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Am J Physiol Regul Integr Comp Physiol 290: R501-R508, 2006; doi:10.1152/ajpregu.00472.2005
0363-6119/06 $8.00
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Mechanisms of Tissue Repair

P38 MAP kinase mediates transforming growth factor-beta2 transcription in human keloid fibroblasts

Wei Xia,1,2 Michael T. Longaker,1 and George P. Yang1,3

1Department of Surgery, Stanford University Medical School, Stanford, California; 2Department of Plastic Surgery, Fourth Military Medical University, Xi'an, China; and 3Palo Alto Veterans Affairs Health Care System, Palo Alto, California

Submitted 30 June 2005 ; accepted in final form 14 October 2005

Keloids are abnormal fibrous growths of the dermis that develop only in response to wounding and represent a form of benign skin tumor. Previous studies have shown increased protein levels of TGF-beta in keloid tissue, suggesting a strong association with keloid formation leading us to examine mechanisms for why it is more highly expressed in keloids. Here, we use serum stimulation as an in vitro model to mimic a component of the wound microenvironment and examine differential gene expression in keloid human fibroblasts (KFs) vs. normal human fibroblasts (NFs). Transcription of TGF-beta2 was rapid and peaked between 1 and 6 h after serum stimulation in KFs vs. NFs. We confirmed increased TGF-beta activity in the conditioned medium from KFs, but not NFs. Inhibition of second messenger signaling pathways demonstrated that only the p38 MAPK inhibitor SB-203580 could block upregulation of TGF-beta2 following serum stimulation in KFs. Immunoblotting demonstrated that p38 MAPK was phosphorylated within 15 min and was maintained at a high level in KFs but not in NFs. The transcription factors activating transcription factor-2 and Elk-1 are activated by p38 MAPK, and also showed rapid and prolonged phosphorylation kinetics in KFs but not in NFs. In conclusion, increased TGF-beta2 transcription in response to serum stimulation in KFs appears to be mediated by the p38 MAPK pathway. This suggests the mechanism of keloid pathogenesis may be due in part to an inherent difference in how the fibroblasts respond to wounding.

serum stimulation; stress response; keloid pathogenesis



Address for reprint requests and other correspondence: G. P. Yang, 257 Campus Dr., M/C 5148, Stanford, CA 94305 (e-mail:gpyang{at}stanford.edu)




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H. Scholz
Unraveling the basic principles
Am J Physiol Regulatory Integrative Comp Physiol, June 1, 2006; 290(6): R1485 - R1487.
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