p53 and Myofibroblast Apoptosis in Organ Fibrosis

Organ fibrosis represents a dysregulated, maladaptive wound repair response that results in progressive disruption of normal tissue architecture leading to detrimental deterioration in physiological function, and significant morbidity/mortality. Fibrosis is thought to contribute to nearly 50% of all...

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Main Authors: Kealan McElhinney, Mustapha Irnaten, Colm O’Brien
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/7/6737
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author Kealan McElhinney
Mustapha Irnaten
Colm O’Brien
author_facet Kealan McElhinney
Mustapha Irnaten
Colm O’Brien
author_sort Kealan McElhinney
collection DOAJ
description Organ fibrosis represents a dysregulated, maladaptive wound repair response that results in progressive disruption of normal tissue architecture leading to detrimental deterioration in physiological function, and significant morbidity/mortality. Fibrosis is thought to contribute to nearly 50% of all deaths in the Western world with current treatment modalities effective in slowing disease progression but not effective in restoring organ function or reversing fibrotic changes. When physiological wound repair is complete, myofibroblasts are programmed to undergo cell death and self-clearance, however, in fibrosis there is a characteristic absence of myofibroblast apoptosis. It has been shown that in fibrosis, myofibroblasts adopt an apoptotic-resistant, highly proliferative phenotype leading to persistent myofibroblast activation and perpetuation of the fibrotic disease process. Recently, this pathological adaptation has been linked to dysregulated expression of tumour suppressor gene p53. In this review, we discuss p53 dysregulation and apoptotic failure in myofibroblasts and demonstrate its consistent link to fibrotic disease development in all types of organ fibrosis. An enhanced understanding of the role of p53 dysregulation and myofibroblast apoptosis may aid in future novel therapeutic and/or diagnostic strategies in organ fibrosis.
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spelling doaj.art-2b25d101588c4bbdac663be7670ceb2b2023-11-17T16:55:21ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-04-01247673710.3390/ijms24076737p53 and Myofibroblast Apoptosis in Organ FibrosisKealan McElhinney0Mustapha Irnaten1Colm O’Brien2UCD Clinical Research Centre, Mater Misericordiae University Hospital, D07 R2WY Dublin, IrelandUCD Clinical Research Centre, Mater Misericordiae University Hospital, D07 R2WY Dublin, IrelandUCD Clinical Research Centre, Mater Misericordiae University Hospital, D07 R2WY Dublin, IrelandOrgan fibrosis represents a dysregulated, maladaptive wound repair response that results in progressive disruption of normal tissue architecture leading to detrimental deterioration in physiological function, and significant morbidity/mortality. Fibrosis is thought to contribute to nearly 50% of all deaths in the Western world with current treatment modalities effective in slowing disease progression but not effective in restoring organ function or reversing fibrotic changes. When physiological wound repair is complete, myofibroblasts are programmed to undergo cell death and self-clearance, however, in fibrosis there is a characteristic absence of myofibroblast apoptosis. It has been shown that in fibrosis, myofibroblasts adopt an apoptotic-resistant, highly proliferative phenotype leading to persistent myofibroblast activation and perpetuation of the fibrotic disease process. Recently, this pathological adaptation has been linked to dysregulated expression of tumour suppressor gene p53. In this review, we discuss p53 dysregulation and apoptotic failure in myofibroblasts and demonstrate its consistent link to fibrotic disease development in all types of organ fibrosis. An enhanced understanding of the role of p53 dysregulation and myofibroblast apoptosis may aid in future novel therapeutic and/or diagnostic strategies in organ fibrosis.https://www.mdpi.com/1422-0067/24/7/6737fibrosisp53apoptosismyofibroblastextracellular matrixglaucoma
spellingShingle Kealan McElhinney
Mustapha Irnaten
Colm O’Brien
p53 and Myofibroblast Apoptosis in Organ Fibrosis
International Journal of Molecular Sciences
fibrosis
p53
apoptosis
myofibroblast
extracellular matrix
glaucoma
title p53 and Myofibroblast Apoptosis in Organ Fibrosis
title_full p53 and Myofibroblast Apoptosis in Organ Fibrosis
title_fullStr p53 and Myofibroblast Apoptosis in Organ Fibrosis
title_full_unstemmed p53 and Myofibroblast Apoptosis in Organ Fibrosis
title_short p53 and Myofibroblast Apoptosis in Organ Fibrosis
title_sort p53 and myofibroblast apoptosis in organ fibrosis
topic fibrosis
p53
apoptosis
myofibroblast
extracellular matrix
glaucoma
url https://www.mdpi.com/1422-0067/24/7/6737
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AT mustaphairnaten p53andmyofibroblastapoptosisinorganfibrosis
AT colmobrien p53andmyofibroblastapoptosisinorganfibrosis