Evidence map›Paper›PMID 41855139›Full record

ArticleJCI insight2026

A human ex vivo model of radiation-induced skin injury recapitulates p53-driven profibrotic response to radiotherapy.

Caroline Dodson, Sophie M Bilik, Gabrielle DiBartolomeo, Hannah Pachalis, Lindsey G Siegfried, Jordan Ak Johnson, Seth R Thaller, Irena Pastar, Marjana Tomic-Canic, Anthony J Griswold and 1 more

Abstract read
In one paragraph

Article in JCI insight, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Caroline DodsonDr. Phillip Frost Department of Dermatology and Cutaneous Surgery.
Sophie M BilikDr. Phillip Frost Department of Dermatology and Cutaneous Surgery.
Gabrielle DiBartolomeoDr. Phillip Frost Department of Dermatology and Cutaneous Surgery.
Hannah PachalisDr. Phillip Frost Department of Dermatology and Cutaneous Surgery.
Lindsey G SiegfriedDr. Phillip Frost Department of Dermatology and Cutaneous Surgery.
Jordan Ak JohnsonDr. Phillip Frost Department of Dermatology and Cutaneous Surgery.
Seth R ThallerDewitt Daughtry Family Department of Surgery, Division of Plastic, Aesthetic, and Reconstructive Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Irena PastarDr. Phillip Frost Department of Dermatology and Cutaneous Surgery.
Marjana Tomic-CanicDr. Phillip Frost Department of Dermatology and Cutaneous Surgery.
Anthony J GriswoldThe Dr. John T Macdonald Foundation Department of Human Genetics, and.
Rivka C StoneDr. Phillip Frost Department of Dermatology and Cutaneous Surgery.

Funding

The role of cortisol synthesis in pathogenesis of Hidradenitis suppurativa tunnelsR01AR083385 · NIAMS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Hadar Lev-Tov, Irena Pastar · 2024 to 2026
$1.3M
Circulating urinary microRNAs as systemic biomarkers of healing outcomes in diabetic foot ulcersR61DK131897 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI STONE, RIVKA C., TOMIC-CANIC, MARJANA · 2022 to 2023
$821k
Circulating urinary microRNAs as systemic biomarkers of healing outcomes in diabetic foot ulcersR33DK131897 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI STONE, RIVKA C., TOMIC-CANIC, MARJANA · 2024 to 2025
$759k
NIAMS NIH HHS R01 AR083385NIDDK NIH HHS R33 DK131897NIDDK NIH HHS R61 DK131897
6 · The paper itself

Abstract

Cutaneous radiation injury is an unintended consequence of radiotherapy for many common cancers and can progress to debilitating radiation-induced skin fibrosis (RISF). Existing radiation injury models do not fully capture the skin toxicities observed in patients, contributing to the lack of efficacious therapies to mitigate RISF. To address this, we developed an ex vivo human skin model that recapitulates the temporal radiation injury and RISF response. Human skin explants (n = 12) subjected to ionizing radiation demonstrated DNA double-stranded breaks and robust p53-driven transcriptional programming of cell cycle arrest, apoptosis, and senescence compared with nonirradiated controls. Irradiated skin also exhibited induction of pro-inflammatory cytokines, epithelial-mesenchymal transition, profibrotic TGF-β1-mediated signaling, and thickened collagen over time. P53 regulators murine double minute 2 (MDM2) and miR-34a were induced after irradiation and may be leveraged to modulate injury response. Notably, RNA-sequencing of postradiotherapy breast skin from patients who had undergone mastectomy showed similar p53, inflammatory, and TGF-β1 signatures as the ex vivo model, supporting its translational relevance. Together, this model provides a platform for identifying biomarkers and testing therapies to prevent or mitigate cutaneous radiation toxicities. Targeting the dynamic p53-driven profibrotic radiation response represents a potentially new therapeutic avenue to improve quality of life for patients after radiotherapy.

Indexed as

Radiation InjuriesRadiotherapySkinTumor Suppressor Protein p53ApoptosisFemaleFibrosisHumansTransforming Growth Factor beta1TP53 protein, humanTransforming Growth Factor beta1Tumor Suppressor Protein p53DermatologyFibrosisGeneticsInflammationp53Radiation therapy

Identifiers

PMID41855139
PMCPMC13460817

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.