Cellular/extracellular matrix cross-talk in scar evolution and control

ABSTRACT The principles of scar evolution and control are recognized and defined. Further clarity has been shed on these principles with the elucidation and elaboration of the sequence of events occurring at a molecular level. Cellular cross‐talk among structures in the cell cytosol, in the cellular...

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Bibliographic Details
Published in:Wound repair and regeneration 2011-03, Vol.19 (2), p.117-133
Main Author: Widgerow, Alan D.
Format: Article
Language:English
Subjects:
Animals
Cell Communication
Cicatrix - physiopathology
Cicatrix - prevention & control
Cicatrix - therapy
Connective Tissue Growth Factor - physiology
Extracellular Matrix - physiology
Glycoproteins - physiology
Humans
Inflammation
Mechanoreceptors - physiology
Signal Transduction
Stress, Mechanical
Wound Healing - physiology
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Summary:ABSTRACT The principles of scar evolution and control are recognized and defined. Further clarity has been shed on these principles with the elucidation and elaboration of the sequence of events occurring at a molecular level. Cellular cross‐talk among structures in the cell cytosol, in the cellular nucleus, and outside the cell within in the extracellular matrix is continuous and controlling in nature. This interaction or “dynamic reciprocity” takes place via a series of signals, ionic messenger shifts, protein activation, and receptor transactions. The described principles are now able to be defined in terms of cellular/extracellular matrix interactions and the identification of the cross‐talk involved in scar evolution and maturation presents the possibility of influencing the “wording” of this cross‐talk to improve scar outcome. The principles of mechanostimulation and scar support, hydration occlusion, controlled inflammation, and collagen/extracellular remodeling are discussed with possible interventions in each category.
ISSN:1067-1927
1524-475X
DOI:10.1111/j.1524-475X.2010.00662.x