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Carnosic acid in topical rosemary extract enhances skin repair via TRPA1 activation
Emmanuel Rapp, Jiayi Pang, Borna Saeednia, Stephen Marsh Prouty, Christopher A. Reilly, Thomas H. Leung
Emmanuel Rapp, Jiayi Pang, Borna Saeednia, Stephen Marsh Prouty, Christopher A. Reilly, Thomas H. Leung
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Research Article Dermatology Inflammation

Carnosic acid in topical rosemary extract enhances skin repair via TRPA1 activation

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Abstract

Mammalian skin wounds typically heal with a scar, characterized by fibrotic tissue that disrupts original tissue architecture and function. Therapies that limit fibrosis and promote regenerative healing remain a major unmet clinical need. Rosemary extract, particularly in the form of topical oils and creams, has gained widespread public attention for its purported wound-healing properties. However, its efficacy and mechanism of action remain poorly understood. We show in adult wound healing mouse models that an ethanol-based rosemary extract accelerates the speed of wound healing and mitigates fibrosis. Mechanistically, we identify that carnosic acid, a major bioactive component of rosemary leaves, activates the transient receptor potential ankyrin 1 (TRPA1) nociceptor on cutaneous sensory neurons to enhance tissue regeneration. Mice lacking TRPA1 in sensory neurons do not exhibit these pro-regenerative responses, confirming its role as a critical mediator. Together, these findings suggest that topical rosemary extract may represent an effective and accessible therapeutic approach to improve skin repair outcomes.

Authors

Emmanuel Rapp, Jiayi Pang, Borna Saeednia, Stephen Marsh Prouty, Christopher A. Reilly, Thomas H. Leung

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Figure 5

Transcriptome of rosemary cream-treated mouse ear wounds displays a TRPA1 pathway activation profile.

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Transcriptome of rosemary cream-treated mouse ear wounds displays a TRPA...
(A) Representative photographs of vehicle control cream- or rosemary cream-treated WT ears at day 7 after injury. Dotted circle represents original 2 mm hole-punch size. Black scale bar represents 2 mm. (B) Percentage of wound closure at day 7 in vehicle control cream- (C; n = 4) or rosemary cream-treated (R; n = 4) WT mouse ears. Student’s t test 2-tailed and unpaired. *P < 0.05. Data are presented as mean ± SEM. (C) Principal component analysis of vehicle control cream- (black dots) or rosemary cream- (green dots) treated WT ears. (D) Volcano plot of all differentially expressed genes in WT mouse ears treated with vehicle control cream or rosemary cream. (E) Gene ontology analysis of biological processes significantly upregulated in rosemary cream-treated WT mouse ears. (F) Enrichr pathway analysis of WT mouse ears treated with rosemary cream. Combined score is computed by taking the log of the P value from the Fisher exact test and multiplying that by the z score of the deviation from the expected rank.

Copyright © 2026 American Society for Clinical Investigation
ISSN 2379-3708

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