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Engrailed-1 inactivation leads to scarless skin wound healing through extracellular matrix remodeling

Rapid Communications

Engrailed-1 inactivation leads to scarless skin wound healing through extracellular matrix remodeling

Hao Ailing
Dong Xiangyu
Gou Yannian
Li Aohua
Li Jiajia
Xiang Han
Rahaman Saidur
Zhu Yi
Zhang Hui
You Wulin
Shen Guowei
Luo Changqi
Mei Ou
Wu Xingye
Shi Lewis L.
Reid Russell R.
He Tong-Chuan
Fan Jiaming
Genes & Diseases第12卷, 第3期纸质出版 2025-05-01在线发表 2024-12-09
2500

Hypertrophic scar and keloid are a major medical problem, which may lead to disfigurement, growth restriction, and permanent loss of function, causing severe physical, psychological, and economic burdens.1 When skin injury occurs, the wound heals through a dynamic series of physiological events, including blood clotting, granulation tissue formation, re-epithelialization, and extracellular matrix remodeling.2 However, the newly formed extracellular matrix in a scar may never achieve the flexibility or strength of the original tissue. Prior studies have suggested that the fibrotic process that occurs after skin injury may be mediated by a specific lineage of scar-prone fibroblasts in the dermis, which are responsible for scar deposition, namely engrailed-1 (EN-1) lineage-positive fibroblasts (EPFs).3 EN-1 is a transcription factor and plays an important role in embryonic development. In most cell types, EN-1 expression is limited to embryonic development. However, under pathological conditions, EN-1 can be re-expressed to promote phenotypic adaptation.4 The mechanical signaling factor YAP is associated with EPFs, establishing a link between mechanical transduction and fibrosis. Recent studies have demonstrated that EPFs play a key role in scar formation and that inhibition of YAP/EN-1 could restrict the formation of scar.5 However, as a downstream transcriptional factor of the YAP/TAZ pathway, EN-1's role in the pathological activation of fibroblasts and scar formation remains unclear. In this study, we investigated whether inhibition of EN-1 expression would be sufficient to suppress TGFβ1-induced fibroblast activation, extracellular matrix production, and scar formation in a skin injury model.

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