<?xml version="1.0" ?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD v1.4 20241031//EN"  "JATS-archivearticle1-4-mathml3.dtd"><article xmlns:ali="http://www.niso.org/schemas/ali/1.0/" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.4" xml:lang="en">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">elife</journal-id>
<journal-id journal-id-type="publisher-id">eLife</journal-id>
<journal-title-group>
<journal-title>eLife</journal-title>
</journal-title-group>
<issn publication-format="electronic" pub-type="epub">2050-084X</issn>
<publisher>
<publisher-name>eLife Sciences Publications, Ltd</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">92593</article-id>
<article-id pub-id-type="doi">10.7554/eLife.92593</article-id>
<article-id pub-id-type="doi" specific-use="version">10.7554/eLife.92593.2</article-id>
<article-version-alternatives>
<article-version article-version-type="publication-state">reviewed preprint</article-version>
<article-version article-version-type="preprint-version">1.3</article-version>
</article-version-alternatives>
<article-categories><subj-group subj-group-type="heading">
<subject>Cell Biology</subject>
</subj-group>
</article-categories><title-group>
<article-title>Wound-Induced Syncytia Outpace Mononucleate Neighbors during <italic>Drosophila</italic> Wound Repair</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>White</surname>
<given-names>James S</given-names>
</name>
<xref ref-type="aff" rid="a1">1</xref>
<xref ref-type="aff" rid="a2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hua</surname>
<given-names>Junmin</given-names>
</name>
<xref ref-type="aff" rid="a1">1</xref>
<xref ref-type="aff" rid="a2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Su</surname>
<given-names>Jasmine J</given-names>
</name>
<xref ref-type="aff" rid="a1">1</xref>
<xref ref-type="aff" rid="a4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tro</surname>
<given-names>Kaden J</given-names>
</name>
<xref ref-type="aff" rid="a3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ruark</surname>
<given-names>Elizabeth M</given-names>
</name>
<xref ref-type="aff" rid="a1">1</xref>
<xref ref-type="aff" rid="a2">2</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Hutson</surname>
<given-names>M Shane</given-names>
</name>
<xref ref-type="aff" rid="a3">3</xref>
<xref ref-type="aff" rid="a4">4</xref>
<email>shane.hutson@vanderbilt.edu</email>
</contrib>
<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0003-3193-5362</contrib-id>
<name>
<surname>Page-McCaw</surname>
<given-names>Andrea</given-names>
</name>
<xref ref-type="aff" rid="a1">1</xref>
<xref ref-type="aff" rid="a2">2</xref>
<xref ref-type="aff" rid="a5">5</xref>
<xref ref-type="author-notes" rid="n1">*</xref>
<email>andrea.page-mccaw@vanderbilt.edu</email>
</contrib>
    <aff id="a1"><label>1</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/02vm5rt34</institution-id><institution>Dept. Cell and Developmental Biology, Vanderbilt School of Medicine</institution></institution-wrap>, <city>Nashville</city>, <country country="US">United States</country></aff>
    <aff id="a2"><label>2</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/02vm5rt34</institution-id><institution>Program in Developmental Biology, Vanderbilt University</institution></institution-wrap>, <city>Nashville</city>, <country country="US">United States</country></aff>
    <aff id="a3"><label>3</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/02vm5rt34</institution-id><institution>Dept. Physics and Astronomy, Vanderbilt University</institution></institution-wrap>, <city>Nashville</city>, <country country="US">United States</country></aff>
    <aff id="a4"><label>4</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/02vm5rt34</institution-id><institution>Dept. Biological Sciences, Vanderbilt University</institution></institution-wrap>, <city>Nashville</city>, <country country="US">United States</country></aff>
    <aff id="a5"><label>5</label><institution-wrap><institution-id institution-id-type="ror">https://ror.org/02vm5rt34</institution-id><institution>Vanderbilt-Ingram Cancer Center, Vanderbilt University</institution></institution-wrap>, <city>Nashville</city>, <country country="US">United States</country></aff>
</contrib-group>
<contrib-group content-type="section">
