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From the Growth and Development Laboratory,* Children’s Hospital of Pittsburgh, Pittsburgh; and the Departments of Orthopaedic Surgery and Molecular Genetics and Biochemistry, University of Pittsburgh, Pittsburgh, Pennsylvania
Transforming growth factor-ß1 (TGF-ß1) is thought to play a crucial role in fibrotic diseases. This study demonstrates for the first time that TGF-ß1 stimulation can induce myoblasts (C2C12 cells) to express TGF-ß1 in an autocrine manner, down-regulate the expression of myogenic proteins, and initiate the production of fibrosis-related proteins in vitro. Direct injection of human recombinant TGF-ß1 into skeletal muscle in vivo stimulated myogenic cells, including myofibers, to express TGF-ß1 and induced scar tissue formation within the injected area. We also observed the local expression of this growth factor by myogenic cells, including regenerating myofibers, in injured skeletal muscle. Finally, we demonstrated that TGF-ß1 gene-transfected myoblasts (CT cells) can differentiate into myofibroblastic cells after intramuscular transplantation, but that decorin, an anti-fibrosis agent, prevents this differentiation process by blocking TGF-ß1. In summary, these findings indicate that TGF-ß1 is a major stimulator that plays a significant role in both the initiation of fibrotic cascades in skeletal muscle and the induction of myogenic cells to differentiate into myofibroblastic cells in injured muscle.
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