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. 2015 Mar 1;4(3):119–136. doi: 10.1089/wound.2013.0485

Table 5.

The differences in transforming growth factor-β and (myo)fibroblasts in normal, hypertrophic, and keloid scars

Factors Normal scar Hypertrophic scar Keloid scar
TGF-β ↑TGF-β1 ↑↑TGF-β1 ↑↑TGF-β1
  ↓TGF-β3/TGF-β1 ↑TGF-β2 ↑↑TGF-β2
    ↓↓TGF-β3 ↓↓TGF-β3
    ↓↓TGF-β3/TGF-β1 ↓↓TGF-β3/TGF-β1
Fibroblasts ↑Cell number ↑↑Cell number ↑↑Collagen I
    ↑↑α-SMA ↑α-SMA
    ↑↑Proliferation ↑↑Proliferation
    ↓↓Apoptosis  
    ↑TGF-β1  
    ↑↑Collagen I  
Myofibroblasts Absent Present Absent
MMP/TIMP activity ↑MMP-1, 2 and 9 ↓MMP-1, 2 and 9 ↑↑MMP-2
  ↓TIMP-1 ↑TIMP-1 ↑TIMP-1

TGF, transforming growth factor; SMA, smooth muscle actin; ↑increase; ↓decrease.