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Updated: Jun 19, 2026

Isolation, Culture, and Characterization of Primary Dermal Fibroblasts from Human Keloid Tissue
Published on: July 28, 2023
X-ray irradiation suppresses keloid growth by inducing G2/M arrest through the phytosphingosine-KIF20A axis
Changyue Wu1, Dan Wu1, Jianlan Liu1
1Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.
Abstract:
Keloid radiotherapy is clinically effective but has an incomplete underlying molecular mechanism and limited accessibility; we used X-ray exposure to identify effector pathways that replicate its antifibrotic benefits without further radiation. After collecting patient keloid samples, primary human keloid fibroblasts, and normal skin fibroblasts, nontargeted metabolomics and RNA sequencing were performed, identifying phytosphingosine (PHS) and KIF20A as key mediators of fibrosis and cell death in keloid radiotherapy. X-ray irradiation increased PHS release in keloid fibroblasts; exogenous PHS and X-ray irradiation independently induced cell death and reduced fibrosis; their combination exerted radiosensitization by boosting G2/M arrest and apoptosis while lowering fibrosis progression, and both PHS and irradiation reduced KIF20A, whose loss induced cell cycle arrest and apoptosis. Our findings reveal that X-ray irradiation enhances keloid fibroblast PHS secretion, which downregulates KIF20A to exert keloid therapeutic effects, and that topical PHS or KIF20A-targeting agents are immediately translatable alternatives for radiotherapy-ineligible patients.
Insights
X-ray exposure reveals phytosphingosine (PHS) and KIF20A mediate keloid radiotherapy effects. Topical PHS or KIF20A agents offer alternatives for patients ineligible for radiation therapy.
Area of Science:
- Dermatology
- Molecular Biology
- Oncology
Background:
- Keloid radiotherapy is effective but its molecular mechanisms are not fully understood.
- Limited accessibility of radiotherapy necessitates alternative treatment strategies.
Purpose of the Study:
- To elucidate the molecular mechanisms of keloid radiotherapy using X-ray exposure.
- To identify novel therapeutic targets for keloid treatment.
Main Methods:
- Collected patient keloid samples and primary human keloid and normal skin fibroblasts.
- Performed non-targeted metabolomics and RNA-sequencing (RNA-seq).
- Investigated the roles of phytosphingosine (PHS) and KIF20A in keloid pathogenesis.
Main Results:
- Identified PHS and KIF20A as key mediators in keloid radiotherapy.
- X-ray irradiation increased PHS release, which, along with exogenous PHS, induced cell death and reduced fibrosis.
- Combined PHS and irradiation enhanced radiosensitization, boosted G2/M arrest and apoptosis, and reduced fibrosis progression by downregulating KIF20A.
Conclusions:
- X-ray irradiation enhances PHS secretion, downregulating KIF20A to achieve therapeutic effects in keloids.
- Topical PHS or KIF20A-targeting agents are potential alternatives for patients unable to undergo radiotherapy.
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