“…It has been demonstrated in mouse models that the loss of key transcription factor Foxc1 in HF stem cells leads the inability to maintain their cells fate 34,35 , and further, the reduction of Ecadherin 35 . Moreover, in the case of complete loss of E-cad in HF stem cell niche, Cldn1 expression is down-regulated, while Ccl2 expression is upregulated, which leads to immune cell recruitment, independent of bacterial invasion 36 . These changes are consistent with the potential development of the sinus tract in HS: FOXC1 and CDH1 expression is downregulated, and CCL2 is upregulated in the HS sinus tract compared with normal infundibulum and HS infundibulum ( Figure 3E and Sup Figure 8).…”