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Updated: Jun 16, 2025

Isolation, Culture, and Characterization of Primary Dermal Fibroblasts from Human Keloid Tissue
Published on: July 28, 2023
PRRX1 is a key regulator in the phenotypic transition between human normal dermal and keloid fibroblasts
Shuqian Dou1, Fengyu Zhang2, Yongjing He1
1The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Insights
Human fetal skin heals without scars. Researchers identified paired related homeobox 1 (PRRX1) as a key factor in scarless wound healing, offering potential for new clinical treatments.
Area of Science:
- Dermatology
- Regenerative Medicine
- Molecular Biology
Background:
- Scarring post-skin trauma presents significant aesthetic and functional challenges.
- Understanding scarless healing mechanisms is crucial for therapeutic advancements.
Purpose of the Study:
- To investigate differences between fetal, postnatal, and keloid skin.
- To identify key factors regulating scarless wound healing.
Main Methods:
- Spatial transcriptomics (ST) and histological imaging were employed.
- Comparative analysis of cellular and molecular characteristics across different skin types.
Main Results:
- Histological and cellular distinctions were observed, including variations in extracellular matrix, appendages, stem cells, and immune cells.
- Fibroblast heterogeneity was noted, with increased paired related homeobox 1 (PRRX1)-positive fibroblasts from fetal to keloid tissue.
- PRRX1's role in fibroblast phenotypic transition and scarless healing was confirmed in a 3D keloid model.
Conclusions:
- Fetal skin exhibits unique characteristics contributing to scarless healing.
- PRRX1 is identified as a critical transcription factor for scarless wound healing.
- Findings hold translational potential for developing clinical strategies to promote scarless healing.
Background:
Scarring after skin trauma is a major clinical challenge, as it affects patients' appearance and function.
Objective:
Given that human foetal skin possesses scarless wound healing ability, we aimed to understand the differences among human foetal skin, postnatal skin, and keloid tissue to find out the key factors affecting wound healing outcome.
Methods:
We used spatial transcriptomics (ST), histological imaging, and other methods to investigate the cellular and molecular characteristics underlying scarless healing by comparing these skin types.
Results:
We identified histological and cellular differences among these samples, including the extracellular matrix, hair follicles, stem cells, and immune cells. Significant heterogeneity was found in fibroblasts across all samples. Among these fibroblast subpopulations, the proportion of paired related homeobox 1 (PRRX1)-positive fibroblast increased from foetus to postnatal skin (PS) and further in keloids. We validated PRRX1's roles in regulating the phenotypic transition between normal and keloid fibroblasts. A three-dimensional human keloid model was used to further confirm its roles at the tissue level.
Conclusions:
In summary, our work explores the unique characteristics of foetal skin and identifies an important transcription factor in regulating scarless healing, which provides the translational potential for future clinical treatments aimed at promoting scarless wound healing.
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