A hypomorphic mouse model of dystrophic epidermolysis bullosa reveals mechanisms of disease and response to fibroblast therapy
J. Clin. Invest. Anja Fritsch, et al. 118:1669
doi:10.1172/JCI34292 [Go to this article.]

Figure 7
Mitten deformities of the extremities result from excessive contractile fibrosis. (A) H&E staining showed dermal-epidermal separation (arrows) in the fore paw of an 80-day-old Col7a1flNeo/flNeo mouse. The cellularity of the dermis was higher than that of Col7a1WT/WT mice. (B) van Gieson–elastica staining demonstrated distinct elastic fibers in Col7a1WT/WT mouse skin, whereas the elastic fibers were strongly reduced in the skin of Col7a1flNeo/flNeo mice. (CG) Key players of inflammatory/fibrotic processes were assessed by immunofluorescence staining. Nuclei were stained with DAPI (blue). (C) Positive staining of CD11b, a marker for monocytes, dendritic cells, and macrophages, revealed the presence of inflammatory cells (red) in the Col7a1flNeo/flNeo dermis. (D) Expression of active TGF-β1 (red) was enhanced in the dermis of Col7a1flNeo/flNeo compared with Col7a1WT/WT mice. (E) Expression of CTGF (red) increased in both the dermis and the epidermis in Col7a1flNeo/flNeo mice. (F) A high number of α-SMA–positive myofibroblasts (red), which are not associated with vessels, were present in the dermis in Col7a1flNeo/flNeo mice. Green stain denotes α6 integrin. (G) Tenascin C (green) was strongly upregulated in the dermis of Col7a1flNeo/flNeo mice. Scale bars: 100 μm.