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Updated: Oct 29, 2025

Suppression of Pro-fibrotic Signaling Potentiates Factor-mediated Reprogramming of Mouse Embryonic Fibroblasts into Induced Cardiomyocytes
Published on: June 3, 2018
Engrailed 1 coordinates cytoskeletal reorganization to induce myofibroblast differentiation
Andrea-Hermina Györfi1,2, Alexandru-Emil Matei1,2, Maximilian Fuchs3
1Department of Internal Medicine 3 - Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg and University Hospital Erlangen, Erlangen, Germany.
Engrailed 1 (EN1) amplifies transforming growth factor-β (TGFβ) signaling in systemic sclerosis (SSc) fibrosis. EN1 drives myofibroblast differentiation and profibrotic gene expression, impacting cytoskeleton and ROCK activity, offering a potential therapeutic target.
Area of Science:
- Fibrosis research
- Molecular biology
- Dermatology
Background:
- Fibrotic diseases like systemic sclerosis (SSc) involve fibroblast activation.
- Transforming growth factor-β (TGFβ) is a critical mediator of this activation.
- The specific molecular mechanisms amplifying TGFβ signaling in SSc fibroblasts require further elucidation.
Purpose of the Study:
- To investigate the role of Engrailed 1 (EN1) in fibroblast activation and myofibroblast differentiation in SSc.
- To characterize EN1 as a potential molecular amplifier of TGFβ signaling.
- To explore EN1's downstream effects on gene expression and cellular functions relevant to fibrosis.
Main Methods:
- Analysis of EN1 reexpression in SSc patient skin fibroblasts.
- Investigating TGFβ-induced EN1 expression via SMAD3 signaling.
- RNA sequencing to identify EN1-regulated genes.
- Chromatin immunoprecipitation sequencing (ChIP-seq) for EN1 and SP1 transcription factors.
- Functional assays in fibroblast cultures and in vitro skin models.
- Fibroblast-specific En1 knockout mouse models.
Main Results:
- EN1 is reexpressed in SSc fibroblasts and acts as a molecular amplifier of TGFβ signaling.
- TGFβ induces EN1 expression in a SMAD3-dependent manner, and EN1 mediates TGFβ's profibrotic effects.
- EN1 promotes a profibrotic gene expression profile linked to cytoskeleton organization and ROCK activation.
- EN1 modulates SP1 transcription factor activity, influencing gene expression.
- EN1 coordinates ROCK activity and cytoskeleton remodeling during myofibroblast differentiation.
- Fibroblast-specific En1 knockout mice show reduced myofibroblast transition and partial protection from skin fibrosis.
Conclusions:
- EN1 is a key mediator and amplifier of TGFβ signaling in SSc myofibroblast differentiation.
- EN1's regulation of cytoskeleton and ROCK pathways contributes to the profibrotic phenotype.
- Targeting EN1 may offer a novel therapeutic strategy for treating SSc and other fibrotic diseases.
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