<contrib contrib-type="editor">
<name>
<surname>Araújo</surname>
<given-names>Sofia J</given-names>
</name>
<contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-4749-8913</contrib-id><role>Reviewing Editor</role>
<aff>
<institution-wrap>
<institution-id institution-id-type="ror">https://ror.org/021018s57</institution-id><institution>Universitat de Barcelona</institution>
</institution-wrap>
<city>Barcelona</city>
<country country="ES">Spain</country>
</aff>
</contrib>
<contrib contrib-type="senior_editor">
<name>
<surname>Araújo</surname>
<given-names>Sofia J</given-names>
</name>
<contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-4749-8913</contrib-id><role>Senior Editor</role>
<aff>
<institution-wrap>
<institution-id institution-id-type="ror">https://ror.org/021018s57</institution-id><institution>Universitat de Barcelona</institution>
</institution-wrap>
<city>Barcelona</city>
<country country="ES">Spain</country>
</aff>
</contrib>
</contrib-group>
<author-notes>
<fn id="n1"><label>*</label><p>Lead Contact</p></fn>
<fn fn-type="coi-statement"><p>Competing interests: No competing interests declared</p></fn>
</author-notes>
<pub-date date-type="original-publication" iso-8601-date="2024-03-27">
<day>27</day>
<month>03</month>
<year>2024</year>
</pub-date>
<pub-date date-type="update" iso-8601-date="2026-07-02">
<day>02</day>
<month>07</month>
<year>2026</year>
</pub-date>
<volume>13</volume>
<elocation-id>RP92593</elocation-id>
<pub-history>
<event>
<event-desc>Sent for review</event-desc>
<date date-type="sent-for-review" iso-8601-date="2023-10-25">
<day>25</day>
<month>10</month>
<year>2023</year>
</date>
</event>
<event>
<event-desc>Preprint posted</event-desc>
<date date-type="preprint" iso-8601-date="2023-10-26">
<day>26</day>
<month>10</month>
<year>2023</year>
</date>
<self-uri content-type="preprint" xlink:href="https://doi.org/10.1101/2023.06.25.546442"/>
</event>
<event>
<event-desc>Reviewed preprint v1</event-desc>
<date date-type="reviewed-preprint" iso-8601-date="2024-03-27">
<day>27</day>
<month>03</month>
<year>2024</year>
</date>
<self-uri content-type="reviewed-preprint" xlink:href="https://doi.org/10.7554/eLife.92593.1"/>
<self-uri content-type="editor-report" xlink:href="https://doi.org/10.7554/eLife.92593.1.sa7">eLife assessment</self-uri>
<self-uri content-type="referee-report" xlink:href="https://doi.org/10.7554/eLife.92593.1.sa6">Reviewer #1 (Public Review):</self-uri>
<self-uri content-type="referee-report" xlink:href="https://doi.org/10.7554/eLife.92593.1.sa5">Reviewer #2 (Public Review):</self-uri>
<self-uri content-type="referee-report" xlink:href="https://doi.org/10.7554/eLife.92593.1.sa4">Reviewer #3 (Public Review):</self-uri>
</event>
</pub-history>
<permissions>
<copyright-statement>© 2024, White et al</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>White et al</copyright-holder>
<ali:free_to_read/>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<ali:license_ref>https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This article is distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use and redistribution provided that the original author and source are credited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="elife-preprint-92593-v2.pdf"/>
<abstract><p>In response to injury, cells proliferate, migrate and invade to replace missing cells and close wounds. However, the role of other wound-induced cell behaviors is not understood, including the formation of syncytia (multinucleated cells). Here, we use <italic>in vivo</italic> live imaging to analyze wound-induced syncytia in mitotically competent <italic>Drosophila</italic> pupae. We find that almost half the epithelial cells near a wound fuse to form large syncytia. When the autophagy gene <italic>Atg1</italic> is knocked down, fewer syncytia form, and wounds close more slowly. Further, a computational model of tissue fluidity indicates that cell fusion speeds wound closure time by about one third. Syncytia use several routes to speed wound repair: they outpace diploid cells at the wound margin to lead the initial resealing of the wound; they reduce the need for intercalation as the tissue reshapes during closure; and they pool resources of their component cells to concentrate them toward the wound margin. In addition to wound healing, these properties of syncytia are likely to contribute to their roles in development and pathology.</p>
