Sutton Arthritis Research Laboratory, Institute of Bone and Joint Research, Kolling Institute of Medical Research, The University of Sydney at Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Adv Wound Care (New Rochelle). 2022 Feb;11(2):87-107. doi: 10.1089/wound.2020.1287. Epub 2021 Mar 23.
Dermal fibroblasts are the major cell type in the skin's dermal layer. These cells originate from distinct locations of the embryo and reside in unique niches in the dermis. Different dermal fibroblasts exhibit distinct roles in skin development, homeostasis, and wound healing. Therefore, these cells are becoming attractive candidates for cell-based therapies in wound healing. Human skin dermis comprises multiple fibroblast subtypes, including papillary, reticular, and hair follicle-associated fibroblasts, and myofibroblasts after wounding. Recent studies reveal that these cells play distinct roles in wound healing and contribute to diverse healing outcomes, including nonhealing chronic wound or excessive scar formation, such as hypertrophic scars (HTS) and keloids, with papillary fibroblasts having antiscarring and reticular fibroblast scar-forming properties. The identities and functions of dermal fibroblast subpopulations in many respects remain unknown. In this review, we summarize the current understanding of dermal fibroblast heterogeneity, including their defined cell markers and dermal niches, dynamic changes, and contributions to skin wound healing, with the emphasis on scarless healing, healing with excessive scars (HTS and keloids), chronic wounds, and the potential application of this heterogeneity for developing cell-based therapies that allow wounds to heal faster with less scarring. Heterogeneous dermal fibroblast populations and their functions are poorly characterized. Refining and advancing our understanding of dermal fibroblast heterogeneity and their participation in skin homeostasis and wound healing may create potential therapeutic applications for nonhealing chronic wounds or wounds that heal with excessive scarring.
皮肤成纤维细胞是皮肤真皮层的主要细胞类型。这些细胞来源于胚胎的不同部位,并存在于真皮的独特龛位中。不同的真皮成纤维细胞在皮肤发育、稳态和伤口愈合中发挥不同的作用。因此,这些细胞成为伤口愈合中基于细胞的治疗的有吸引力的候选者。 人类皮肤真皮包含多种成纤维细胞亚型,包括乳头、网状和毛囊相关成纤维细胞,以及受伤后的肌成纤维细胞。最近的研究表明,这些细胞在伤口愈合中发挥不同的作用,并有助于不同的愈合结果,包括非愈合性慢性伤口或过度疤痕形成,如增生性瘢痕(HTS)和瘢痕疙瘩,乳头成纤维细胞具有抗瘢痕形成和网状成纤维细胞瘢痕形成特性。 许多方面的真皮成纤维细胞亚群的身份和功能仍然未知。在这篇综述中,我们总结了对真皮成纤维细胞异质性的当前理解,包括其定义的细胞标记物和真皮龛位、动态变化以及对皮肤伤口愈合的贡献,重点是无瘢痕愈合、过度疤痕形成(HTS 和瘢痕疙瘩)、慢性伤口以及这种异质性在开发基于细胞的治疗方法中的潜在应用,使伤口更快、更少疤痕地愈合。 真皮成纤维细胞群体的异质性及其功能尚未得到充分描述。细化和推进我们对真皮成纤维细胞异质性及其在皮肤稳态和伤口愈合中的参与的理解,可能为非愈合性慢性伤口或过度疤痕形成的伤口创造潜在的治疗应用。
Adv Wound Care (New Rochelle). 2022-2
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