Fig. 7: Schematic summary of the study.

Skin fibroblasts in cancer patients who undergo radiotherapy exhibit enduring epigenetic alterations, including heightened chromatin accessibility at the THBS1 gene locus. Following skin injury, such as during surgery, the TGF-β signaling pathway triggers RUNX1-dependent transcription of THBS1. The elevated and sustained expression of THBS1 in RT+ fibroblasts hampers cellular motility, contractility, and delays the healing process. However, the inhibition of THBS1 enhances fibroblast functionality and facilitates tissue repair, indicating a prospective therapeutic approach for addressing radiation ulcers. Figure 7 was created with BioRender.com released under a Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International license.