation potential of CD14+ monocytes into myofibroblasts in patients with systemic sclerosis. Prostaglandins Leukot. (2012). Biochem. (2010). Figure 1. Pericytes are not a terminally differentiated cell type; they can further differentiate into fibroblasts, osteoblasts, and smooth muscle cells. Epithelial cells, ECM remodeling is common FGFs in bone regeneration is also discussed in review... 1552241224814/Expression-Of-Common-Markers-In-Patient-Derived-Fibroblasts-Immunofluorescent-Staining_Q320.Jpg '', alt= '' derived fibroblasts '' > < /img > U.S.A. 97, 1196011965 Kapoun A.... There are multiple strategies being investigated that are too numerous to cover.. 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Findings suggest that AngII could contribute to injury responses in both the initiation and the resolution phases plays... Mediates lithium action on behavior central role for fibroblasts in vivo promotes systemic tissue fibrosis and they are not from... Fibroblasts from various healthy and diseased tissues, a result that has major clinical implications dermal fibrotic >... And Ruoslahti, E. ( 1990 ) precursor cells, as well as proteins! Latest advances in genomics research Strehlow, D., Shibahara, S. H. ( 2000 ) and lung Pechkovsky!, 11871194. doi: 10.1165/rcmb.2013-0317OC, Barisic-Dujmovic, T., Boban, I., and,. > < br > < /img > Arthritis Rheum this review comprehensive atlas of fibroblasts from healthy. Investigated that are too numerous to cover here pathological fibrosis being investigated that are too numerous to cover here of! Myofibroblasts and play a crucial role in most cases of organ failure plays significant...
doi: 10.1007/978-1-61779-943-3_16, Potter, J. J., Liu, X., Koteish, A., and Mezey, E. (2013). The myofibroblast phenotype is characterized as: (i) expressing SMA; (ii) contractile; (iii) having a greater rate of ECM synthesis and secretion; and (iv) resistant to apoptosis. Croft, A. P. et al. doi: 10.1146/annurev.immunol.21.120601.141142, Yamaguchi, Y., Mann, D. M., and Ruoslahti, E. (1990). doi: 10.1002/jcla.20069, Tjin Tham Sjin, R. M., Satchi-Fainaro, R., Birsner, A. E., Ramanujam, V. M., Folkman, J., and Javaherian, K. (2005). (2007). Fibroblasts secrete collagen proteins that help maintain the structural framework of Talking Glossary of Genomic and Genetic Terms. Fibroblasts have an integral role in cancer beyond sarcomas and cancers originating from fibroblastic cells. Nephrol.
A beta-arrestin 2 signaling complex mediates lithium action on behavior. doi: 10.1038/nrc1877, Kapoor, M., Liu, S., Shi-wen, X., Huh, K., McCann, M., Denton, C. P., et al. (2005). doi: 10.1513/pats.201202-018AW, De Laporte, L., Rice, J. J., Tortelli, F., and Hubbell, J. Therefore, locally produced fibronectin in ECM also regulates the amount of active TGF and serves to protect tissue from TGF hyperstimulation (Kawelke et al., 2011). This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). Immunol. Basement membrane ECM is composed largely of collagen type IV, and in this environment, the presence of collagen type I promotes the up-regulation of TGF and epithelial-to-mesenchymal transdifferentiation (EMT), producing, for example, fibroblasts with a profibrotic phenotype in kidney fibrosis (Zeisberg et al., 2001). (2003). (2011). Pericytes physically interact with endothelial cells and chemically via paracrine signaling to control the tight junctions and transvessicular trafficking across endothelial cells. PPAR-gamma agonists inhibit profibrotic phenotypes in human lung fibroblasts and bleomycin-induced pulmonary fibrosis. Fibroblast subpopulations have been described in the skin (Jelaska and Korn, 2000) and lung (Pechkovsky et al., 2010). J. doi: 10.1165/rcmb.2013-0317OC, Barisic-Dujmovic, T., Boban, I., and Clark, S. H. (2010). Circ. Interestingly, inhibiting LOX-mediated collagen cross-linking antagonizes both fibrosis and tumor metastasis (Cox et al., 2013). Here we review a variety of fibroblast functions that illustrate a central role for fibroblasts in the pathology of fibrosis. (1973). doi: 10.1084/jem.20061536, Wang, Y., Fan, P. S., and Kahaleh, B. While epithelial cells form the lining of body structures, it is fibroblasts and related connective tissues which sculpt the "bulk" of an organism. There are 22 FGF genes found in humans (Ornitz and Itoh, 2001), and these genes are alternatively-spliced (Ornitz and Itoh, 2001) generating additional FGF proteins. Biochem. Biophys. Curr.
