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17.4 BIOMECHANICS AND MECHANOBIOLOGY IN THE CONTEXT OF SKIN WOUND HEALING     355

           TABLE 17.4  Mechanotransduced Response of Dermal Fibroblasts After Tension Loading
           Force                Substrate           Cell                 Mechanotransduced response       Reference
           Cyclic               Type I collagen     hDFbs                "Procollagen                     [133]
           Biaxial                                                       "Proteinase C
           Strain: 20%                                                   Activated by TGF-β-
           Frequency: 1Hz
           Period: 48h
           Uniaxial             Collagen Lattices   hDFbs                "MMP-2, MMP-9, and PLAT          [142, 143]
           Force: 120 dynes     Collagen Sponges                         #MMP-3 and uPA
           Cyclic
           Strain: 10%
           Frequency: 11 dynes/min
           Period: 10min–11h
           Equibiaxial cyclic   Type I collagen     hDFbs                "Cell proliferation transcripts  [138]
           Strain: 20%                                                   "Connective tissue synthesis
           Frequency: 0.1Hz                                              #ECM degradation #Inflammatory
           Period: 24h                                                   mediators
                                                                         "VEGF, TGF-β1, TGF-β3, CTFG, Cyr61
                                                                         transcripts
           Uniaxial             Rat tail            hDFbs                " α-SMA                          [145]
           N/a                  Type I collagen     (healthy and striae)  " Contractile force
           Equibiaxial          Fibrin              hDFbs                "Stronger gels "Denser "Thinner "Collagen  [17]
           Cyclic
           Strain: 16%
           Frequency:
           0.2Hz
           Period:8days
           Cyclic               Type I collagen     hDFbs                #Proliferation                   [148]
           Strain: 10–24%                                                Activation of p38 and ERK1/2 (repetitive)
           Frequency: 0.1–0.17Hz                                         Activation of AKT and BAD pathways
           Period: 24h                                                   (intermittent)
           Uniaxial cyclic      Type I collagen     hDFbs                #CTFG                            [149]
           Strain: 20%                                                   #COL1A2
           Frequency: 0.16Hz                                             "Heparan sulfate
                                                                         proteoglycan 2
           N/a                  PGA fibers          hDFbs                Spindle shape cells              [134]
                                                                         Aligned collagen fibers
                                                                         "Collagen fibril diameter
                                                                         "Tensile strength
           Axial                Type I collagen     hNFFbs               Cell orientation                 [141]
           Cyclic                                                        Activation of FAK, p38, and Rho
           Strain: 4–12%                                                 Regulated in part by integrin β1
           Frequency: 0.1Hz
           Period: 30min–12h
           Uniaxial             Fibrin-based        hNDFbs               "Collagen "Elastin "ECM deposition and  [135]
           Cyclic               tubular constructs                       disorganization
           Strain: 10%                                                   "α-SMA and SMAD2/3
           Frequency: 2mm/min                                            Activation of TGF-β1 and p38
           Period: 7 w                                                   Inhibition ERK
           Biaxial              Fibrin gels         hDFbs                Fiber alignment                  [136]
           Cyclic                                                        Fibrin degradation
           Strain: 5%                                                    "Elastin and collagen, in a geometry-
           Frequency: 0.3mm/s                                            dependent manner
           Period: 60–90min
           Equibiaxial          Type I Collagen     hDFbs                #α-SMA, CTGF, and ET-1           [150]
           Cyclic                                                        α-SMA and CTGF modulated by ET-1 levels
           Strain: 15%
           Frequency: 0.1Hz
           Period: 24h
                                                                                                          Continued
                                          II. MECHANOBIOLOGY AND TISSUE REGENERATION
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