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Imperfect wound healing sets the stage for chronic diseases

Paul Martin, Carlos Pardo-Pastor, R. Gisli Jenkins and 1 more

Science · 2024 · Review

doi:10.1126/science.adp2974

Abstract

Although the age of the genome gave us much insight about how our organs fail with disease, it also suggested that diseases do not arise from mutations alone; rather, they develop as we age. In this Review, we examine how wound healing might act to ignite disease. Wound healing works well when we are younger, repairing damage from accidents, environmental assaults, and battles with pathogens. Yet, with age and accumulation of mutations and tissue damage, the repair process can devolve, leading to inflammation, fibrosis, and neoplastic signaling. We discuss healthy wound responses and how our bodies might misappropriate these pathways in disease. Although we focus predominantly on epithelial-based (lung and skin) diseases, similar pathways might operate in cardiac, muscle, and neuronal diseases.

Shown for reading. Its publisher allows quoting it, not republishing it.

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    Kohashi K, et al. Sequential oncogenic mutations influence cell competition. Current Biology. 2021;31:3984-3995.

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    Pothapragada SP, Gupta P, Mukherjee S, Das T. Matrix mechanics regulates epithelial defence against cancer by tuning dynamic localization of filamin. Nature Communications. 2022;13:218.

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    Colom B, et al. Mutant clones in normal epithelium outcompete and eliminate emerging tumours. Nature. 2021;598:510-514.

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    Sanaki Y, Nagata R, Kizawa D, Léopold P, Igaki T. Hyperinsulinemia Drives Epithelial Tumorigenesis by Abrogating Cell Competition. Developmental Cell. 2020;53:379-389.

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    Sasaki A, et al. Obesity Suppresses Cell-Competition-Mediated Apical Elimination of RasV12-Transformed Cells from Epithelial Tissues. Cell Reports. 2018;23:974-982.

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    Kozyrska K, et al. p53 directs leader cell behavior, migration, and clearance during epithelial repair. Science. 2022;375:eabl8876.

    Not in our library10.1126/science.abl8876

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    Not in our library10.1038/s41586-021-03526-y

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    Slattum GM, Rosenblatt J. Tumour cell invasion: an emerging role for basal epithelial cell extrusion. Nature Reviews Cancer. 2014;14:495-501.

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    Fadul J, Rosenblatt J. The forces and fates of extruding cells. Curr Opin Cell Biol. 2018;54:66-71.

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    Zulueta-Coarasa T, Fadul J, Ahmed M, Rosenblatt J. Physical confinement promotes mesenchymal trans-differentiation of invading transformed cells in vivo. iScience. 2022;25:105330.

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    Lewis JM, et al. Langerhans Cells Facilitate UVB-Induced Epidermal Carcinogenesis. J Invest Dermatol. 2015;135:2824-2833.

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    Zhang M, Chen H, Qian H, Wang C. Characterization of the skin keloid microenvironment. Cell Commun Signal. 2023;21:207.

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    Massen GM, et al. Using Routinely Collected Electronic Healthcare Record Data to Investigate Fibrotic Multimorbidity in England. Clin Epidemiol. 2024;16:433-443.

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    Younossi Z, et al. Nonalcoholic Steatohepatitis Is the Fastest Growing Cause of Hepatocellular Carcinoma in Liver Transplant Candidates. Clin Gastroenterol Hepatol. 2019;17:748-755.

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    Hubbard R, Venn A, Lewis S, Britton J. Lung cancer and cryptogenic fibrosing alveolitis. A population-based cohort study. Am J Respir Crit Care Med. 2000;161:5-8.

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    Brown E, MacDonald A, Allen S, Allen D. The potential for a plastic recycling facility to release microplastic pollution and possible filtration remediation effectiveness. Journal of Hazardous Materials Advances. 2023;10:100309.

    Not in our library

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    Murray RL, O’Dowd E. Smoking cessation and lung cancer: never too late to quit. The Lancet Public Health. 2023;8:e664-e665.

    Not in our library10.1016/s2468-2667(23)00158-5

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    Ren X-M, Kuo Y, Blumberg B. Agrochemicals and obesity. Molecular and Cellular Endocrinology. 2020;515:110926.

    Not in our library10.1016/j.mce.2020.110926

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