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        Papers of The 1st Japan Scar Workshop |  
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        7.  Extracellular matrix gene expression altered by N-methylethanolamine 
              (MEA) in human dermal fibroblasts 
        Yamanaka M, Ishikawa ODepartment of Dermatology, Gunma University Graduate School of Medicine, 
        Gunma, Japan
 
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        | Tissue fibrosis develops when dysregulation of extracellular matrix (ECM) 
        turnover favors deposition of ECM proteins over degradation. Fibrosis 
        may then lead to organ dysfunction as observed in keloids and 
        hypertrophic scars. In the present study, we investigated the 
        antifibrotic properties of N-methylethanolamine (MEA). MEA suppressed 
        the expression of COL2(I) mRNA and its protein levels in a dose- and 
        time-dependent manner in human dermal fibroblasts. Under the same 
        conditions, MEA enhanced the expression of matrix metalloproteinase-1 
        (MMP-1) mRNA and its protein levels. Together, these observations 
        suggest that MEA may inhibit ECM deposition . We investigated which 
        pathway is involved in the action of MEA. We focused on the MEK/ERK 
        signaling pathways. Assays using specific inhibitors of MEK/ERK 
        pathways, PD98059 and U0126, indicated that the MEK/ERK pathways are 
        involved in MEA-induced MMP1 stimulation and COL2(I) inhibition. We 
        confirmed that MEA induced ERK1/2 phosphorylation. In conclusion, our 
        study demonstrates that MEA displays an antifibrotic action by reducing 
        type-I collagen production and inducing MMP-1 production. Therefore, MEA 
        can be a promising candidate for the treatment of diseases characterized 
        by excessive ECM deposition such as keloids and hypertrophic scars. |  
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