Tissue Repair Mediators are a diverse group of endogenous signaling molecules, including growth factors, cytokines, chemokines, and hormones, that are released or activated at a site of injury or cellular damage to orchestrate the complex, multi-stage process of tissue regeneration and wound healing. These mediators control inflammation, cell proliferation, matrix deposition, and angiogenesis. Their optimal function is crucial for rapid and complete recovery from injury or physiological stress.
Origin
This term is foundational to pathology, immunology, and regenerative medicine, describing the biochemical language that governs the body’s precise response to injury. The clinical application focuses on identifying and optimizing the systemic and local factors that influence the efficacy and timing of these mediators’ actions.
Mechanism
Upon injury, cells release initial inflammatory mediators that recruit immune cells and initiate the cascade. Growth factors, such as PDGF, TGF-beta, and IGF-1, then become active, binding to cell surface receptors to stimulate the proliferation of fibroblasts, endothelial cells, and epithelial cells. These signals drive the synthesis of new extracellular matrix components and the formation of new blood vessels (angiogenesis). Systemic hormones, notably anabolic steroids and growth hormone, serve as modulators, amplifying the local action of these repair signals and ensuring adequate substrate availability for the reconstruction phase.
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