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The mast cell in wound healing

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Abstract

This review describes the role of the mast cell in the pathobiology of skin healing. After illustrating its main morphofunctional characteristics, with special reference to the dog and cat, we consider the involvement of the mast cell in the various phases of skin repair. With the aid of a wide array of newly formed or preformed mediators released by degranulation, the activated mast cell controls the key events of the healing phases: triggering and modulation of the inflammatory stage, proliferation of connective cellular elements and final remodelling of the newly formed connective tissue matrix. The importance of the mast cell in regulating healing processes is also demonstrated by the fact that a surplus or deficit of degranulated biological mediators causes impaired repair, with the formation of exuberant granulation tissue (e.g. keloids and hypertrophic scars), delayed closure (dehiscence) and chronicity of the inflammatory stage.
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Keywords: cytokines; growth factors; inflammation; mast cells; proliferative phase; skin; tissue remodelling; wound healing

Document Type: Review Article

Affiliations: 1: Studio Dermatologico Veterinario, Via Sismondi 62, 20133 Milano, Italy; 2: CeDIS, Innovet, Viale dell’Industria, 8, 35030 Rubano, Italy

Publication date: December 1, 2001

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