Evidence map›Paper›PMID 40102920›Full record

ArticleCell communication and signaling : CCS2025

Increased melanin induces aberrant keratinocyte - melanocyte - basal - fibroblast cell communication and fibrogenesis by inducing iron overload and ferroptosis resistance in keloids.

Xiangguang Shi, Xueyi Xia, Yang Xiao, Ying Zhang, Yiyi Gong, Yahui Chen, Chenyi Shi, Wei Wang, Jianlan Liu, Jia Huang and 6 more

Abstract read
In one paragraph

Article in Cell communication and signaling : CCS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Xiangguang Shi *Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.
Xueyi Xia *School of Life Science and Human Phenome Institute, Fudan University, Shanghai, China.
Yang Xiao *School of Life Science and Human Phenome Institute, Fudan University, Shanghai, China.
Ying Zhang *Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.
Yiyi GongDepartment of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.
Yahui ChenSchool of Life Science and Human Phenome Institute, Fudan University, Shanghai, China.
Chenyi ShiSchool of Life Science and Human Phenome Institute, Fudan University, Shanghai, China.
Wei WangSchool of Life Science and Human Phenome Institute, Fudan University, Shanghai, China.
Jianlan LiuDepartment of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.
Jia HuangDepartment of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.
Mengguo LiuDepartment of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.
Zhuoya XuSchool of Life Science and Human Phenome Institute, Fudan University, Shanghai, China.
Yanyun MaSchool of Life Science and Human Phenome Institute, Fudan University, Shanghai, China.
Mengkun ShiDepartment of Thoracic Surgery, Huashan Hospital & Cancer Metastasis Institute, Fudan University, Shanghai, China. 9450@huashan.org.cn.ORCID https://orcid.org/0009-0003-0111-5125
Jiucun WangDepartment of Dermatology, Huashan Hospital, Fudan University, Shanghai, China. jcwang@fudan.edu.cn.ORCID http://orcid.org/0000-0003-2765-0620
Wenyu WuDepartment of Dermatology, Huashan Hospital, Fudan University, Shanghai, China. wuwenyu@huashan.org.cn.ORCID http://orcid.org/0000-0002-7540-4953

Funding

CAMS Innovation Fund for Medical Sciences 2019-I2M-5-066Clinical Research Plan of SHDC SHDC22022302Jing'an District Clinical Advantage Special Disease Construction Project 2021ZB01Leading Talent Project of Shanghai Health Commission 2022LJ017National Key Research and Development Program of China 2023YFC2507102Shanghai Engineering Research Center of Hair Medicine 19DZ2250500Shanghai Municipal Commission of Health and Family Planning 2023ZZ02018Shanghai Municipal Key Clinical Specialty shslczdzk01002the National Science Foundation of China 82030003the National Science Foundation of China 82270070the National Science Foundation of China 82373507the Shanghai Municipal Science and Technology Major Project 2017SHZDZX01Young clinical full-time research team training program DGF828024-3/007
6 · The paper itself

Abstract

backgroundKeloid is a typical skin fibrotic disease with unclear mechanisms and limited therapeutic options. Fibroblast-induced fibrogenesis is a crucial cause of KD. However, the types of cells involved in fibroblast fibrogenesis in KD and the specific mechanisms are unclear. This study aimed to investigate the role of melanocyte-secreted melanin in promoting fibroblast fibrogenesis and its mechanism and to evaluate the potential therapeutic effect of intervening melanin in treating keloid.

methodsThe activity of pigmentation-related pathways in KD melanocytes was examined using single-cell RNA-sequence (scRNA-seq) analysis. Masson-Fontana staining or isolated melanin quantification detected the melanin levels and distribution in the skin and cells. Collagen deposition, wounding healing, and proliferation analysis were employed to integratively assess fibroblast fibrogenesis. After melanin treatment, bulk-seq identified fibroblasts' differentially expressed genes (DEGs). The iron levels were detected by Perl's staining or isolated iron quantification. Cell viability, LipidROS, and malondialdehyde assay accessed the ferroptosis levels. The therapeutic potential of ML329 was evaluated in keloid-bearing mice.

resultsWe found the enriched skin pigmentation-related pathways in the melanocytes of keloid by single-cell RNA-sequence (scRNA-seq) analysis. We further validated increased melanin levels in keloid patients. Additionally, melanin positively correlated with the Keloid Area and Severity Index in keloid. Furthermore, melanocyte-secreted melanin significantly promoted fibroblast proliferation, migration, and collagen synthesis. Mechanically, melanin increased basal cell permeability and inflammation to facilitate its transfer to the dermis, where it further activated fibroblasts by evoking iron overload and ferroptosis resistance. Consistently, iron overload and ferroptosis resistance were validated in primary fibroblasts and skin tissues of keloid patients. Inhibition of iron overload and ferroptosis resistance effectively diminish melanin-induced fibrogenesis. Interestingly, melanin induced iron overload and ferroptosis resistance in melanocytes in an autocrine manner and further stimulated keratinocytes to take up melanin to deepen skin color by upregulating the F2R-like trypsin receptor 1 (F2RL1). In vivo, the delivery of ML329, a microphthalmia-associated transcription factor (MITF) inhibitor, could suppress melanogenesis and alleviate keloid in human keloid-bearing nude mice. Meanwhile, ML329 decreased the iron content and restored the sensitivities of ferroptosis.

conclusionCollectively, melanin-lowing strategies may appear as a potential new therapeutic target for keloid.

Indexed as

Cell CommunicationFerroptosisFibroblastsIron OverloadKeloidKeratinocytesMelaninsMelanocytesAnimalsFibrosisHumansMaleMiceMelaninsFerroptosis resistanceFibrogenesisIron overloadKeloidMelanin

Identifiers

PMID40102920
PMCPMC11917160

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.