Excessive extracellular
matrix deposition drives fibroblasts into
a state of high mechanical stress, exacerbating pathological fibrosis
and hypertrophic scar formation, leading to tissue dysfunction. This
study reports a minimally invasive and convenient approach to obtaining
scarless tissue using a silk fibroin microneedle patch (SF MNs). We
found that by tuning the MN size and density only, the biocompatible
MNs significantly decreased the scar elevation index in the rabbit
ear hypertrophic scar model and increased ultimate tensile strength
close to regular skin. To advance our understanding of this recent
approach, we built a fibroblast-populated collagen lattice system
and finite element model to study MN-mediated cellular behavior of
fibroblasts. We found that the MNs reduced the fibroblasts generated
contraction and mechanical stress, as indicated by decreased expression
of the mechanical sensitive gene ANKRD1. Specifically, SF MNs attenuated
the integrin-FAK signaling and consequently down-regulated the expression
of TGF-β1, α-SMA, collagen I, and fibronectin. It resulted
in a low-stress microenvironment that helps to reduce scar formation
significantly. Microneedles’ physical intervention
via
the mechanotherapeutic strategy is promising for scar-free
wound healing.