Evidence map›Paper›PMID 42770101›Full record

ArticleBurns & trauma2026

A novel CAVIN1/GAS5 axis suppresses skin fibrosis through mitochondrial fission-mediated attenuation of the TGF-β/Smad pathway.

Hao Yang, Yuxi Zhou, Hailin Xu, Chengyan Huang, Shuting Li, Xiaohui Li, Xue Wang, Yongfei Chen, Peng Wang, Honglin Wu and 3 more

Abstract read
In one paragraph

Article in Burns & trauma, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Hao YangDepartment of Burn and Wound Repair, First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshan Er Road, Yuexiu District, Guangzhou 510080, China.ORCID https://orcid.org/0000-0002-5388-5039
Yuxi ZhouDepartment of Burn and Wound Repair, First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshan Er Road, Yuexiu District, Guangzhou 510080, China.ORCID https://orcid.org/0009-0009-9957-4883
Hailin XuDepartment of Dermatology, Dermatology Hospital of Southern Medical University, 2 Lujing Road, Yuexiu District, Guangzhou 510091, China.
Chengyan HuangDepartment of Radiology, Zhujiang Hospital, Southern Medical University, 253 Gongye Avenue, Haizhu District, Guangzhou 510282, China.
Shuting LiDepartment of Plastic Surgery, First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshan Er Road, Yuexiu District, Guangzhou 510080, China.
Xiaohui LiDepartment of Plastic Surgery & Burn Surgery, Shenzhen Hospital, Southern Medical University, 1333 Cuijing Road, Longhua District, Shenzhen 518000, China.
Xue WangDepartment of Burn and Wound Repair, First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshan Er Road, Yuexiu District, Guangzhou 510080, China.
Yongfei ChenDepartment of Burn and Wound Repair, First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshan Er Road, Yuexiu District, Guangzhou 510080, China.
Peng WangDepartment of Burn and Wound Repair, First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshan Er Road, Yuexiu District, Guangzhou 510080, China.
Honglin WuDepartment of Burn and Wound Repair, First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshan Er Road, Yuexiu District, Guangzhou 510080, China.
Julin XieDepartment of Burn and Wound Repair, First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshan Er Road, Yuexiu District, Guangzhou 510080, China.ORCID https://orcid.org/0000-0002-8276-2994
Jiayuan ZhuDepartment of Burn and Wound Repair, First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshan Er Road, Yuexiu District, Guangzhou 510080, China.ORCID https://orcid.org/0000-0003-1501-6999
Zhicheng HuDepartment of Burn and Wound Repair, First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshan Er Road, Yuexiu District, Guangzhou 510080, China.ORCID https://orcid.org/0000-0002-0026-0676

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Keloids, which are characterized by excessive collagen deposition and fibroblast hyperactivation, present significant therapeutic challenges because of their high recurrence rates and incompletely understood pathogenesis. The transforming growth factor-β (TGF-β) pathway is a central driver, but its upstream regulators in the development of skin fibrosis remain elusive. In this study, we aimed to identify novel upstream modulators of skin fibrosis and to elucidate the underlying molecular mechanisms by which these modulators regulate TGF-β signaling in keloid pathogenesis. Methods: We integrated results of transcriptomic and proteomic analyses of patient-derived keloid and normal skin tissues. Functional validation was performed by using primary keloid fibroblasts (KFs) with gain- and loss-of-function approaches, RNA immunoprecipitation sequencing (RIP-seq), and actinomycin D chase assays. Two independent bleomycin-induced skin fibrosis mouse models were employed for in vivo validation. Results: Multiomics profiling revealed that caveolae-associated protein 1 (CAVIN1) was consistently downregulated in keloids. CAVIN1 overexpression in KFs suppressed fibrotic phenotypes, including migration, invasion, collagen contraction, and extracellular matrix protein expression. Mechanistically, CAVIN1 directly bound to and stabilized the mitochondrial long noncoding RNA GAS5. This CAVIN1/GAS5 axis inhibited Drp1/Fis1-mediated mitochondrial fission and subsequent reactive oxygen species (ROS) production, leading to the attenuation of the canonical TGF-β/Smad2/3 signaling pathway. Critically, GAS5 silencing abrogated the antifibrotic effects of CAVIN1. Furthermore, database screening revealed that the histone deacetylase inhibitor vorinostat was a CAVIN1-upregulating compound. Both AAV-mediated CAVIN1 overexpression and vorinostat treatment significantly ameliorated skin fibrosis in the mouse models. Conclusions: Our study reports a novel CAVIN1/GAS5 axis that concurrently targets mitochondrial fission and the TGF-β/Smad pathway to suppress skin fibrosis. These findings not only reveal a previously unrecognized mechanistic link in keloid pathogenesis but also identify CAVIN1 as a promising therapeutic target, with vorinostat as a potential repurposable drug for treating fibrotic skin disorders.

Indexed as

CAVIN1KeloidLong non-coding RNA GAS5Mitochondrial fissionSkin fibrosis

Identifiers

PMID42770101
PMCPMC13592680

What Socratic 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 Socratic graph.