Wound healing in aged skin exhibits systems-level alterations in cellular composition and cell-cell communication

Cell Rep. 2022 Aug 2;40(5):111155. doi: 10.1016/j.celrep.2022.111155.

Abstract

Delayed and often impaired wound healing in the elderly presents major medical and socioeconomic challenges. A comprehensive understanding of the cellular/molecular changes that shape complex cell-cell communications in aged skin wounds is lacking. Here, we use single-cell RNA sequencing to define the epithelial, fibroblast, immune cell types, and encompassing heterogeneities in young and aged skin during homeostasis and identify major changes in cell compositions, kinetics, and molecular profiles during wound healing. Our comparative study uncovers a more pronounced inflammatory phenotype in aged skin wounds, featuring neutrophil persistence and higher abundance of an inflammatory/glycolytic Arg1Hi macrophage subset that is more likely to signal to fibroblasts via interleukin (IL)-1 than in young counterparts. We predict systems-level differences in the number, strength, route, and signaling mediators of putative cell-cell communications in young and aged skin wounds. Our study exposes numerous cellular/molecular targets for functional interrogation and provides a hypothesis-generating resource for future wound healing studies.

Keywords: CP: Cell biology; CP: Developmental biology; aging; cell-cell communication; cellular heterogeneity; dendritic cell; macrophage; neutrophil; signaling; single-cell RNA-seq; skin; wound healing.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Cell Communication
  • Fibroblasts* / metabolism
  • Macrophages / metabolism
  • Signal Transduction
  • Skin
  • Wound Healing*