{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:06:17Z","timestamp":1792785977018,"version":"4.5.0"},"reference-count":52,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Ningxia Medical University Institutional Research Project","award":["XY2025017"],"award-info":[{"award-number":["XY2025017"]}],"id":[{"id":"https:\/\/ror.org\/02h8a1848","id-type":"ROR","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100004772","name":"Ningxia Natural Science Foundation","doi-asserted-by":"publisher","award":["2026AAC031087"],"award-info":[{"award-number":["2026AAC031087"]}],"id":[{"id":"10.13039\/501100004772","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hypertrophic scar (HTS) is a fibrotic skin disease characterized by excessive extracellular matrix accumulation and chronic inflammation. This study aimed to investigate cellular heterogeneity, immune alterations, and nucleotide metabolism-related biomarkers in HTS and to explore their potential mechanisms. Single-cell RNA sequencing data were analyzed using Seurat for cell clustering and annotation. Nucleotide metabolism activity was evaluated to identify key cell populations and candidate genes. Bulk transcriptomic datasets from the Gene Expression Omnibus (GEO) were used for differential expression analysis, and machine learning algorithms were applied to develop a diagnostic model. Sixteen cell clusters were identified, with macrophages showing prominent activation of nucleotide metabolism pathways and immune-related signaling. The optimal Enet + svmLinear model achieved strong predictive performance (area under the curve\u2009=\u20090.934), and Shapley Additive exPlanations analysis identified NCF1 and GPR34 as key predictive genes. These genes were also associated with immune cell infiltration. In vitro validation using THP-1-derived M2 macrophages showed that NCF1 and GPR34 promoted transforming growth factor-\u03b21 secretion and enhanced fibroblast activation, while their knockdown reduced \u03b1-smooth muscle actin and collagen I expression. Collectively, this study reveals the important role of macrophage-associated nucleotide metabolism in HTS and identifies NCF1 and GPR34 as potential biomarkers and therapeutic targets.<\/jats:p>","DOI":"10.1093\/jbcr\/irag152","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T17:40:25Z","timestamp":1788025225000},"source":"Crossref","is-referenced-by-count":0,"title":["Integrative Analysis of Nucleotide Metabolism\u2013Related Genes Reveals a Diagnostic Signature and In Silico Functional Disruption in Hypertrophic Scarring"],"prefix":"10.1093","author":[{"given":"Qiyun","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Burn Plastic Surgery and Cosmetology, General Hospital of Ningxia Medical University , Yinchuan, Ningxia 750004 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, General Hospital 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