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Updated: Jun 14, 2026

Establishing a High Throughput Epidermal Spheroid Culture System to Model Keratinocyte Stem Cell Plasticity
Published on: January 30, 2021
A stretch-responsive fibroblast program promotes epidermal stem cell self-renewal during skin expansion
Caroline Aguilera Stewart1, Ceyhun Alar2,3, Gaia Andrea Gozza4,5
1Novo Nordisk Foundation Center for Stem Cell Medicine (reNEW), Department of Biomedical Sciences (BMI), University of Copenhagen, Copenhagen, Denmark.
Skin expansion for reconstructive surgery requires coordinated growth of epidermis and dermis. This study reveals that stretching activates fibroblasts to proliferate and adopt an embryonic-like state, enhancing epidermal stem cell self-renewal for better skin regeneration.
Area of Science:
- Dermatology
- Tissue Engineering
- Developmental Biology
Background:
- Stretch-mediated tissue expansion is crucial for reconstructive surgery, requiring coordinated growth of epidermal and dermal layers.
- The precise mechanisms by which fibroblasts respond to mechanical stretching and support keratinocyte proliferation are not fully understood.
Purpose of the Study:
- To investigate the in vivo transcriptional response of fibroblasts to mechanical stretching.
- To elucidate how fibroblast behavior during tissue expansion influences epidermal stem cell self-renewal and overall skin regeneration.
Main Methods:
- In vivo transcriptional profiling of fibroblasts under mechanical stretching.
- Analysis of fibroblast proliferation, collagen production, and extracellular matrix remodeling.
- Assessment of epidermal stem cell self-renewal in a low-collagen environment mimicking fibroblast changes.
Main Results:
- Mechanical stretching induces fibroblasts to exit quiescence and enter a proliferative state.
- Fibroblasts downregulate collagen production and upregulate extracellular matrix remodeling factors, resembling an embryonic-like phenotype.
- A low-collagen state, driven by fibroblast reprogramming, enhances epidermal stem cell self-renewal.
Conclusions:
- Fibroblast reprogramming during tissue expansion is key to coordinating dermal and epidermal growth.
- Understanding these fibroblast dynamics offers insights for optimizing in vivo skin expansion techniques.
- This research provides a basis for improving the generation of in vitro skin grafts for clinical applications.
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