The document reviews the role of CD44 signaling in skin wound healing and regeneration, highlighting its involvement in all four phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. CD44, activated by its ligand hyaluronic acid (HA), plays a crucial role in modulating immune cell functions and inflammation, influencing keratinocytes, epithelial cells, vascular endothelial cells, and fibroblasts. The review introduces a new paradigm involving the HC-HA/PTX3 complex to activate CD44's pro-regenerative properties, potentially preventing or reversing scar formation. Understanding and fine-tuning CD44 signaling could lead to therapeutic strategies for scarless regenerative wound healing.
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