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Extracellular matrix deposition and fibrosis pathway

Molecular classification
Other (biological process, disease pathway), Structural proteins (e.g., collagen, fibronectin, elastin), Signaling factors (e.g., TGF-β1, platelet-derived growth factor, myofibroblast markers)
01

Overview

The extracellular matrix deposition/fibrosis pathway refers to the interconnected set of processes and signaling events whereby ECM proteins, such as collagen, fibronectin, and hyaluronan, accumulate excessively within tissues during abnormal wound healing, resulting in fibrosis. Central mediators include myofibroblasts driven by signals such as TGF-β1, mechanical tension, and reciprocal ECM-cell interactions. Pathological ECM deposition changes tissue biomechanics, impairs organ function, and creates a "fibrogenic niche" that perpetuates disease. While no single molecule defines this pathway, therapeutic targets include signaling molecules that regulate ECM production (e.g., TGF-β1) and enzymes mediating ECM remodeling (e.g., matrix metalloproteinases), with several approved and experimental antifibrotic agents aiming to prevent, reverse, or resolve fibrosis by modulating ECM synthesis and breakdown[1][2][3][4][5][7]. This entry describes a process, not a canonical molecule or receptor, and should not be used as a direct therapeutic target entry. For drug development or structured information, focus on molecular targets within the pathway (e.g., TGF-β1, collagen, matrix metalloproteinases)[1][2][4][7].

Other names
Fibrosis pathwayECM deposition pathwayTissue fibrosis signalingFibrogenesis pathway
02

Mechanism of action

Inhibition of pro-fibrotic cytokines (e.g., TGF-β1) Inhibition of ECM synthesis Promotion of ECM degradation/remodeling Blockade of myofibroblast differentiation

03

Biological functions

Wound healingTissue repairCell proliferationCell differentiationCellular signalingMatrix remodelingApoptosis (resolution of fibrosis)
04

Disease associations

Cancer (tumor invasion/metastasis)Cardiovascular diseaseLiver cirrhosisIdiopathic pulmonary fibrosisKidney fibrosisCystic fibrosisOther organ fibrosis
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Safety considerations

Risk of interfering with normal tissue repair and resolutionImmunosuppression, delayed wound healingTargeting of widely expressed ECM components may impact multiple organs/functionsOff-target effects of antifibrotics
06

Interacting drugs

Pirfenidone (targets TGF-β and general fibrosis)

2 more in the full profile.

07

Biomarkers

Collagen I/III/IV (ECM proteins)HyaluronanTenascin-CFibronectin splice variantsTGF-β1 (active/latent)Matrix stiffness (biomechanical measurement)miR-29, miR-21 (regulators of fibrogenic gene expression)

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