Fibroblast Lineage Switching as the Developmental Origin of Scarring and Target for Regenerative Healing

    March 2026 in “ Biology
    Argyri Niti, Kokkona Kouzi-Koliakou, Anna Michopoulou
    TLDR Reprogramming adult fibroblasts may enable scar-free healing.
    The document discusses how responses to skin injuries differ between developmental stages, highlighting that early human gestation can heal without scarring, unlike postnatal and adult stages which heal through fibrosis. This difference is due to variations in fibroblast lineages, with Engrailed-1-negative fibroblasts (ENFs) in early fetal skin supporting regenerative repair, and Engrailed-1-positive fibroblasts (EPFs) in later stages contributing to scarring. The review explores fibroblast lineage specification and the potential to reprogram adult fibroblasts to a regenerative state, aiming for scar-free healing.
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