Evidence map›Paper›PMID 42049704›Full record

ArticleCell death & disease2026

Beyond re-epithelialization: prolonged remodeling re-establishes epithelial homeostasis in oral mucosa.

Carson Joseph Walton, Tyler Thompson, Sofia Ali Syed, Tianli Zhu, Ella Guo, Xue Yuan

Abstract read
In one paragraph

Article in Cell death & disease, 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

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

6 authors.

Carson Joseph WaltonIndiana University School of Medicine, Department of Otolaryngology-Head & Neck Surgery, Indianapolis, IN, USA.
Tyler ThompsonIndiana University School of Medicine, Department of Otolaryngology-Head & Neck Surgery, Indianapolis, IN, USA.
Sofia Ali SyedIndiana University School of Medicine, Department of Otolaryngology-Head & Neck Surgery, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0002-0792-9926
Tianli ZhuIndiana University School of Dentistry, Department of Biomedical Sciences and Comprehensive Care, Indianapolis, IN, USA.
Ella GuoIndiana University School of Medicine, Department of Otolaryngology-Head & Neck Surgery, Indianapolis, IN, USA.
Xue YuanIndiana University School of Medicine, Department of Otolaryngology-Head & Neck Surgery, Indianapolis, IN, USA. yuanxue@iu.edu.ORCID http://orcid.org/0000-0002-8063-9431

Funding

Role of Wnt-responsive cells in oral mucosa homeostasis, injury, and malignancyR00DE028585 · NIDCR · INDIANA UNIVERSITY INDIANAPOLIS · PI YUAN, XUE · 2021 to 2023
$744k
Epithelial stem cell dysfunction in diabetic oral ulcerR03DE033059 · NIDCR · INDIANA UNIVERSITY INDIANAPOLIS · PI YUAN, XUE · 2024 to 2025
$317k
NIDCR NIH HHS R00 DE028585NIDCR NIH HHS R03 DE033059School of Medicine, Indiana University (IU School of Medicine) Ralph W. and Grace M. Showalter ResearchSchool of Medicine, Indiana University (IU School of Medicine) Strategic Research InitiativeU.S. Department of Health & Human Services | NIH | National Institute of Dental and Craniofacial Research (NIDCR) R00DE028585U.S. Department of Health & Human Services | NIH | National Institute of Dental and Craniofacial Research (NIDCR) R03DE033059
6 · The paper itself

Abstract

Wound healing restores tissue integrity through tightly coordinated cellular and molecular programs, yet the biological processes that persist after apparent closure remain largely unexplored. Using a standardized mouse hard palate injury model combined with histological, lineage-tracing, molecular, and epigenetic analyses, we show that rapid re-epithelialization is followed by months of cellular remodeling. Although wounds re-epithelialized within two weeks, temporal analyses revealed that the regenerated epithelium maintained leading-edge-like features for months. Structural reorganization, including increased cell density and epithelial thickness, persisted well beyond closure, accompanied by sustained proliferation and elevated apoptosis mediated by the p53-p21 pathway, thereby removing cells with DNA damage during tissue remodeling. Lineage tracing revealed marked alterations in Wnt-responsive epithelial stem cells, which were transiently lost from the repaired epithelium and gradually repopulated the tissue over approximately four months. Repair-activated keratinocytes showed sustained expression of keratin 6 and keratin 17 and delayed recovery of differentiation markers keratin 10 and filaggrin, indicating prolonged epithelial activation despite morphological closure. Coordinated alterations in histone marks H2AK119ub, H3K27ac, and H3K27me3, and persistent immune infiltration, indicate lasting molecular and microenvironmental remodeling that maintains the tissue in a memory-like state. Together, these findings indicate that oral wound healing is an extended, multi-phase process in which post-healing remodeling restores epithelial homeostasis and ensures proper resolution of the repair response.

Indexed as

HomeostasisMouth MucosaRe-EpithelializationAnimalsApoptosisCell DifferentiationCell ProliferationEpithelial CellsFilaggrin ProteinsKeratinocytesMiceStem CellsTumor Suppressor Protein p53Wound HealingFilaggrin ProteinsTumor Suppressor Protein p53

Identifiers

PMID42049704
PMCPMC13265752

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.