Stanford School of Medicine
Children's Surgical Research

Wound Healing Biology


The Wound Healing Biology Group has two main areas of focus. The first is scarless fetal healing. We have recently described a Sprague-Dawley rat model for scarless fetal repair and have used this model as a platform to elucidate the molecular mechanisms that underlie this intriguing phenomenon. We believe that understanding these mechanisms will allow us to someday manipulate the adult wound healing process to recapitulate the scarless phenotype. Furthermore, an understanding of the fetal wound healing mechanisms, may give us a broader comprehension of scarring/fibrosis in general. This knowledge could then be applied to all fields of medicine in which scar-formation can be problematic (e.g. scleroderma, cardiac fibrosis post-MI, biliary strictures, post-operative peritoneal adhesions).

The second area of interest for the Wound Healing Biology Group is keloid pathogenesis. Keloids are the result of pathologic over-healing and represent a worldwide biomedical burden with approximately two billion people at risk. They are not only aesthetically unattractive, but can result in functional impairments and physical deformities with many attendant fiscal, social, and psychological sequelae. At present, there are no effective biologically based therapies to treat keloids; To this day, we are in effect treating the symptoms, without addressing the cause of the problem. We have recently submitted an R01 (June 1, 2001) aimed at understanding the biology underlying keloid pathogenesis. We intend to approach this challenge using a novel keratinocyte/fibroblast co-culture system and the power of microarray technology.

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