</abstract>
<funding-group>
<award-group id="par-1">
<funding-source>
<institution-wrap>
<institution-id institution-id-type="ror">https://ror.org/04q48ey07</institution-id>
<institution>HHS | NIH | National Institute of General Medical Sciences (NIGMS)</institution>
</institution-wrap>
</funding-source>
<award-id>R01GM130130</award-id>
<principal-award-recipient>
<name>
<surname>Page-McCaw</surname>
<given-names>Andrea</given-names>
</name>
</principal-award-recipient>
    <principal-award-recipient>
        <name>
            <surname>Hutson</surname>
            <given-names>Shane</given-names>
        </name>
    </principal-award-recipient>
</award-group>
<award-group id="par-3">
<funding-source>
<institution-wrap>
<institution-id institution-id-type="ror">https://ror.org/013kjyp64</institution-id>
<institution>American Heart Association (AHA)</institution>
</institution-wrap>
</funding-source>
    <award-id award-id-type="doi">10.58275/aha.25pre1374646.pc.gr.227182</award-id>
<principal-award-recipient>
<name>
<surname>Hua</surname>
<given-names>Junmin</given-names>
</name>
</principal-award-recipient>
</award-group>
</funding-group>
<custom-meta-group>
<custom-meta specific-use="meta-only">
<meta-name>publishing-route</meta-name>
<meta-value>prc</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
<notes>
<fn-group content-type="summary-of-updates">
<title>Summary of Updates:</title>
<fn fn-type="update"><p>This version contains new figures - current Figs 4 and 7 are entirely new data. Also substantial changes were made to the text for clarity.</p></fn>
</fn-group>
</notes>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Injury is a constant reality of life, and survival requires all organisms to repair wounds. Wound-induced cell behaviors like proliferation, migration, and invasion replace missing cells and close wounds (<xref ref-type="bibr" rid="c38">Martin et al., 2024</xref>). Other cell behaviors are induced around wounds, but their contribution to wound healing is not well understood, <italic>e.g.</italic>, the fusion of cells into syncytia. Syncytia are one type of polyploid cell, and it is generally appreciated that increases in ploidy – number of genomes per cell – is a common response of post-mitotic tissues and cells to injury (<xref ref-type="bibr" rid="c33">Losick et al., 2013</xref>; <xref ref-type="bibr" rid="c47">Nandakumar et al., 2020</xref>; <xref ref-type="bibr" rid="c76">Tamori and Deng, 2013</xref>). Wound-induced epithelial syncytia were first observed around epidermal puncture wounds in <italic>Drosophila</italic> larvae and adults (<xref ref-type="bibr" rid="c16">Galko and Krasnow, 2004</xref>; <xref ref-type="bibr" rid="c33">Losick et al., 2013</xref>), consistent with the idea of polyploidy induction in non-proliferative cells. However, recent studies have observed syncytia around wounds in mitotically competent tissues: around laser-ablation wounds in <italic>Drosophila</italic> pupal epidermis (<xref ref-type="bibr" rid="c80">Wang et al., 2015</xref>) and in zebrafish epicardium damaged by endotoxin, microdissection, or laser ablation (<xref ref-type="bibr" rid="c9">Cao et al., 2017</xref>). Further, injury associated with the surgical implantation of biomaterials can cause immune cells to fuse into multinucleated giant cells, which are associated with rejection (<xref ref-type="bibr" rid="c2">Al-Maawi et al., 2017</xref>). Similarly, injury induces bone marrow-derived cells to fuse with various somatic cells to promote repair (<xref ref-type="bibr" rid="c3">Alvarez-Dolado et al., 2003</xref>; <xref ref-type="bibr" rid="c12">Corbel et al., 2003</xref>; <xref ref-type="bibr" rid="c13">Davies et al., 2009</xref>; <xref ref-type="bibr" rid="c50">Nygren et al., 2004</xref>). The many instances of syncytia being induced by wounds raise the possibility that syncytia offer an adaptive benefit. It is not clear, however, what that benefit is.</p>
