Fibrosis: Difference between revisions

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# [[Pulmonary Fibrosis|Pulmonary fibrosis,]] as: Replacement fibrosis (as occurs in response to [[Lung Anatomy|lung]] damage caused by infarction or an infection); focal fibrosis, as occurs in a response to irritation by inhaled substances that are inhaled eg [[Role of Pulmonary Rehabilitation in Silicosis|silica]] or [[Mesothelioma|asbestos]]; diffuse parenchymal lung disease (DPLD).<ref name=":0" />
# [[Pulmonary Fibrosis|Pulmonary fibrosis,]] as: Replacement fibrosis (as occurs in response to [[Lung Anatomy|lung]] damage caused by infarction or an infection); focal fibrosis, as occurs in a response to irritation by inhaled substances that are inhaled eg [[Role of Pulmonary Rehabilitation in Silicosis|silica]] or [[Mesothelioma|asbestos]]; diffuse parenchymal lung disease (DPLD).<ref name=":0" />
# Skeletal [[Muscle Injuries|muscle injuries]]: With minor injuries the muscles are able to regenerate completely and recover their usual capabilities. However, in severe injuries, the injured muscle cannot recover to a functional level because of the formation of fibrous scar tissue.<ref>Gardner T, Kenter K, Li Y. [https://www.hindawi.com/journals/jsm/2020/7059057/#conclusion Fibrosis following acute skeletal muscle Injury: mitigation and reversal potential in the clinic]. Journal of Sports Medicine. 2020 Sep 1;2020. Available:https://www.hindawi.com/journals/jsm/2020/7059057/#conclusion (accessed 18.10.2022)</ref>
# Skeletal [[Muscle Injuries|muscle injuries]]: With minor injuries the muscles are able to regenerate completely and recover their usual capabilities. However, in severe injuries, the injured muscle cannot recover to a functional level because of the formation of fibrous scar tissue.<ref>Gardner T, Kenter K, Li Y. [https://www.hindawi.com/journals/jsm/2020/7059057/#conclusion Fibrosis following acute skeletal muscle Injury: mitigation and reversal potential in the clinic]. Journal of Sports Medicine. 2020 Sep 1;2020. Available:https://www.hindawi.com/journals/jsm/2020/7059057/#conclusion (accessed 18.10.2022)</ref>
# Fibrosis is a feature of metastasis, chronic graft rejection and the pathogenesis of many progressive [[myopathies]].<ref name=":1" />
# Fibrosis is a feature of metastasis, chronic graft rejection and the pathogenesis of many progressive [[myopathies]] eg Dysregulated muscle repair with persistent fibrosis rather than correct regeneration plays a major role in the decline and reduced life expectancy associated with severe muscular dystrophies, like [[Duchenne Muscular Dystrophy|Duchenne muscular dystrophy]]<ref name=":1" /><ref>Mann CJ, Perdiguero E, Kharraz Y, Aguilar S, Pessina P, Serrano AL, Muñoz-Cánoves P. Aberrant repair and fibrosis development in skeletal muscle. Skeletal muscle. 2011 Dec;1(1):1-20.Available:https://skeletalmusclejournal.biomedcentral.com/articles/10.1186/2044-5040-1-21#Sec1 (accessed 18.10.2022)</ref>


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Revision as of 09:07, 18 October 2022

Original Editor - Lucinda hampton

Top Contributors - Lucinda hampton and Vidya Acharya  

Introduction[edit | edit source]

The term fibrosis relates the development of fibrous connective tissue as a way to repair tissue following injury or damage. Pathophysiologic fibrosis, essentially an excessive accumulation of extracellular matrix components (particularly collagen), is the final result of a cascade of events following tissue injury via inflammation, and resulting in permanent scar formation. It is characterized by scarring and hardening of tissues and organs.[1]

Fibrosis can affect all tissues of the body, and left unrestrained, can result in organ failure and death. It is caused by a process that stems from wound healing that has gone awry. Fibrogenesis is becoming increasingly recognized as a major cause of morbidity and death in most chronic inflammatory diseases, with a dearth of treatment strategies available to target the pathogenesis of fibrosis.[2]

Main Types of Fibrosis[edit | edit source]

Fibrosis, the excessive accumulation of fibrous connective tissue, can lead to permanent scarring, organ malfunction and, ultimately, death. This can be seen in as seen in end-stage liver disease, kidney disease, idiopathic pulmonary fibrosis, liver cirrhosis and heart failure (cardiac fibrosis). Fibrosis is also a. feature in the following conditions.

  1. Many chronic autoimmune disorders (eg scleroderma, rheumatoid arthritis, Crohn’s disease, myelofibrosis and systemic lupus erythematosus).[3]
  2. Pulmonary fibrosis, as: Replacement fibrosis (as occurs in response to lung damage caused by infarction or an infection); focal fibrosis, as occurs in a response to irritation by inhaled substances that are inhaled eg silica or asbestos; diffuse parenchymal lung disease (DPLD).[2]
  3. Skeletal muscle injuries: With minor injuries the muscles are able to regenerate completely and recover their usual capabilities. However, in severe injuries, the injured muscle cannot recover to a functional level because of the formation of fibrous scar tissue.[4]
  4. Fibrosis is a feature of metastasis, chronic graft rejection and the pathogenesis of many progressive myopathies eg Dysregulated muscle repair with persistent fibrosis rather than correct regeneration plays a major role in the decline and reduced life expectancy associated with severe muscular dystrophies, like Duchenne muscular dystrophy[3][5]

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Resources[edit | edit source]

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References[edit | edit source]

  1. Cellsignal Fibrosis Available:https://blog.cellsignal.com/fibrosis-when-wound-healing-turns-to-disease (accessed 18.10.2022)
  2. 2.0 2.1 News Medical What is Fibrosis? Available:https://www.news-medical.net/health/What-is-Fibrosis.aspx (accessed 18.10.2022)
  3. 3.0 3.1 Wynn TA, Ramalingam TR. Mechanisms of fibrosis: therapeutic translation for fibrotic disease. Nature medicine. 2012 Jul;18(7):1028-40. Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3405917/ (accessed 18.10.2022)
  4. Gardner T, Kenter K, Li Y. Fibrosis following acute skeletal muscle Injury: mitigation and reversal potential in the clinic. Journal of Sports Medicine. 2020 Sep 1;2020. Available:https://www.hindawi.com/journals/jsm/2020/7059057/#conclusion (accessed 18.10.2022)
  5. Mann CJ, Perdiguero E, Kharraz Y, Aguilar S, Pessina P, Serrano AL, Muñoz-Cánoves P. Aberrant repair and fibrosis development in skeletal muscle. Skeletal muscle. 2011 Dec;1(1):1-20.Available:https://skeletalmusclejournal.biomedcentral.com/articles/10.1186/2044-5040-1-21#Sec1 (accessed 18.10.2022)