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September 14, 2026Molecular MedicineOpen Access

USP7-mediated stabilization of Snail1 drives macrophage-to-myofibroblast transition and promotes postoperative peritoneal adhesions

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Authors

LGLi GanSZSihan ZhaoBHBowen Huo

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Overview

Preclinical study demonstrates that USP7 stabilizes Snail1 to drive macrophage transition into myofibroblasts, indicating that targeting USP7 alleviates postoperative adhesions.

Key Points

  • To determine the cellular origins of myofibroblast accumulation in postoperative peritoneal adhesions and characterize the molecular signaling pathway driving macrophage-to-myofibroblast transition.
  • Established a mouse model of postoperative peritoneal adhesions and used immortalized bone marrow-derived macrophages to model macrophage-to-myofibroblast transition in vitro.
  • Performed transcriptome sequencing, RNA interference, dual-luciferase reporter assays, co-immunoprecipitation, and ubiquitination assays to resolve the TGF-β1/Smad3–USP7–Snail1 pathway.
  • Tested the therapeutic efficacy of pharmacological interventions, including the small-molecule USP7-interacting compound Olaparib, in cell culture and in vivo adhesion models.
  • Smad3 activation downstream of TGF-β1 transcriptionally upregulated USP7, which directly deubiquitinated and stabilized Snail1 protein to promote macrophage-to-myofibroblast transition.
  • Knockdown of Usp7 or inhibition of Smad3 prevented macrophage transition into myofibroblast-like cells and markedly reduced postoperative peritoneal adhesion formation in mice.
  • Olaparib disrupted the binding of USP7 to Snail1, enhanced ubiquitin-dependent Snail1 degradation, and attenuated adhesion severity in vivo in a dose-responsive manner.

Cite This Study

Gan et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b2e10926e14a848b1667https://doi.org/10.1186/s10020-026-01638-7
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Also Consider

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