TABLE 1.
Substances | Cell Sources | Biological Functions in Wound Healing Used in Agent-Based Model |
---|---|---|
TGF-β1 | Platelets | Chemotactic to neutrophils, macrophages, and fibroblasts |
Macrophages | Inhibit expression of TNF-α in neutrophils, macrophages, and fibroblasts | |
Fibroblasts | Inhibit expression of MMP-8 in neutrophils | |
Inhibit expression of IL-1β in macrophages (minimal effect) | ||
Activate resting fibroblasts | ||
Mitogenic to fibroblasts (proliferation) | ||
Stimulate collagen synthesis in fibroblasts | ||
Stimulate elastin synthesis in fibroblasts | ||
Stimulate hyaluronan synthesis in fibroblasts | ||
bFGF | Macrophages | Chemotactic to neutrophils and macrophages |
Fibroblasts | Mitogenic to fibroblasts (proliferation) | |
Stimulate fibroblast migration | ||
Inhibit collagen synthesis in fibroblasts | ||
Inhibit elastin synthesis in fibroblasts | ||
Stimulate hyaluronan synthesis in fibroblasts | ||
TNF-α | Neutrophils | Chemotactic to neutrophils and macrophages |
Macrophages | Activate neutrophils and macrophages | |
Fibroblasts | Stimulate expression of MMP-8 in neutrophils | |
Stimulate expressions of TNF-α, IL-1β, IL-6, and IL-8 in macrophages | ||
Stimulate expression of TGF-β in macrophages and fibroblasts | ||
Mitogenic to fibroblasts (proliferation) | ||
Stimulate expression of IL-6 in fibroblasts | ||
Inhibit elastin synthesis in fibroblasts | ||
Stimulate hyaluronan synthesis in fibroblasts | ||
Induce tissue damage | ||
IL-1β | Platelets | Chemotactic to neutrophils and macrophages |
Macrophages | Activate macrophages | |
Stimulate expressions of TNF-α, IL-1β, IL-6, and IL-8 in macrophages | ||
Mitogenic to fibroblasts (proliferation) | ||
Inhibit collagen synthesis in fibroblasts | ||
Inhibit elastin synthesis in fibroblasts | ||
Stimulate hyaluronan synthesis in fibroblasts | ||
IL-6 | Macrophages | Chemotactic to neutrophils |
Fibroblasts | Stimulate collagen synthesis in fibroblasts | |
IL-8 | Macrophages | Chemotactic to neutrophils |
Fibroblasts | Inhibit collagen synthesis in fibroblasts | |
IL-10 | Macrophages | Inhibit expression of TNF-α in neutrophils, macrophages, and fibroblasts |
Inhibit expression of IL-1β in macrophages | ||
Inhibit expressions of IL-6 and IL-8 in macrophages and fibroblasts | ||
Stimulate expression of TGF-β in macrophages and fibroblasts | ||
Stimulate expression of IL-10 in macrophages | ||
Inhibit activated neutrophil survival | ||
Inhibit activation of neutrophils and macrophages | ||
MMP-8 |
Platelets Neutrophils |
Degrade collagen to produce collagen fragments |
Collagen (type 1) | Fibroblasts | Collagen repairs tissue damage |
Collagen fragments are chemotactic to neutrophils and macrophages | ||
Elastin | Fibroblasts | Elastin repairs tissue damage |
Elastin fragments are chemotactic to macrophages | ||
HA | Fibroblasts | HA repairs tissue damage |
HA inhibits expression of TNF-α and IL-8 in fibroblasts | ||
HA inhibits collagen synthesis in fibroblasts | ||
HA fragments stimulate expressions of TNF-α, IL-1β, and IL-8 in macrophages | ||
HA fragments are mitogenic to fibroblasts (proliferation) | ||
HA fragments stimulate collagen synthesis in fibroblasts |
Items in italics represent extension of existing agent-based model.
TGF — transforming growth factor; TNF — tumor necrosis factor; MMP — matrix metalloproteinase; IL — interleukin; bFGF — basic fibroblast growth factor; HA — hyaluronan.