Laboratorio de Regeneración, Oncología Molecular y TGF-β, IMIB-Arrixaca, El Palmar, 30120 Murcia, Spain.
Cells. 2020 Jan 28;9(2):306. doi: 10.3390/cells9020306.
Chronic wounds are characterized for their incapacity to heal within an expected time frame. Potential mechanisms driving this impairment are poorly understood and current hypotheses point to the development of an unbalanced milieu of growth factor and cytokines. Among them, TGF-β is considered to promote the broadest spectrum of effects. Although it is known to contribute to healthy skin homeostasis, the highly context-dependent nature of TGF-β signaling restricts the understanding of its roles in healing and wound chronification. Historically, low TGF-β levels have been suggested as a pattern in chronic wounds. However, a revision of the available evidence in humans indicates that this could constitute a questionable argument. Thus, in chronic wounds, divergences regarding skin tissue compartments seem to be characterized by elevated TGF-β levels only in the epidermis. Understanding how this aspect affects keratinocyte activities and their capacity to re-epithelialize might offer an opportunity to gain comprehensive knowledge of the involvement of TGF-β in chronic wounds. In this review, we compile existing evidence on the roles played by TGF-β during skin wound healing, with special emphasis on keratinocyte responses. Current limitations and future perspectives of TGF-β research in chronic wounds are discussed.
慢性伤口的特征是在预期的时间内无法愈合。导致这种损伤的潜在机制尚未得到很好的理解,目前的假设指向生长因子和细胞因子失衡环境的发展。其中,TGF-β 被认为能促进最广泛的作用。尽管它被认为有助于健康皮肤的稳态,但 TGF-β 信号的高度上下文依赖性限制了对其在愈合和伤口慢性化中的作用的理解。从历史上看,低 TGF-β 水平被认为是慢性伤口的一种模式。然而,对人类现有证据的修订表明,这可能是一个有争议的观点。因此,在慢性伤口中,皮肤组织隔室的差异似乎仅表现在表皮中 TGF-β 水平升高。了解这一方面如何影响角质形成细胞的活性及其再上皮化的能力,可能为全面了解 TGF-β 在慢性伤口中的作用提供机会。在这篇综述中,我们总结了现有的关于 TGF-β 在皮肤伤口愈合过程中所扮演的角色的证据,特别强调了角质形成细胞的反应。讨论了 TGF-β 在慢性伤口研究中的当前局限性和未来展望。
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