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Transforming growth factor-beta and angiotensin in fibrosis and burn injuries
1Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9055, USA.
Abstract:
This review considers the roles of transforming growth factor-beta (TGF-beta), the signaling Smad proteins, and angiotensin II (AT II) in conditions leading to human fibrosis. The goal is to update the burn practitioner and researcher about this important pathway and to introduce AT II as a possible synergistic signal to TGF-beta in burn scarring. Literature searches of the MEDLINE database were performed for English manuscripts combinations of TGF-beta, Smad, angiotensin, fibrosis, burn, and scar. AT II and TGF-beta both activate the Smad protein system, which leads to the expression of genes related to fibrosis. In fibrotic conditions, such as tubulointerstitial nephritis, systemic sclerosis, and myocardial infarctions, AT II acts both independently and synergistically with TGF-beta. Both AT II and TGF-beta act through a messenger system, the Smad proteins that lead to excessive extracellular matrix formation. Treatment and research implications are reviewed. The interaction between AT II and TGF-beta leading to fibrosis is well described in some human diseases. This pathway may be of importance in human burn scarring as well.
Insights
Transforming growth factor-beta (TGF-beta) and angiotensin II (AT II) activate Smad proteins, promoting fibrosis. This pathway is crucial in burn scarring and other fibrotic conditions, offering new research and treatment avenues.
Area of Science:
- Biomedical research
- Cellular signaling pathways
- Fibrosis mechanisms
Background:
- Fibrosis, characterized by excessive extracellular matrix deposition, underlies various human diseases.
- Transforming growth factor-beta (TGF-beta) is a key mediator in fibrotic processes.
- Angiotensin II (AT II) has been implicated in fibrotic conditions.
Purpose of the Study:
- To review the roles of TGF-beta, Smad proteins, and AT II in human fibrosis.
- To highlight the potential synergistic role of AT II with TGF-beta in burn scarring.
- To update researchers and practitioners on this signaling pathway.
Main Methods:
- Literature search of MEDLINE database for relevant English manuscripts.
- Keywords included: TGF-beta, Smad, angiotensin, fibrosis, burn, scar.
- Review and synthesis of existing research on the topic.
Main Results:
- Both AT II and TGF-beta activate the Smad protein signaling pathway.
- This activation leads to the overexpression of genes associated with fibrosis.
- AT II acts independently and synergistically with TGF-beta in fibrotic conditions like nephritis, sclerosis, and myocardial infarction.
Conclusions:
- The AT II and TGF-beta interaction via Smad proteins is a significant driver of fibrosis in various human diseases.
- This pathway is potentially important in the pathogenesis of human burn scarring.
- Understanding this interaction may lead to novel therapeutic strategies for fibrotic diseases, including burns.
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