Key Points
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Wound healing is an essential and complex biological process comprising a series of steps, including cell shape changes and rearrangements as well as immune cell recruitment and activation, aimed at restoring tissue function and integrity following injury. Embryonic wound healing differs from adult wound healing by being less complicated, more efficient and not leading to the formation of scar tissue.
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Immediately after sustaining injury, cells generate conserved molecular signals that diffuse within tissues to alert and promote immediate gene transcription-independent wound healing responses. These signals include Ca2+, H2O2 and ATP.
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Ca2+ waves form in injured tissues of vertebrate and invertebrate origin within seconds of damage and disappear minutes after. Increased intracellular Ca2+ levels following injury result from Ca2+ internalization through transient receptor potential (TRP) channels and release from internal stores. Increased Ca2+ promotes changes in the actin cytoskeleton through RHO GTPase-mediated regulation.
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Injury causes rapid formation of H2O2 gradients that involves the action of the NADPH oxidase DUOX. H2O2 is an immune cell chemoattractant in vertebrate and invertebrate organisms and is an essential promoter of the wound healing inflammatory response.
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As a result of damage, ATP is released from cells and taken up by neighbouring cells through purinergic receptors. ATP forms a chemical gradient in these cells that is sensed by immune cells and leads to their recruitment to the site of injury.
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Transcription-independent diffusible damage signals crosstalk with each other, and their mechanisms of action are highly integrated. For example, ATP and Ca2+ regulate DUOX activity and consequent H2O2 formation, Ca2+ promotes ATP exocytosis, and ATP and Ca2+ are co-internalized by purinergic receptors.
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Transcription-independent damage signals subsequently affect transcription of wound response genes either directly or indirectly by regulating receptor Tyr kinases and ERK or JNK signalling. They thereby promote the activation of transcription factors such as grainy head, FOS and JUN.
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Transcription-independent diffusible damage signals are formed in cells as a result of mechanosensing mechanisms, involving cell–cell adhesions and the actin cytoskeleton, as well as redox and temperature changes that can cause membrane channel opening as a result of injury.
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Immediate wound healing processes that are determined by transcription-independent diffusible damage signals affect later events and influence wound healing outcomes. The choice of preferred epithelial resealing mechanism and late fibrin and collagen deposition resulting from inflammation are two examples of late processes that are influenced by early signalling events.
Abstract
Wound healing is an essential biological process that comprises sequential steps aimed at restoring the architecture and function of damaged cells and tissues. This process begins with conserved damage signals, such as Ca2+, hydrogen peroxide (H2O2) and ATP, that diffuse through epithelial tissues and initiate immediate gene transcription-independent cellular effects, including cell shape changes, the formation of functional actomyosin structures and the recruitment of immune cells. These events integrate the ensuing transcription of specific wound response genes that further advance the wound healing response. The immediate importance of transcription-independent damage signals illustrates that healing a wound begins as soon as damage occurs.
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Acknowledgements
J.V.C. and A.J. are funded by Fundaçâo para a Ciência e a Tecnologia, Instituto Gulbenkian de Ciência and by a European Research Council Starting Grant (2007-StG-208631).
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Glossary
- Dorsal closure
-
A characteristic morphogenetic process in Drosophila melanogaster embryogenesis. During dorsal closure, opposing sheets of epithelial cells move across to seal a large gap in the epithelium, thus providing a good model for wound healing studies.
- Platelet
-
A small anucleated cell that circulates in the blood and is essential for blood coagulation by aggregating and forming blood clots.
- Inflammation
-
A biological process aimed at restoring normal cellular function following infection or cellular damage. It engages the vascular and immune systems and involves various cell types such as platelets, neutrophils and macrophages.
- Transcription-independent diffusible damage signals
-
Molecules that are formed or recruited as a result of damage. They can diffuse through tissues to promote immediate cellular responses in a manner that is independent of gene transcription.
- Wound response genes
-
Genes that are up- or downregulated in cells involved in wound healing. They are important for the regulation of the wound healing process and include, for example, genes encoding grainy head, actin regulators and receptor Tyr kinases.
- Wound leading edge
-
The region that contains wound margin cells, which lead the epithelial repair response.
- Actomyosin cables
-
Subcellular structures that consist of accumulated F-actin and myosin II. These structures form at the base of wound margin cells and connect through cadherin-mediated adhesion to neighbouring cells. The anchoring on neighbouring cells coupled with sliding of myosin II motors along actin filaments provides the necessary contractile force to seal wounds by a characteristic purse-string mechanism.
- RHO GTPases
-
Small signalling G proteins found in all eukaryotes. They regulate cell biological processes such as cell division, apoptosis, cell adhesion and cell migration, and they have essential roles in the regulation of the actin cytoskeleton and actomyosin contractility.
- Lamellipodia
-
Wide and flat cellular protrusions of motile cells and wound leading edge cells that are driven by RHO GTPase-regulated actin polymerization.
- Filopodia
-
Narrow and long cellular protrusions of motile cells and wound leading edge cells that are driven by RHO GTPase-regulated actin bundling.
- Macrophages
-
Immune defence cells resulting from monocyte differentiation in tissues that have a role in both innate and adaptive immunity by searching for and phagocytosing cell debris and pathogens. Macrophages also contribute to inflammation by secreting factors that attract and stimulate other immune cells.
- Neutrophils
-
White blood cells that are normally found in the blood stream. They can migrate quickly towards sites of infection or inflammation in response to a chemical signal. Neutrophils have the capacity to phagocytose pathogens, release antimicrobial factors and form fibres of chromatin and proteases that trap and kill microorganisms.
- GCaMP calcium indicators
-
Genetically encoded circularly permuted fluorescent proteins. They enable the detection and measurement of rapid changes in cytosolic Ca2+ levels by using the Ca2+-dependent interaction between calmodulin and a synthetic peptide (M13), which is based on the calmodulin-binding domain of the skeletal muscle myosin light chain kinase.
- Metalloproteinases
-
Enzymes that catalyse the hydrolysis of peptide bonds within proteins in the presence of metals such as zinc or cobalt.
- HyPer
-
A genetically encoded circularly permuted fluorescent protein that enables the specific detection and measurement of changes in intracellular H2O2 levels by making use of the peroxide-sensing properties of the prokaryotic protein OxyR (H2O2 -inducible genes activator).
- Microglia
-
Resident macrophages of the central nervous system that have essential immune defence scavenging properties for pathogens, extracellular deposits of amyloid and damaged or dying neurons.
- Corpse signals
-
Molecules released by apoptotic cells that alert phagocytic cells of the immune system. These signals include fractalkine, lysophosphatidylcholine, sphingosine 1-phosphate, ATP and UTP.
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Cordeiro, J., Jacinto, A. The role of transcription-independent damage signals in the initiation of epithelial wound healing. Nat Rev Mol Cell Biol 14, 249–262 (2013). https://doi.org/10.1038/nrm3541
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DOI: https://doi.org/10.1038/nrm3541
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