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      Toeing the line between regeneration and fibrosis

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          Abstract

          Understanding the remarkable capacity of vertebrates to naturally regenerate injured body parts has great importance for potential translation into human therapeutic applications. As compared to other vertebrates, mammals have low regenerative capacity for composite tissues like the limb. However, some primates and rodents can regenerate the distal tips of their digits following amputation, indicating that at least very distal mammalian limb tissues are competent for innate regeneration. It follows that successful digit tip regenerative outcome is highly dependent on the location of the amputation; those proximal to the position of the nail organ do not regenerate and result in fibrosis. This distal regeneration versus proximal fibrosis duality of the mouse digit tip serves as a powerful model to investigate the driving factors in determining each process. In this review, we present the current understanding of distal digit tip regeneration in the context of cellular heterogeneity and the potential for different cell types to function as progenitor cells, in pro-regenerative signaling, or in moderating fibrosis. We then go on to discuss these themes in the context of what is known about proximal digit fibrosis, towards generating hypotheses for these distinct healing processes in the distal and proximal mouse digit.

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          Heart regeneration in zebrafish.

          Cardiac injury in mammals and amphibians typically leads to scarring, with minimal regeneration of heart muscle. Here, we demonstrate histologically that zebrafish fully regenerate hearts within 2 months of 20% ventricular resection. Regeneration occurs through robust proliferation of cardiomyocytes localized at the leading epicardial edge of the new myocardium. The hearts of zebrafish with mutations in the Mps1 mitotic checkpoint kinase, a critical cell cycle regulator, failed to regenerate and formed scars. Thus, injury-induced cardiomyocyte proliferation in zebrafish can overcome scar formation, allowing cardiac muscle regeneration. These findings indicate that zebrafish will be useful for genetically dissecting the molecular mechanisms of cardiac regeneration.
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            Skin shedding and tissue regeneration in African spiny mice (Acomys)

            SUMMARY Evolutionary modification has produced a spectrum of animal defense traits to escape predation, including the ability to autotomize body parts to elude capture 1,2 . Following autotomy, the missing part is either replaced through regeneration (e.g. urodeles, lizards, arthropods, crustaceans) or is permanently lost (mammals). While most autotomy involves the loss of appendages (e.g. leg, cheliped, antennae, tail), skin autotomy can occur in certain taxa of scincid and gekkonid lizards 3 . Here we report the first demonstration of skin autotomy in Mammalia (African spiny mice, Acomys). Mechanical testing revealed a propensity for skin to tear under very low tension and the absence of a fracture plane. Following skin loss, rapid wound contraction was followed by hair follicle regeneration in dorsal skin wounds. Surprisingly, we found regenerative capacity in Acomys extended to ear holes where they exhibited complete regeneration of hair follicles, sebaceous glands, dermis, and cartilage. Salamanders capable of limb regeneration form a blastema (a mass of lineage-restricted progenitor cells 4 ) following limb loss, and our findings suggest that ear tissue regeneration in Acomys may proceed through assembly of a similar structure. This study underscores the importance of investigating regenerative phenomena outside of traditional model organisms and suggests that mammals may retain a higher capacity for regeneration than previously believed. As re-emergent interest in regenerative medicine seeks to isolate molecular pathways controlling tissue regeneration in mammals, Acomys may prove useful in identifying mechanisms to promote regeneration in lieu of fibrosis and scarring.
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              Molecular basis for the nerve dependence of limb regeneration in an adult vertebrate.

              The limb blastemal cells of an adult salamander regenerate the structures distal to the level of amputation, and the surface protein Prod 1 is a critical determinant of their proximodistal identity. The anterior gradient protein family member nAG is a secreted ligand for Prod 1 and a growth factor for cultured newt blastemal cells. nAG is sequentially expressed after amputation in the regenerating nerve and the wound epidermis-the key tissues of the stem cell niche-and its expression in both locations is abrogated by denervation. The local expression of nAG after electroporation is sufficient to rescue a denervated blastema and regenerate the distal structures. Our analysis brings together the positional identity of the blastema and the classical nerve dependence of limb regeneration.
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                Author and article information

                Contributors
                Journal
                Front Cell Dev Biol
                Front Cell Dev Biol
                Front. Cell Dev. Biol.
                Frontiers in Cell and Developmental Biology
                Frontiers Media S.A.
                2296-634X
                01 June 2023
                2023
                : 11
                : 1217185
                Affiliations
                [1] 1 Department of Molecular and Cellular Biology , Harvard University , Cambridge, MA, United States
                [2] 2 Department of Orthopedic Surgery , Brigham and Women’s Hospital , Boston, MA, United States
                Author notes

                Edited by: Edwina McGlinn, Monash University, Australia

                Reviewed by: Mimi C. Sammarco, Tulane University, United States

                Lindsay Dawson, Texas A&M University, United States

                *Correspondence: Jessica A. Lehoczky, jlehoczky@ 123456bwh.harvard.edu
                Article
                1217185
                10.3389/fcell.2023.1217185
                10267333
                37325560
                29f4dc4d-c8b0-4411-bfc1-f9e81ad51c40
                Copyright © 2023 Jou and Lehoczky.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 05 May 2023
                : 23 May 2023
                Funding
                Funded by: National Institutes of Health , doi 10.13039/100000002;
                Award ID: R01HD109200 T32AR055885
                Funded by: Harvard Stem Cell Institute , doi 10.13039/100008035;
                Award ID: DP-0205-22-00
                We acknowledge funding from the National Institutes of Health, Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD109200), the Harvard Stem Cell Institute (DP-0205-22-00), and the COMET NIH/NIAMS Training Grant (T32AR055885).
                Categories
                Cell and Developmental Biology
                Review
                Custom metadata
                Morphogenesis and Patterning

                finger,digit tip regeneration,fibrosis,blastema,limb regeneration

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