<p>Syncytia can form either by endomitosis – mitosis without cytokinesis – or by cell-cell fusion. Fusion is widely observed throughout development in both vertebrates and invertebrates: for example myoblasts fuse into muscles (<xref ref-type="bibr" rid="c26">Kim et al., 2015a</xref>; <xref ref-type="bibr" rid="c29">Lehka and Rędowicz, 2020</xref>), and fusions occur in the lineages of the <italic>C. elegans</italic> hypodermis (<xref ref-type="bibr" rid="c61">Podbilewicz and White, 1994</xref>) as well as vertebrate trophoblast (<xref ref-type="bibr" rid="c64">Renaud and Jeyarajah, 2022</xref>) and osteoclast (<xref ref-type="bibr" rid="c72">Søe, 2020</xref>). Cell fusions are also observed in disease: pathogen-induced epithelial fusion allows spreading of many viruses including human respiratory syncytial virus and SARS-CoV-2 (<xref ref-type="bibr" rid="c30">Leroy et al., 2020</xref>); and the fusion of cancer cells with bone-marrow derived cells is implicated in metastasis (<xref ref-type="bibr" rid="c57">Pawelek and Chakraborty, 2008</xref>).</p>
<p>Here, we use live imaging and clonal analysis to understand the behavior of syncytia following laser wounding in the <italic>Drosophila</italic> pupal notum. The unwounded notum is a monolayer epithelium composed of mononuclear diploid cells that are mitotically competent. Nonetheless, during the first several hours after wounding, many of the surrounding cells fuse to form giant syncytia. We previously reported that after wounding the pupal notum, some wound-adjacent cells undergo a single round of endoreplication, increasing their ploidy two-fold (<xref ref-type="bibr" rid="c84">White et al., 2024</xref>), but fusion increases ploidy far more, with some wound-induced syncytia observed to have more than a dozen nuclei. Some cell fusions are obvious with apical borders breaking down between cells, while others surprisingly appear as shrinking of a cell’s apical surface. Combined, fusion is a common fate of cells near wounds: about half the cells fuse to form syncytia within 70 µm of a wound with 30 µm radius. To understand the role of fusion-mediated syncytia in wound repair, we undertook two types of analysis, first analyzing an autophagy mutant that reduces fusion after wounding, and second comparing the behaviors of syncytial and mononuclear cells within the same wound. Compared to their smaller mononuclear neighbors, syncytia outpace mononuclear cells to the leading edge. We propose that syncytia accelerate wound repair because cell fusion limits the need to negotiate cell intercalations as the wound closes, a hypothesis supported by computational modeling; and because clonal analysis demonstrates that syncytia mobilize and transport cell resources such as actin from distal cells to the wound margin.</p>
</sec>
    <?page-break ?><sec id="s2">
<title>Results</title>
<sec id="s2a">
<title>A mitotic tissue utilizes cell-cell fusions during wound repair</title>
    <p>The pupal notum is a monolayer columnar epithelium that will become the epidermis of the adult fly. At the time of our analysis, 12-18h after puparium formation (APF), it sits atop a basement membrane that is still developing (<xref ref-type="bibr" rid="c40">Mehaffey et al., 2024</xref>), and it is composed of diploid cells that undergo regular mitotic cycles (<xref ref-type="bibr" rid="c19">Guirao et al., 2015</xref>) (<xref rid="figs1" ref-type="fig">Figure 1—figure supplement 1A-C</xref>). To analyze cell behaviors around wounds, we live-imaged after laser ablation. Epithelial cell borders were labeled by the adherens junction protein p120ctnRFP (<xref ref-type="bibr" rid="c55">Ogura et al., 2018</xref>) and nuclei were labeled with histone His2GFP. Two hours after wounding, we observed what appeared to be prominent syncytial (multi-nucleated) cells around the wound (<xref rid="fig1" ref-type="fig">Figure 1A</xref>); experiments described below demonstrated that these were indeed syncytia. Some appeared to contain over a dozen nuclei within epithelial borders. For both syncytial and mononuclear cells, it was difficult to assign nuclei precisely to cell borders because notum epithelial cells are not oriented at right angles with respect to the surface, and in 2-D projections, a nucleus was frequently observed outside the cell’s apical border (<xref rid="figs1" ref-type="fig">Figure 1—figure supplement 1D</xref>).</p>
<fig id="fig1" position="float" orientation="portrait" fig-type="figure">
<label>Figure 1.</label>
<caption>
<title>Wounds induce epithelial syncytia via cell fusion.</title>
