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- [7] Epidermal growth factor up-regulates expression of. transforming growth factor β receptor type II in human dermal fibroblasts by phosphoinositide 3-kinase/Akt signaling pathway -: Resistance to epidermal growth factor stimulation in scleroderma fibroblasts ARTHRITIS AND RHEUMATISM, 2003, 48 (06): : 1652 - 1666