Evidence map›Paper›PMID 42155361›Full record

ArticleCell reports. Medicine2026

Transcriptome-guided development of a fibrosis-reversal compound reduces skin scarring and allows regeneration via mitochondrial uncoupling.

Chun-Ye Chen, Ruilin Xu, Mingguang Mo, Jiahao Wu, Jun Chi, Zhang-Rui Wu, Yi Wang, Xin-Cao Zhong, Xiao-Ying Lin, Yang Liu and 7 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 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. HmmrResearch (Washington, D.C.) · 2026
    Article
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

17 authors.

Chun-Ye ChenDepartment of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
Ruilin XuPeking-Tsinghua Center for Life Sciences, Academy for Advanced Interdisciplinary Studies, State Key Laboratory of Natural and Biomimetic Drugs, Ministry of Education Key Laboratory of Cell Proliferation and Differentiation, Beijing Advanced Center of Cellular Homeostasis and Aging-Related Diseases, Institute of Advanced Clinical Medicine, Peking University, Beijing 100871, China.
Mingguang MoPlastech Pharmaceutical Technology Co., Ltd, Nanjing 210043, China.
Jiahao WuPlastech Pharmaceutical Technology Co., Ltd, Nanjing 210043, China.
Jun ChiPlastech Pharmaceutical Technology Co., Ltd, Nanjing 210043, China.
Zhang-Rui WuDepartment of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
Yi WangDepartment of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
Xin-Cao ZhongDepartment of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
Xiao-Ying LinDepartment of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
Yang LiuPlastech Pharmaceutical Technology Co., Ltd, Nanjing 210043, China.
Jingdong WuPeking-Tsinghua Center for Life Sciences, Academy for Advanced Interdisciplinary Studies, State Key Laboratory of Natural and Biomimetic Drugs, Ministry of Education Key Laboratory of Cell Proliferation and Differentiation, Beijing Advanced Center of Cellular Homeostasis and Aging-Related Diseases, Institute of Advanced Clinical Medicine, Peking University, Beijing 100871, China.
Huaan FangDepartment of Plastic Surgery, Peking University Third Hospital, Beijing 100191, China.
Hongli JiaState Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University, Beijing 100191, China.
Hongsen BiDepartment of Plastic Surgery, Peking University Third Hospital, Beijing 100191, China. Electronic address: bihongsen@bjmu.edu.cn.
Yong YangJiangsu Key Laboratory of Molecular Biology for Skin Diseases and STIs, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing 210042, China. Electronic address: yyang@pumcderm.cams.cn.
Wei-Qiang TanDepartment of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China. Electronic address: tanweixxxx@zju.edu.cn.
Yang ZhaoPeking-Tsinghua Center for Life Sciences, Academy for Advanced Interdisciplinary Studies, State Key Laboratory of Natural and Biomimetic Drugs, Ministry of Education Key Laboratory of Cell Proliferation and Differentiation, Beijing Advanced Center of Cellular Homeostasis and Aging-Related Diseases, Institute of Advanced Clinical Medicine, Peking University, Beijing 100871, China. Electronic address: yangzhao@pku.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Skin scarring impairs function and aesthetics. Current therapies show limited efficacy and cause iatrogenic dermal disruption (e.g., triamcinolone acetonide [TA], a first-line corticosteroid for keloids), with topical medications demonstrating inferior outcomes. Through transcriptome-guided evaluation, we develop FR-1 (fibrosis-reversal compound 1), a small molecule that reverses fibrosis in vitro by inhibiting fibroblast proliferation, suppressing α-smooth muscle actin (α-SMA), and remodeling the extracellular matrix (ECM) via collagen downregulation and matrix metalloproteinase-1 (MMP1) induction. In a murine linear excisional wound model, topical FR-1 application reduces scar area. Notably, unlike TA, FR-1 avoids skin atrophy and hair follicle damage. Comprehensive safety evaluations, druggability and skin permeation assessments, and studies utilizing patient-derived keloid ex vivo explants and in vivo xenografts demonstrate its translational potential. Mechanistically, FR-1 induces mitochondrial uncoupling, lowering ATP levels in profibrotic myofibroblasts. Other uncouplers similarly attenuate fibrosis. This work identifies a topical small molecule that attenuates scarring with translational potential, highlighting the therapeutic potential of mitochondrial uncouplers in resolving fibrosis.

Indexed as

CicatrixMitochondriaRegenerationSkinTranscriptomeAnimalsCell ProliferationExtracellular MatrixFibroblastsFibrosisHumansKeloidMiceMyofibroblastsDRUG-seqfibroblastfibrosishypertrophic scarkeloidmitochondrial uncouplermyofibroblastpathological scarringphenotypic drug discoverywound regeneration

Identifiers

PMID42155361
PMCPMC13198262

What Socratic holds

Textmetadata
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 Socratic graph.