Key result
Boundary-spanning wounds heal as rapidly as non-irradiated controls, avoiding the impairment of fully irradiated wounds.
Why the study?
High-dose radiotherapy can cause normal tissue damage and chronic fibrosis, but systematic temporal analysis of the progression from early damage signals to late extracellular matrix deposition is lacking.
p-value: p=<0.0001
Fibrosis after radiotherapy is influenced by the boundary microenvironment, showing temporal decoupling between ECM transcription and myofibroblast function, which may provide a basis for targeted interventions.
Boundary microenvironment may modulate post-radiotherapy fibrosis; leaves open targeted interventions pending clinical studies.
Background Radiotherapy is a key treatment method for cancer, but high-dose treatment can lead to damage to normal tissues and chronic fibrosis. There is a lack of systematic temporal analysis of the dynamic progression from early damage signals to late extracellular matrix (ECM) deposition. Methods and materials We reanalyzed publicly available scRNA-seq count matrices from GSE211713 to explore microenvironmental remodeling during fibrosis. Then, we established an in vivo local irradiation (12 Gy) mouse model with fully irradiated wounds and boundary-spanning wounds. For tissue repair and molecular phenotyping evaluations, we used tissue staining, IHC, qPCR, and WB. Results scRNA-seq revealed temporal decoupling between ECM-related transcription and myofibroblast function. Our mouse model showed spatial heterogeneity: although the fully irradiated wound exhibited typical inhibition of healing, the wound across the irradiation boundary showed a rapid, matrix-rich response within 14 days. TGF-β/SMAD-related signals, myofibroblast markers, and collagen deposition in the animal model were not strictly synchronous. Additionally, CellChat predicted SPP1-centered communication at the late fibrosis stage. Conclusions Fibrosis after radiotherapy may be influenced not only by local damage but also by the boundary microenvironment. These findings support a shift toward ECM-dominant remodeling and provide a hypothesis-generating basis for targeted intervention.
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Cao et al. (2026) studied Radiation-induced fibrosis. Boundary-spanning wound model vs. Fully irradiated wound model and non-irradiated control was evaluated on Wound healing rate at day 14 (p=<0.0001). Boundary-spanning wounds across the irradiation boundary showed rapid healing comparable to non-irradiated controls, whereas fully irradiated wounds exhibited significantly impaired healing (p<0.0001).
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