Immune-dominated cellular heterogeneity and stromal plasticity in keloid infiltrating and hypercellular zones revealed by single-cell RNA sequencing - Report - MDSpire

Immune-dominated cellular heterogeneity and stromal plasticity in keloid infiltrating and hypercellular zones revealed by single-cell RNA sequencing

  • By

  • Yuchen Cao

  • Li Duan

  • Dongxian Lin

  • Yue Liu

  • Mingzi Yang

  • Shunbing Lu

  • Yonghao Liu

  • Yuanyuan Xu

  • Lianzhao Wang

  • June 26, 2026

  • 0 min

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Clinical Report: Characterization of Immune-Driven Cellular Diversity in Keloids

Overview

This study utilizes single-cell RNA sequencing to explore the cellular diversity and immune interactions in keloid tissue. It identifies distinct cellular compositions in hypercellular and infiltrating zones.

Background

Keloids represent a significant clinical challenge due to their aggressive fibroproliferative nature and high recurrence rates following treatment. Understanding the cellular and molecular mechanisms driving keloid formation is important. This study employs advanced single-cell RNA sequencing to dissect the immune and stromal interactions within keloid tissue.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • The hypercellular zone is primarily composed of extracellular matrix-producing myofibroblasts.
  • The infiltrating zone contains a higher proportion of mononuclear phagocytes and endothelial cells.
  • Infiltrating zone fibroblasts exhibit an immunomodulatory, inflammatory cancer-associated fibroblast-like phenotype.
  • Macrophages in the infiltrating zone show a type I interferon signature, indicating a chronic inflammatory state.
  • Langerhans cells undergo a three-stage developmental trajectory, influencing neutrophil and Th17 cell recruitment.
  • Endothelial cells at the keloid margin display endothelial-to-mesenchymal transition.

Clinical Implications

The findings indicate that keloid pathogenesis may be influenced by immune interactions.

Conclusion

This study redefines the keloid margin as an immunology-dominated niche.

Related Resources & Content

  1. Nast et al., JDDG, 2021 -- S2k guidelines for the therapy of pathological scars (hypertrophic scars and keloids) – Update 2020
  2. Therapeutic methods and effect on keloid and hypertrophic scars: a systematic review, PMC, 2025
  3. Single-cell RNA sequencing highlights the role of proinflammatory fibroblasts, vascular endothelial cells, and immune cells in the keloid immune microenvironment, PubMed, 2023
  4. Frontiers in Immunology — Integrated single-cell and spatial transcriptomics reveal immune landscape and NKT–Th1 signatures in colorectal cancer
  5. Blood Cancer Journal — Analysis of Single-Cell Transcriptomics and Spatial Distribution Uncovers the Immunosuppressive Environment in Relapsed and Refractory Angioimmunoblastic T-Cell Lymphoma
  6. Frontiers in Medicine — Single-cell landscape of immune remodeling in alopecia areata suggests MIF + fibroblasts and their potential ligand-receptor crosstalk with dendritic cells
  7. Blood Cancer Journal — Characterization of Spatial Phenotypes in Nodular Lymphocyte Predominant Hodgkin Lymphoma and T-Cell/Histiocyte-Rich Large B-Cell Lymphoma
  8. S2k guidelines for the therapy of pathological scars (hypertrophic scars and keloids) – Update 2020 - Nast - 2021 - JDDG: Journal der Deutschen Dermatologischen Gesellschaft - Wiley Online Library
  9. Therapeutic methods and effect on keloid and hypertrophic scars: a systematic review - PMC
  10. Single-cell RNA sequencing highlights the role of proinflammatory fibroblasts, vascular endothelial cells, and immune cells in the keloid immune microenvironment - PubMed

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