Evidence map›Paper›PMID 41154805›Full record

ReviewBiology2025

Unraveling Melasma: From Epidermal Pigmentation to Microenvironmental Dysregulation.

Fang Miao, Jing Wan, Youwen Zhou, Ying Shi

Registry-linked trialAbstract readReview
In one paragraph

Review in Biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07722351 (Instrumental Assessment of a Homocysteic Acid-containing Chemical Skin Biostimulator in the Management of Photoaged Mature Skin), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT07722351 nacompletednot on this map

Instrumental Assessment of a Homocysteic Acid-containing Chemical Skin Biostimulator in the Management of Photoaged Mature Skin

TypeinterventionalSponsorMedical University of SilesiaRan2025 to 2026Enrolled25ConditionsSkin Aging, HyperpigmentationArmsChemical skin biostimulation with ammonium trichloroacetate and homocysteic acid
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Regenerative biomaterials · 2026
    Review
  8. Review
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

4 authors.

Fang MiaoDepartment of Dermatology, Renmin Hospital of Wuhan University, Wuhan 430060, China.ORCID 0000-0003-2006-3781
Jing WanDepartment of Dermatology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Youwen ZhouDepartment of Dermatology and Skin Science, University of British Columbia, Vancouver, BC V5Z 4E8, Canada.
Ying ShiDepartment of Dermatology, Renmin Hospital of Wuhan University, Wuhan 430060, China.ORCID 0000-0002-2280-6967

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Melasma is a chronic, acquired hyperpigmentation disease that occurs on light-exposed skin, especially in women of childbearing age. This common dyschromic disorder significantly impairs quality of life, yet treatments are unsatisfactory due to an incomplete understanding of its etiology. Its pathogenesis is multifactorial: ultraviolet (UV) radiation exposure, sex hormone fluctuations, and familial genetics are known triggers. Meanwhile, the persistence of focal hyperpigmentation suggests additional mechanisms beyond enhanced melanocyte activity. Emerging evidence highlights that melasma skin exhibits features of chronic photoaging: solar elastosis, basement membrane (BM) disruption and increased vascularity can be seen in the skin lesions. Senescent dermal fibroblasts under UV stress secrete melanogenic cytokines (e.g., SCF, HGF) that further stimulate melanocytes. In addition, melasma lesions harbor subclinical inflammation: infiltrates of CD4

Indexed as

epidermal–dermal crosstalkhyperpigmentationimmune dysregulationmelasmamicroenvironmentpathogenesisphotoaging

Identifiers

PMID41154805
PMCPMC12561912

What OpenQuestion holds

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Registered trials

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.