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R E V I E W S
MYOFIBROBLASTS AND MECHANO-
REGULATION OF CONNECTIVE
TISSUE REMODELLING
‡ ‡ ‡ §
James J.Tomasek*,Giulio Gabbiani ,Boris Hinz ,Christine Chaponnier and Robert A.Brown
During the past 20 years, it has become generally accepted that the modulation of fibroblastic
cells towards the myofibroblastic phenotype, with acquisition of specialized contractile features,
is essential for connective-tissue remodelling during normal and pathological wound healing. Yet
the myofibroblast still remains one of the most enigmatic of cells, not least owing to its transient
appearance in association with connective-tissue injury and to the difficulties in establishing its
role in the production of tissue contracture. It is clear that our understanding of the myofibroblast
— its origins, functions and molecular regulation — will have a profound influence on the future
effectiveness not only of tissue engineering but also of regenerative medicine generally.
CONNECTIVE TISSUES Almost all CONNECTIVE TISSUES seem to be under some Yet tissue tension is an essential regulator of tissue
Tissues that form the sort of mechanical tension, even at rest. With the functi
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