Canonical and noncanonical transforming growth factor beta-1/endoglin signaling in fibrosis.
Notes: On binding of transforming growth factor beta-1 to a heteromeric complex of receptors including type I, type II, and endoglin, downstream signaling via Smad-dependent or Smad-independent pathways occurs. Smad-3 promotes collagen synthesis by activating transforming growth factor beta-1 activated kinase or CTGF. Smad-3 can also directly activate collagen synthesis by binding a Smad-binding element within the collagen promoter. Noncanonical signaling can stimulate collagen synthesis via several mitogen-activated protein kinases including ERK, JNK, or p38 kinase.
Abbreviations: CTGF, connective tissue growth factor; ERK, extracellular regulated kinase; JNK, jun-n-terminal kinase; Eng, endoglin; MAPK, mitogen-activated protein kinase.