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A multiomics analysis identifies retinol metabolism in fibroblasts as a key pathway in wound healing
Till Wüstemann, Elizabeta Madzharova, Mateusz S. Wietecha, Norbert B. Ghyselinck, Marcus Höring, Gerhard Liebisch, Nicola Zamboni, Ulrich auf dem Keller, Sabine Werner
Till Wüstemann, Elizabeta Madzharova, Mateusz S. Wietecha, Norbert B. Ghyselinck, Marcus Höring, Gerhard Liebisch, Nicola Zamboni, Ulrich auf dem Keller, Sabine Werner
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Research Article Cell biology Dermatology Metabolism

A multiomics analysis identifies retinol metabolism in fibroblasts as a key pathway in wound healing

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Abstract

Impaired wound healing poses a major and increasingly frequent health problem. Among the key players in the healing process are fibroblasts, but their metabolic profile in healing wounds is largely unknown. Using a combination of transcriptomics, targeted proteomics, and metabolomics, we identified retinol metabolism as a top regulated pathway in wound fibroblasts. This is functionally relevant, since even a mild retinol deficiency caused a delay in wound closure and reepithelialization, which mainly resulted from misdirected keratinocyte migration on the new granulation tissue. Quantitative proteomics identified integrin subunit α11 as a less abundant protein in wounds of mice subjected to a retinol-deficient diet. Reduced levels of this fibroblast-specific protein likely altered the granulation tissue matrix, which in turn affected reepithelialization. These results provide a comprehensive overview of the transcriptome, proteome, and metabolome of wound fibroblasts and identify retinol metabolism in fibroblasts as a key regulator of tissue repair.

Authors

Till Wüstemann, Elizabeta Madzharova, Mateusz S. Wietecha, Norbert B. Ghyselinck, Marcus Höring, Gerhard Liebisch, Nicola Zamboni, Ulrich auf dem Keller, Sabine Werner

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Figure 4

Vitamin A deficiency delays wound healing in mice.

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Vitamin A deficiency delays wound healing in mice.
(A) Schematic outline...
(A) Schematic outline of the experimental setup. VAD, vitamin A–deficient diet. Created in BioRender. Werner, S. (2025) https://BioRender.com/1psvb1s (B) Representative images of H&E-stained sections from 5-day wounds of chow- and VAD-fed mice. G, granulation tissue; HE, hyperproliferative wound epidermis; Es, eschar. Black arrowheads mark wound tongues; chow wound is closed. (C and D) Histomorphometric parameters based on H&E-stained wound sections of mice fed with VAD or chow diet. N = 21–23 mice per treatment group (1 wound per mouse) from 3 independent experiments. Effective migration quantifies the directional keratinocyte migration that contributes to wound closure. (E) Percentage of Ki67-positive nuclei and Ki67-positive nuclei/mm2 tissue in the epidermis and granulation tissue of wounds from mice fed with VAD or chow diet. N = 8 mice per treatment group (1 wound per mouse). (F) Percentage of Ki67-positive nuclei and Ki67-positive nuclei per mm2 tissue in hair follicles at the wound edge of mice fed with VAD or chow diet. N = 8 mice per treatment group (1 wound per mouse). Graphs show mean ± SD. *P < 0.05, **P < 0.01 (Mann-Whitney test). Scale bars: 250 μm.

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