Review Article
Cellular and Molecular Characteristics of Scarless versus Fibrotic Wound Healing
Table 1
Characteristic differences observed between fetal and adult wound healing.
| | Fetal Wound Healing | Adult Wound Healing |
| Inflammation | Minimal | Robust |
| Select Growth Factors | | | PDGF | Transient | Sustained | FGF | Low | High | TGFβ | Low TGFβ1 and TGFβ2 | High TGFβ1 and TGFβ2 | High TGFβ3 | Low TGFβ3 |
| Proinflammatory cytokines | | | IL-6 | Low | High | IL-8 | Low | High |
| Anti-inflammatory cytokine IL-10 | High | Low |
| Formation of granulation tissue | No | Yes |
| ECM Proteins | | | Collagen | Increased Type III collagen (ratio of type III : type I is high) | Increased Type I collagen (ratio of type I : type III is high) | Fibronectin | Early Deposition | Late Deposition | Tenascin | Early Appearance | Late Appearance |
| Proteoglycans and Glycosaminoglycans | | | Hyaluronic Acid | High | Low | Fibromodulin | High | Low | Decorin | Low | High |
| Myofibroblasts | No | Yes |
| Integrins during re-epithelialization | Early | Late |
| CCT-subunits | | | CCT-eta | Low | High | CCT-beta | No change | No change |
|
|