Dermal scarring is an important clinical problem; often leading to adverse
effects on function as well as an undesirable cosmetic appearance, it may b
e related to an imbalance in the cytokine/growth factor profile of the woun
d environment. For example, it has recently been shown that overexpression
of the fibrogenic growth factors transforming growth factor (TGF)-beta (1)
and TGF-beta (2) is related to the excessive accumulation of collagen evide
nt in keloids and hypertrophic scars, common forms of pathologic overheatin
g of dermal wounds in humans. Proud flesh in horses resembles human keloids
and hypertrophic scarring and may thus share a similar pathogenesis.