The Biology of Skin Health, Repair and Scarring

  • Research type

    Research Study

  • Full title

    The Cellular & Molecular Mechanisms of Skin Homeostasis, Repair and Scarring

  • IRAS ID

    303648

  • Contact name

    Tanya Shaw

  • Contact email

    tanya.shaw@kcl.ac.uk

  • Sponsor organisation

    King's College London

  • Duration of Study in the UK

    3 years, 1 months, 31 days

  • Research summary

    When our skin gets cut, it is important that the wound heals quickly in order to protect us from the environment. To achieve this, the cells that comprise the outermost layer of skin, the epidermis, divide and migrate to cover over the wound. When a cut is sufficiently deep that the underlying tissue, the dermis, is also damaged, the cells that inhabit this dermal tissue layer, called fibroblasts, undergo dramatic changes to help draw the wound closed through contraction, and to help rebuild the lost tissue by secreting new structural proteins, such as collagen. Unfortunately, this process leads to scarring. In its mildest form, scarring may present only a minor cosmetic problem, but in the most severe cases, in which these fibroblasts are out of control, they can give rise to keloid or hypertrophic scars.

    Normal tissue repair requires that cells at the wound site “reprogram” and acquire new characteristics that will contribute to successful repair. For example, fibroblasts must upregulate their expression of machinery for contraction and migration, as well as extracellular matrix proteins, to ensure wound closure and reconstruction of the skin structure. We are interested in how cellular identity changes during normal wound repair, how this plasticity may be regulated by the inflammatory and matrix environment and how these processes become dysregulated in keloid and hypertrophic scars, including the development of pain and itch sensation. We are also interested in how the cells can intrinsically reprogram and how this may be harnessed for application in regenerative medicine.

  • REC name

    London - Bromley Research Ethics Committee

  • REC reference

    22/PR/1695

  • Date of REC Opinion

    16 Feb 2023

  • REC opinion

    Further Information Favourable Opinion