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. Author manuscript; available in PMC: 2019 Feb 12.
Published in final edited form as: Adv Drug Deliv Rev. 2018 Feb 6;129:407–419. doi: 10.1016/j.addr.2018.02.002

Table 1. Role and consequence of dysregulation of key matrix proteins during tissue repair.

Matrix protein Role during tissue repair Consequences of dysregulation
Collagen type I
  • protects healing wound

  • forms scar matrix

  • mechano-signalling

  • deficiency results in impaired wound healing, defective fibroblast proliferation, slow wound closure

  • accumulated in fibrosis

Collagen type III
  • regulates early stages of repair and fibroblast phenotype

  • deletion leads to increased myofbroblast differentiation, accelerated wound closure, and increased scar formation

Collagen type IV
  • basement membrane integrity,

  • regulates neo-vascularization and growth factor release

  • deletion results in a weaker basement membrane

Collagen type VI
  • regulates fibroblast apoptosis

  • affects cell spreading and migration

  • involved in collagen fibril organisation

  • deletion leads to weak basement membrane, altered collagen fibril architecture, less total collagen, and a thinner matrix

  • deficiency affects organization of fibronectin

Collagen type VII
  • supports fibroblast migration

  • connects basement membrane to interstitial matrix

  • involved in laminin organization

  • deletion leads to absence of anchoring fibrils and therefore constant wound burden, and perturbed laminin organisation

Collagen type XIV
  • connects basement membrane to interstitial matrix

  • regulates fibrillogenesis

  • deficiency results in altered matrix biomechanics (tissue-dependent)

Plasma fibronectin
  • stabilises fibrin clot

  • substrate for platelet adhesion, spreading and aggregation

  • essential for post-traumatic opsonization

  • cellular fibronectin can compensate deleted plasma fibronectin where applicable

Cellular fibronectin
  • enables wound gap closure via fibroblast polarisation and migration

  • required for collagen network formation

  • growth factor activation and mechanosignalling

  • splicing errors lead to abnormal wound healing

  • accumulated in fibrosis

Laminin
  • critical for basement membrane assembly, re-epithelialization and

  • angiogenesis

  • involved in regulation of MMPs

  • deletion results in the lack of a basement membrane

Tenascin
  • interacts with fibronectin

  • critical for cell-matrix crosstalk

  • depletion leads to reduced collagen and fibronectin deposition and impaired wound closure due to alterations in fibroblast focal adhesions

Vitronectin
  • regulates plasminogen activation

  • initiates platelet aggregation

  • regulates growth factor activity

  • depletion results in delayed coagulation

Glycosaminoglycans
  • growth factor reservoir

  • regulate fibroblast phenotypes

  • involved in angiogenesis

  • modulate matrix biomechanics and hydophobicity

  • deletion of syndecan leads to delayed wound healing and impaired angiogenesis

  • loss of heparan sulfate results in impaired wound healing

SPARC
  • modulates matrix organisation

  • activates TGFβ

  • deficiency leads to delayed granulation tissue formation and diminished matrix production

CCN proteins
  • promote matrix protein expression

  • interact with TGFβ signalling

  • involved in neutrophil clearance

  • promote fibroblast adhesion

  • modulate myofibroblast senescence

  • CCN2 and CCN4 overexpressed in fibrosis

Thrombospondin
  • facilitates matrix organisation and re-epithelialisation

  • regulate latent TGFβ

  • critical for collagen fibrillogenesis

  • critical for platelet aggregation

  • regulates angiogenesis

  • depletion results in prolonged inflammatory response and delayed wound healing

Osteopontin
  • regulates fibroblast phenotype

  • important for collagen organisation

  • deletion leads to altered collagen fibrillogenesis and matrix organisation

Fibulin
  • regulates TGFβ and fibroblast migration

  • important for long-term tissue repair

  • accumulation associated with abnormal tissue repair