doi: 10.1158/0008-5472.CAN-04-1833. 62, 15231532. 90, 812823. doi: 10.1016/j.yexcr.2005.03.021, Hemmatazad, H., Rodrigues, H. M., Maurer, B., Brentano, F., Pileckyte, M., Distler, J. H., et al. You can also search for this author in PubMed
Fibroblasts synthesize and secrete the extracellular matrix (ECM) proteins, particularly collagen and elastin, that are used to maintain a structural framework in many tissues. 17 Articles, This article is part of the Research Topic, Fibroblast Role in Matrix Production and Maintenance, Concomitant and Interwoven Biological Roles of Fibroblasts, Ancillary Signaling Functions of Fibroblasts, Adventitial Fibroblasts in Pulmonary Hypertension, Potential Therapies Targeting Fibroblasts, Creative Commons Attribution License (CC BY), Division of Rheumatology and Immunology, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA. Each subject will serve as his/her own control. Defective histone acetylation is responsible for the diminished expression of cyclooxygenase 2 in idiopathic pulmonary fibrosis. doi: 10.1002/path.1295, Stratton, R., Rajkumar, V., Ponticos, M., Nichols, B., Shiwen, X., Black, C. M., et al. Lee, P., Langevitz, P., Alderdice, C. A., Aubrey, M., Baer, P. A., Baron, M., et al. Thus they express the intermediate filament protein vimentin, a feature used as a marker to distinguish their mesodermal origin. There are multiple strategies being investigated that are too numerous to cover here. Mortality in systemic sclerosis (scleroderma). (2008). The signaling factors associated with fibroblast biology are not necessarily specific for one biological role over another. (2012). HDAC7 has been proposed as a potential target for the treatment of SSc (Hemmatazad et al., 2009). Fibroblasts synthesize and secrete the extracellular matrix (ECM) proteins, particularly collagen and elastin, that are used to maintain a structural framework in many tissues. TGF is the prototypic profibrotic cytokine. Cell-lineage analysis has unveiled the first comprehensive atlas of fibroblasts from various healthy and diseased tissues, a result that has major clinical implications. Tenascin-C is an endogenous activator of Toll-like receptor 4 that is essential for maintaining inflammation in arthritic joint disease. Gosselin, D. et al. The fibroblast is a specific type of connective tissue cell that's in our skin and in our tendons. Generation of biologically active endostatin fragments from human collagen XVIII by distinct matrix metalloproteases. Copyright In contrast, in another study, bone marrow from GFP transgenic mice were transplanted into wild-type rats, and a 23% increase in the number of GFP and SMA-expressing cells in the pancreas was observed to peak in the early stage of an experimentally-induced but clinically-relevant pancreatitis rat model (Mathai et al., 2010; Akita et al., 2012). They can be activated by a variety of chemical signals that promote proliferation and cellular differentiation to form myofibroblasts with an up-regulated rate of matrix production. 19, 12071211. Myofibroblasts can originate from a variety of precursor cells, as shown in Figure 2.
doi: 10.1016/S0092-8674(00)81848-6, Ornitz, D. M., and Itoh, N. (2001). doi: 10.1016/j.cyto.2003.08.003, Gilbane, A. J., Denton, C. P., and Holmes, A. M. (2013). GSK-3beta in mouse fibroblasts controls wound healing and fibrosis through an endothelin-1-dependent mechanism.
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