He W F
State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Burn Research, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing Key Laboratory for Wound Repair and Regeneration, Chongqing 400038, China.
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2022 Feb 20;38(2):114-118. doi: 10.3760/cma.j.cn501120-20211210-00411.
Re-epithelialization is one of the core links that determines the healing process of skin wounds. The proliferation and differentiation of epidermal stem cells to form new epidermal tissue is the histological basis of re-epithelialization, and the smooth progress of the cell differentiation process of epidermal stem cells-precursor cells-terminal cells is the cytological basis for the continuous formation of new epidermal tissue. The proliferation of stem cells and their differentiation into precursor cells are the determinants of the proliferative potential of newly formed epidermal tissue, while the expansion and differentiation of precursor cells into terminal cells are key factors determining the rate of new epidermal tissue formation. The tissue microenvironment plays a key regulatory role in the process of wound re-epithelialization, and cell growth factor and inflammatory mediators are the two main components of tissue microenvironment, which play regulatory role in different aspects of proliferation and differentiation of epidermal stem cells, jointly promoting the smooth progress of wound re-epithelialization As an important part of skin immune system, the subsets of gamma-delta (γδ) T cells play crucial role in dynamically shaping early wound microenvironment via secreting different cell growth factors and inflammatory factors. From the prospective of immune microenvironment of wound, this paper discusses the role of skin γδ T cells in maintaining the balance of stem cell proliferation and differentiation and regulating wound re-epithelialization, providing a new direction for the prevention and treatment of refractory wound.
再上皮化是决定皮肤伤口愈合过程的核心环节之一。表皮干细胞增殖分化形成新的表皮组织是再上皮化的组织学基础,表皮干细胞-前体细胞-终末细胞的细胞分化过程顺利进行是新表皮组织不断形成的细胞学基础。干细胞的增殖及其向前体细胞的分化是新形成的表皮组织增殖潜能的决定因素,而前体细胞向终末细胞的扩增和分化是决定新表皮组织形成速度的关键因素。组织微环境在伤口再上皮化过程中起关键调节作用,细胞生长因子和炎症介质是组织微环境的两个主要组成部分,它们在表皮干细胞增殖分化的不同方面发挥调节作用,共同促进伤口再上皮化的顺利进行。作为皮肤免疫系统的重要组成部分,γδ T细胞亚群通过分泌不同的细胞生长因子和炎症因子,在动态塑造早期伤口微环境中发挥关键作用。本文从伤口免疫微环境的角度,探讨皮肤γδ T细胞在维持干细胞增殖分化平衡及调节伤口再上皮化中的作用,为难治性伤口的防治提供新方向。