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Henry O\u2019Hern Jr. Pilot Grant"]}],"id":[{"id":"https:\/\/ror.org\/00b30xv10","id-type":"ROR","asserted-by":"crossref"}]},{"name":"University of Pennsylvania School of Dental Medicine","award":["Joseph and Josephine Rabinowitz Award for Excellen"],"award-info":[{"award-number":["Joseph and Josephine Rabinowitz Award for Excellen"]}],"id":[{"id":"https:\/\/ror.org\/00b30xv10","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Institutes of Health-National Institute of Dental and Craniofacial Research R03 grant","award":["Full-Time Faculty Fellowship Award"],"award-info":[{"award-number":["Full-Time Faculty Fellowship Award"]}],"id":[{"id":"https:\/\/ror.org\/004a2wv92","id-type":"ROR","asserted-by":"crossref"}]},{"name":"American Association of Orthodontists","award":["Full-Time Faculty Fellowship Award"],"award-info":[{"award-number":["Full-Time Faculty Fellowship Award"]}],"id":[{"id":"https:\/\/ror.org\/03d9g2g58","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Dent Res"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:p>Fibromodulin (FMOD) is an archetypal member of the class II small leucine-rich proteoglycan family. By directly binding to extracellular matrix structural components, such as collagen and lysyl oxidase, FMOD regulates collagen cross-linking, packing, assembly, and fibril architecture via a multivalent interaction. Meanwhile, as a pluripotent molecule, FMOD acts as a ligand of various cytokines and growth factors, especially those belonging to the transforming growth factor (TGF) \u03b2 superfamily, by interacting with the corresponding signaling molecules involved in cell adhesion, spreading, proliferation, migration, invasion, differentiation, and metastasis. Consequently, FMOD exhibits promigratory, proangiogenic, anti-inflammatory, and antifibrogenic properties and plays essential roles in cell fate determination and maturation, progenitor cell recruitment, and tissue regeneration. The multifunctional nature of FMOD thus enables it to be a promising therapeutic agent for a broad repertoire of diseases, including but not limited to arthritis, temporomandibular joint disorders, caries, and fibrotic diseases among different organs, as well as to be a regenerative medicine candidate for skin, muscle, and tendon injuries. Moreover, FMOD is also considered a marker for tumor diagnosis and prognosis prediction and a potential target for cancer treatment. Furthermore, FMOD itself is sufficient to reprogram somatic cells into a multipotent state, creating a safe and efficient cell source for various tissue reconstructions and thus opening a new avenue for regenerative medicine. This review focuses on the recent preclinical efforts bringing FMOD research and therapies to the forefront. In addition, a contemporary understanding of the mechanism underlying FMOD\u2019s function, particularly its interaction with TGF\u03b2 superfamily members, is also discussed at the molecular level to aid the discovery of novel FMOD-based treatments.<\/jats:p>","DOI":"10.1177\/00220345221138525","type":"journal-article","created":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T07:03:44Z","timestamp":1671001424000},"page":"125-134","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":64,"title":["Fibromodulin, a Multifunctional Matricellular Modulator"],"prefix":"10.1177","volume":"102","author":[{"given":"Z.","family":"Zheng","sequence":"first","affiliation":[{"name":"David Geffen School of Medicine, University of California, Los Angeles, CA, USA"},{"name":"School of Dentistry, University of California, Los Angeles, CA, 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