One of the differences between fetal and adult skin healing is the unique a
bility of fetal wounds to heal without contracture and scar formation. Stud
ies have shown that the ratio between the three isoforms of TGF beta is dif
ferent in adult and fetal wounds. Thus, we analyzed the capacity of adult a
nd fetal human skin fibroblasts to contract collagen gels after stimulation
with TGF beta isoforms. In control medium, fetal fibroblasts had a contrac
tile capacity similar to that of adult fibroblasts. However, the growth cap
acity of fetal fibroblasts was completely inhibited, in contrast to adult f
ibroblasts. When cells were treated with TGF beta, fetal fibroblasts showed
an inhibition of their contractile capacity whereas adult fibroblasts furt
her contracted gels. The contractile response was similar for all isoforms
of TGF beta although TGF beta3 always had the strongest effect. We consider
ed that the regulation of cell contractile capacity by TGF beta may be depe
ndent on receptor expression for this cytokine, on myofibroblast differenti
ation of the cells, or in eel I links with matrix. Since TGF beta receptor
analysis did not show differences in receptor affinity, we studied the expr
ession of cc-smooth muscle (SM) actin, a fibroblast contractile marker and
of three integrins, the cell surface receptors specific of the attachment o
f the fibroblasts with collagen matrix. We observed that the expression of
alpha -SM actin and alpha3 and pi integrin subunits was increased when TGFP
was added to the medium of adult fibroblasts whereas the levels of the alp
ha1 and alpha2 subunits were unchanged. In contrast, fetal fibroblasts trea
ted with TGFP showed a decrease of alpha1, alpha2, and pi integrin expressi
on but no change in alpha3 integrin and in alpha -SM actin expression. Thes
e results indicate that intrinsic differences between fetal and adult fibro
blasts might explain their opposite responses to TGF beta stimuli. The vari
ations in their a-SM actin and integrin expression patterns represent poten
tially important mechanisms used by fetal fibroblasts to regulate their res
ponse to cytokines, and likely contribute to the resultant differences in t
he quality of wound repair. (C) 2001 Wiley-Liss, Inc.