A prenatal skin atlas reveals immune regulation of human skin morphogenesis
Nusayhah Hudaa Gopee, Elena Winheim, Bayanne Olabi, Chloe Admane, April Foster, Ni Huang, Rachel A. Botting, Fereshteh Torabi, Dinithi Sumanaweera, Anh Phuong Le, Jin Kim, Luca Verger, Emily Stephenson, Diana Adão, Clarisse Gânier, Kelly Y Gim, Sara A. Serdy, CiCi Deakin, Issac Goh, Lloyd Steele, Karl Annusver, Mohi Miah, Win Tun, Pejvak Moghimi, Kwasi Kwakwa, Tong Li, Daniela Basurto Lozada, Ben Rumney, Catherine Tudor, Kenny Roberts, Nana-Jane Chipampe, Keval Sidhpura, Justin Englebert, Laura Jardine, Gary Reynolds, Antony Rose, Vicky Rowe, Sophie Pritchard, Ilaria Mulas, James Fletcher, Dorin-Mirel Popescu, Elizabeth Poyner, Anna Dubois, Alyson Guy, Andrew Filby, Steven Lisgo, Roger A. Barker, Ian A. Glass, Jong-Eun Park, Roser Vento‐Tormo, Marina Nikolova, Peng He, John E. Lawrence, Josh Moore, Stéphane Ballereau, Claire Hale, Vijaya Baskar Mahalingam Shanmugiah, Dave Horsfall, Neil Rajan, John A. McGrath, Edel A. O’Toole, Barbara Treutlein, Omer Ali Bayraktar, Maria Kasper, Fränze Progatzky, Pavel Mazin, Jiyoon Lee, Laure Gambardella, Karl R. Koehler, Sarah A. Teichmann, Muzlifah Haniffa
Human prenatal skin is populated by innate immune cells, including macrophages, but whether they act solely in immunity or have additional functions in morphogenesis is unclear. Here we assembled a comprehensive multi-omics reference atlas of prenatal human skin (7-17 post-conception weeks), combining single-cell and spatial transcriptomics data, to characterize the microanatomical tissue niches of the skin. This atlas revealed that crosstalk between non-immune and immune cells underpins the formation of hair follicles, is implicated in scarless wound healing and is crucial for skin angiogenesis. We systematically compared a hair-bearing skin organoid (SkO) model derived from human embryonic stem cells and induced pluripotent stem cells to prenatal and adult skin<sup>1</sup>. The SkO model closely recapitulated in vivo skin epidermal and dermal cell types during hair follicle development and expression of genes implicated in the pathogenesis of genetic hair and skin disorders. However, the SkO model lacked immune cells and had markedly reduced endothelial cell heterogeneity and quantity. Our in vivo prenatal skin cell atlas indicated that macrophages and macrophage-derived growth factors have a role in driving endothelial development. Indeed, vascular network remodelling was enhanced following transfer of autologous macrophages derived from induced pluripotent stem cells into SkO cultures. Innate immune cells are therefore key players in skin morphogenesis beyond their conventional role in immunity, a function they achieve through crosstalk with non-immune cells.