Transforming growth factor-beta is responsible for triggering a cascade of events leading to
fibrosis in scleroderma. The Smads are intracellular signal transducers recently shown to mediate fibroblast activation and other profibrotic responses elicited by
transforming growth factor-betain vitro. To understand better the involvement of Smads in the pathogenesis of
fibrosis, we examined Smad expression and activation in situ in a murine model of scleroderma.
Bleomycin injections induced striking dermal infiltration with macrophages by 3 d, and progressive
fibrosis by 2 wk. Infiltrating macrophages and resident fibroblasts expressed Smad3, the positive mediator for
transforming growth factor-beta responses. Importantly,
in bleomycin-injected skin, fibroblasts showed predominantly nuclear localization of Smad3 and intense staining for phospho-Smad2/3. Furthermore, phosphorylated Smad2/3 in fibroblasts was detected even after the resolution of
inflammation. Expression of Smad7, the endogenous inhibitor of
transforming growth factor-beta/Smad signaling, was strongly induced in dermal cells by
transforming growth factor-beta, but not by
bleomycin injections. Collectively, these results indicate that
bleomycin-induced murine scleroderma is associated with rapid and sustained induction of
transforming growth factor-beta/Smad signaling in resident dermal fibroblasts. Despite apparent activation of the intracellular
transforming growth factor-beta signaling pathway in the lesional dermis, the expression of
transforming growth factor-beta-inducible Smad7 was not upregulated. In light of the critical function of Smad7 as an endogenous inhibitor of Smad signaling that restricts the duration and magnitude of
transforming growth factor-beta responses, and as a mediator of apoptosis, relative Smad7 deficiency observed in the present studies may account for sustained activation of
transforming growth factor-beta/Smad signaling in lesional tissues. These findings raise the possibility that Smads plays an important part in the pathogenesis of
fibrosis, and may therefore represent targets for selective anti-fibrotic interventions.