Evidence map›Paper›PMID 41707648›Full record

ArticleCell reports. Medicine2026

Chemomechanical remodeling of glucocorticoid-sensitive fibroblasts for multimodal synergistic therapy of skin fibrosis.

Yifei Lu, Peng Yang, Weiming Gou, Yangping Wang, Li Ran, Lin Shi, Yiming Qin, Jingyuan Li, Ning Zhang, Dongdong Xue and 13 more

Abstract read
In one paragraph

Article in Cell reports. Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

23 authors.

Yifei LuInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China; Army 953th Hospital (Shigatse Branch, Xinqiao Hospital), Army Medical University (Third Military Medical University), Shigatse 857000, China.
Peng YangInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Weiming GouInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Yangping WangInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Li RanInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Lin ShiChongqing Municipal Institute of Tuberculosis, Chongqing 400050, China.
Yiming QinDepartment of Dermatology and Laboratory of Dermatology, Clinical Institute of Inflammation and Immunology, Frontiers Science Center for Disease-Related Molecular Network, West China Hospital, Sichuan University, Chengdu 610041, China.
Jingyuan LiDepartment of Pathology, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Ning ZhangSchool of Pharmacy and Bioengineering, Chongqing University of Technology, Chongqing 400054, China.
Dongdong XueInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Ming AoInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Zhan ShuInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Xingyue ZhangDepartment of Dermatology, The Seventh Medical Center of Chinese PLA General Hospital, Beijing 100700, China.
Yaqin ZhouInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Ling HuangInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Dengfeng HeInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Xiaorong ZhangInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Yong HuangInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Haisheng LiInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.
Junyi ZhouInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China. Electronic address: zhoujunyi@tmmu.edu.cn.
Jianglin TanInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China. Electronic address: tanjl@tmmu.edu.cn.
Qing ZhangInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China. Electronic address: zhangqing09@tmmu.edu.cn.
Gaoxing LuoInstitute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing Key Laboratory for Disease Proteomics, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China. Electronic address: logxw@tmmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Challenges and opportunities in multimodal synergistic therapy for skin fibrosis encompass elucidating the mechanisms of synergistic treatment, optimizing and developing highly coupled combinations, and eliminating therapeutic resistance. This study reveals that the excessively deposited extracellular matrix of hypertrophic scar not only forms a physical barrier for local drug delivery but also generates high mechanical stress, which drives glucocorticoid insensitivity by activating the FAK-AKT-HDAC2 axis in fibroblasts. Both mechanical and biological barriers result in poor outcomes of triamcinolone acetonide therapy for hypertrophic scars. To address this, a chemomechanical antifibrotic approach is engineered by integrating a microneedle-based transdermal delivery platform, immobilized enzymes, and long-acting sustained-release microspheres. This strategy significantly sensitizes scar fibroblasts by disrupting the fibrotic extracellular matrix and the resultant mechanics-induced cellular programs for drug resistance, thus notably reversing the fibrotic characteristics. These findings uncover a mechanism of glucocorticoid resistance and present a multimodal, self-administrable therapy against fibrosis.

Indexed as

Cicatrix, HypertrophicFibroblastsGlucocorticoidsSkinAnimalsExtracellular MatrixFibrosisHumansMiceMicroneedle Drug DeliveryTriamcinolone AcetonideGlucocorticoidsTriamcinolone Acetonideextracellular matrix stiffnessfibrosisglucocorticoid insensitivityhypertrophic scarmechanical microenvironmentmicroneedle

Identifiers

PMID41707648
PMCPMC12923979

What OpenQuestion holds

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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.