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Publication : PAI1 mediates fibroblast-mast cell interactions in skin fibrosis.

First Author  Pincha N Year  2018
Journal  J Clin Invest Volume  128
Issue  5 Pages  1807-1819
PubMed ID  29584619 Mgi Jnum  J:262872
Mgi Id  MGI:6158868 Doi  10.1172/JCI99088
Citation  Pincha N, et al. (2018) PAI1 mediates fibroblast-mast cell interactions in skin fibrosis. J Clin Invest 128(5):1807-1819
abstractText  Fibrosis is a prevalent pathological condition arising from the chronic activation of fibroblasts. This activation results from the extensive intercellular crosstalk mediated by both soluble factors and direct cell-cell connections. Prominent among these are the interactions of fibroblasts with immune cells, in which the fibroblast-mast cell connection, although acknowledged, is relatively unexplored. We have used a Tg mouse model of skin fibrosis, based on expression of the transcription factor Snail in the epidermis, to probe the mechanisms regulating mast cell activity and the contribution of these cells to this pathology. We have discovered that Snail-expressing keratinocytes secrete plasminogen activator inhibitor type 1 (PAI1), which functions as a chemotactic factor to increase mast cell infiltration into the skin. Moreover, we have determined that PAI1 upregulates intercellular adhesion molecule type 1 (ICAM1) expression on dermal fibroblasts, rendering them competent to bind to mast cells. This heterotypic cell-cell adhesion, also observed in the skin fibrotic disorder scleroderma, culminates in the reciprocal activation of both mast cells and fibroblasts, leading to the cascade of events that promote fibrogenesis. Thus, we have identified roles for PAI1 in the multifactorial program of fibrogenesis that expand its functional repertoire beyond its canonical role in plasmin-dependent processes.
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