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Notch-ing up knowledge on molecular mechanisms of skin fibrosis: focus on the multifaceted Notch signalling pathway
Angelo Giuseppe Condorelli1, May El Hachem2, Giovanna Zambruno3
1Genodermatosis Unit, Genetics and Rare Diseases Research Division, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant' Onofrio 4, 00165, Rome, Italy. agiuseppe.condorelli@opbg.net.
Abstract:
Fibrosis can be defined as an excessive and deregulated deposition of extracellular matrix proteins, causing loss of physiological architecture and dysfunction of different tissues and organs. In the skin, fibrosis represents the hallmark of several acquired (e.g. systemic sclerosis and hypertrophic scars) and inherited (i.e. dystrophic epidermolysis bullosa) diseases. A complex series of interactions among a variety of cellular types and a wide range of molecular players drive the fibrogenic process, often in a context-dependent manner. However, the pathogenetic mechanisms leading to skin fibrosis are not completely elucidated. In this scenario, an increasing body of evidence has recently disclosed the involvement of Notch signalling cascade in fibrosis of the skin and other organs. Despite its apparent simplicity, Notch represents one of the most multifaceted, strictly regulated and intricate pathways with still unknown features both in health and disease conditions. Starting from the most recent advances in Notch activation and regulation, this review focuses on the pro-fibrotic function of Notch pathway in fibroproliferative skin disorders describing molecular networks, interplay with other pro-fibrotic molecules and pathways, including the transforming growth factor-β1, and therapeutic strategies under development.
Insights
Fibrosis involves excessive extracellular matrix deposition, impairing tissue function. This review explores the Notch signaling pathway
Area of Science:
- Dermatology
- Molecular Biology
- Pathology
Background:
- Fibrosis is characterized by excessive extracellular matrix deposition, leading to tissue dysfunction.
- Skin fibrosis is a hallmark of various acquired and inherited diseases, including systemic sclerosis and hypertrophic scars.
- The precise pathogenetic mechanisms underlying skin fibrosis remain incompletely understood.
Purpose of the Study:
- To review the pro-fibrotic role of the Notch signaling pathway in fibroproliferative skin disorders.
- To elucidate the molecular networks and interactions involved in Notch-mediated skin fibrosis.
- To discuss potential therapeutic strategies targeting the Notch pathway for fibrotic skin conditions.
Main Methods:
- Review of recent advances in Notch pathway activation and regulation.
- Analysis of molecular mechanisms linking Notch signaling to fibrosis.
- Examination of interplay with other pro-fibrotic factors like transforming growth factor-β1.
Main Results:
- The Notch signaling cascade is increasingly recognized for its involvement in skin fibrosis.
- Notch signaling influences molecular networks driving fibrotic processes.
- The pathway interacts with other key fibrotic mediators, such as TGF-β1.
Conclusions:
- The Notch pathway plays a significant pro-fibrotic role in skin disorders.
- Understanding Notch's complex regulation is crucial for developing targeted therapies.
- Therapeutic strategies targeting Notch signaling show promise for treating fibrotic skin diseases.
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