Perspective Article: Tissue repair, contraction, and the myofibroblast
After the first description of the myofibroblast in granulation tissue of an open wound by means of electron microscopy, as an intermediate cell between the fibroblast and the smooth muscle cell, the myofibroblast has been identified both in normal tissues, particularly in locations where there is a...
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| Published in | Wound repair and regeneration Vol. 13; no. 1; pp. 7 - 12 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK; Malden, USA
Blackwell Science Inc
01.01.2005
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| Online Access | Get full text |
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| Abstract | After the first description of the myofibroblast in granulation tissue of an open wound by means of electron microscopy, as an intermediate cell between the fibroblast and the smooth muscle cell, the myofibroblast has been identified both in normal tissues, particularly in locations where there is a necessity of mechanical force development, and in pathological tissues, in relation with hypertrophic scarring, fibromatoses and fibrocontractive diseases as well as in the stroma reaction to epithelial tumors. It is now accepted that fibroblast/myofibroblast transition begins with the appearance of the protomyofibroblast, whose stress fibers contain only β‐ and γ‐cytoplasmic actins and evolves, but not necessarily always, into the appearance of the differentiated myofibroblast, the most common variant of this cell, with stress fibers containing α‐smooth muscle actin. Myofibroblast differentiation is a complex process, regulated by at least a cytokine (the transforming growth factor‐β1), an extracellular matrix component (the ED‐A splice variant of cellular fibronectin), as well as the presence of mechanical tension. The myofibroblast is a key cell for the connective tissue remodeling that takes place during wound healing and fibrosis development. On this basis, the myofibroblast may represent a new important target for improving the evolution of such diseases as hypertrophic scars, and liver, kidney or pulmonary fibrosis. |
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| AbstractList | After the first description of the myofibroblast in granulation tissue of an open wound by means of electron microscopy, as an intermediate cell between the fibroblast and the smooth muscle cell, the myofibroblast has been identified both in normal tissues, particularly in locations where there is a necessity of mechanical force development, and in pathological tissues, in relation with hypertrophic scarring, fibromatoses and fibrocontractive diseases as well as in the stroma reaction to epithelial tumors. It is now accepted that fibroblast/myofibroblast transition begins with the appearance of the protomyofibroblast, whose stress fibers contain only β‐ and γ‐cytoplasmic actins and evolves, but not necessarily always, into the appearance of the differentiated myofibroblast, the most common variant of this cell, with stress fibers containing α‐smooth muscle actin. Myofibroblast differentiation is a complex process, regulated by at least a cytokine (the transforming growth factor‐β1), an extracellular matrix component (the ED‐A splice variant of cellular fibronectin), as well as the presence of mechanical tension. The myofibroblast is a key cell for the connective tissue remodeling that takes place during wound healing and fibrosis development. On this basis, the myofibroblast may represent a new important target for improving the evolution of such diseases as hypertrophic scars, and liver, kidney or pulmonary fibrosis. |
| Author | Chaponnier, Christine Desmoulière, Alexis Gabbiani, Giulio |
| Author_xml | – sequence: 1 givenname: Alexis surname: Desmoulière fullname: Desmoulière, Alexis email: alexis.desmouliere@gref.u-bordeaux2.fr organization: From INSERM E0362a, Université Victor Segalen Bordeaux 2,Bordeaux, France; and Department of Pathology and Immunologyb, Centre Médical Universitaire, Geneva, Switzerland – sequence: 2 givenname: Christine surname: Chaponnier fullname: Chaponnier, Christine organization: From INSERM E0362a, Université Victor Segalen Bordeaux 2,Bordeaux, France; and Department of Pathology and Immunologyb, Centre Médical Universitaire, Geneva, Switzerland – sequence: 3 givenname: Giulio surname: Gabbiani fullname: Gabbiani, Giulio organization: From INSERM E0362a, Université Victor Segalen Bordeaux 2,Bordeaux, France; and Department of Pathology and Immunologyb, Centre Médical Universitaire, Geneva, Switzerland |
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