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Updated: Feb 16, 2026

Isolation, Culture, and Characterization of Primary Dermal Fibroblasts from Human Keloid Tissue
Published on: July 28, 2023
Scleroderma fibroblasts suppress angiogenesis via TGF-β/caveolin-1 dependent secretion of pigment epithelium-derived
Vasiliki Liakouli1,2, Jacobo Elies1,3, Yasser Mohamed El-Sherbiny1,4,5
1Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
Objectives:
Systemic sclerosis (SSc) is characterised by tissue fibrosis and vasculopathy with defective angiogenesis. Transforming growth factor beta (TGF-β) plays a major role in tissue fibrosis, including downregulation of caveolin-1 (Cav-1); however, its role in defective angiogenesis is less clear. Pigment epithelium-derived factor (PEDF), a major antiangiogenic factor, is abundantly secreted by SSc fibroblasts. Here, we investigated the effect of TGF-β and Cav-1 on PEDF expression and the role of PEDF in the ability of SSc fibroblasts to modulate angiogenesis.
Methods:
PEDF and Cav-1 expression in fibroblasts and endothelial cells were evaluated by means of immunohistochemistry on human and mouse skin biopsies. PEDF and Cav-1 were silenced in cultured SSc and control fibroblasts using lentiviral short-hairpin RNAs. Organotypic fibroblast-endothelial cell co-cultures and matrigel assays were employed to assess angiogenesis.
Results:
PEDF is highly expressed in myofibroblasts and reticular fibroblasts with low Cav-1 expression in SSc skin biopsies, and it is induced by TGF-β in vitro. SSc fibroblasts suppress angiogenesis in an organotypic model. This model is reproduced by silencing Cav-1 in normal dermal fibroblasts. Conversely, silencing PEDF in SSc fibroblasts rescues their antiangiogenic phenotype. Consistently, transgenic mice with TGF-β receptor hyperactivation show lower Cav-1 and higher PEDF expression levels in skin biopsies accompanied by reduced blood vessel density.
Conclusions:
Our data reveal a new pathway by which TGF-β suppresses angiogenesis in SSc, through decreased fibroblast Cav-1 expression and subsequent PEDF secretion. This pathway may present a promising target for new therapeutic interventions in SSc.
Insights
Transforming growth factor beta (TGF-β) reduces caveolin-1 (Cav-1) in systemic sclerosis (SSc), increasing pigment epithelium-derived factor (PEDF) and inhibiting blood vessel formation. Silencing PEDF restores normal angiogenesis in SSc.
Area of Science:
- Cell Biology
- Vascular Biology
- Fibrosis Research
Background:
- Systemic sclerosis (SSc) involves tissue fibrosis and impaired blood vessel formation (angiogenesis).
- Transforming growth factor beta (TGF-β) is implicated in fibrosis and may affect angiogenesis by altering caveolin-1 (Cav-1) expression.
- Pigment epithelium-derived factor (PEDF), a known antiangiogenic factor, is highly secreted by SSc fibroblasts, suggesting a role in defective angiogenesis.
Purpose of the Study:
- To investigate the impact of TGF-β and Cav-1 on PEDF expression in SSc.
- To determine the role of PEDF in the angiogenic capacity of SSc fibroblasts.
- To elucidate the molecular mechanisms underlying TGF-β-mediated suppression of angiogenesis in SSc.
Main Methods:
- Immunohistochemistry was used to assess PEDF and Cav-1 expression in human and mouse skin biopsies.
- Short-hairpin RNAs were employed to silence PEDF and Cav-1 in cultured SSc and control fibroblasts.
- Organotypic co-cultures and matrigel assays were utilized to evaluate angiogenesis in vitro and in vivo.
Main Results:
- SSc fibroblasts exhibit high PEDF and low Cav-1 expression, a pattern induced by TGF-β in vitro.
- SSc fibroblasts demonstrated suppressed angiogenesis, which was replicated by silencing Cav-1 in normal fibroblasts.
- Silencing PEDF in SSc fibroblasts reversed their antiangiogenic phenotype, and TGF-β-overactivated mice showed reduced vascularity with altered Cav-1 and PEDF levels.
Conclusions:
- TGF-β suppresses angiogenesis in SSc by decreasing fibroblast Cav-1 expression, leading to increased PEDF secretion.
- This newly identified pathway represents a potential therapeutic target for treating SSc-related vascular complications.
- Targeting the TGF-β/Cav-1/PEDF axis may offer novel treatment strategies for systemic sclerosis.
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