<p><bold>A)</bold> Syncytia form within 2 h post wounding, evident by the clustering of multiple nuclei within cell borders. <bold>B)</bold> The number of nuclei per syncytia increases over time after wounding. Number of nuclei was estimated based on area and nuclear density (see text) for the 3 largest syncytia of 3 different wounds, mean and SD. <bold>C-D)</bold> Larger wounds generate larger syncytia. Images are at 3 h post wounding, single syncytium outlined. <bold>E)</bold> Syncytial apical area is proportional to initial wound size. Each dot represents a wound, made with either low or high laser energy as sown. For each wound, the mean area of the three largest syncytia is plotted. Bars represent SD. <bold>F)</bold> A time course of six cells fusing within 30 min after wounding. Apical borders are lost (white arrowhead) as syncytia form. Original cells are numbered. <bold>G)</bold> All borders lost to cell fusion (white) mapped to cells in the first frame after wounding. The leading edge of wound closure will form at dashed line; cells within the shaded area were damaged by the wound and will be dismantled. <bold>H)</bold> Distance from the wound center vs time for all border breakdowns in 3 wounds. Each symbol represents a cell border. Leading-edge locations indicated by solid lines. <bold>I)</bold> Cytoplasmic GFP is expressed in cell 1 before wounding and mixes with neighboring cells 2-4 by 2 min after wounding. Cytoplasmic sharing is followed by the lagging fusion indicator of visible border breakdown (white arrow). The fates of cells 3 and 4 are shown at later times in <xref rid="fig2" ref-type="fig">Figure 2D</xref>. Maximum intensity projections in A, C-D, G; single Z slices in F, I. Scale bars: A,C,D,G = 20 µm, F,I = 10 µm. W and red star indicate wound.</p>
</caption>
<graphic xlink:href="546442v3_fig1.tif" mimetype="image/tiff"/>
</fig>
<p>Accordingly, using apical area and nuclear density, we estimated the number of nuclei within the 3 largest syncytia in different wounds. The number of nuclei in these syncytia increased over time: at 1 h after wounding the three largest syncytia contained an average 3-13 nuclei, and 2 h after wounding they nearly doubled to 6-20 nuclei (<xref rid="fig1" ref-type="fig">Figure 1B</xref>). Interestingly, larger wounds generated syncytia with larger apical areas and more nuclei, proportional to wound size, suggesting syncytium formation is a dynamic and scalable response to injury (<xref rid="fig1" ref-type="fig">Figure 1 C-E</xref>).</p>
    <p>Live imaging of cells after wounding revealed the gradual loss of p120ctn along the border between two epithelial cells followed by rounding of the resulting syncytium (<xref rid="fig1" ref-type="fig">Figure 1F,I</xref>, and <xref ref-type="supplementary-material" rid="supp2">Video 2</xref>), such that the initial two-cell morphology gradually became a one-cell morphology. We termed the visible loss of p120ctn “border breakdown”. We determined that as p120ctn was lost, the adherens junction protein E-cadherin was also lost (<xref rid="figs1" ref-type="fig">Figure 1—figure supplement 1E-H</xref>) indicating adherens junctions disassembly along the border between the cells. Border breakdowns were found spatially clustered in the first three to four rows of cells, 30-50 μm from the wound center, and they occurred primarily within the first hour after wounding, some within 10 minutes after wounding (<xref rid="fig1" ref-type="fig">Figure 1G,H</xref>). These events could be explained by wound-induced cell fusion or by wound-induced epithelial-to-mesenchymal transition. To ask whether border breakdowns represented cell fusions, we analyzed cytoplasmic mixing. Individual GFP-labeled cells (clones) were generated at random locations using the flip-out Gal4 technique (<xref ref-type="bibr" rid="c59">Pignoni and Zipursky, 1997</xref>). Before wounding, the level of cytoplasmic GFP fluorescence was stable yet exhibited cell-to-cell variability, allowing some differentiation of cells by intensity (<xref rid="fig1" ref-type="fig">Figure 1I<sup>i</sup></xref>). Minutes after a nearby laser ablation, GFP was observed to diffuse from labeled cells into neighboring unlabeled cells. GFP mixing between two cells was followed by the eventual loss of their shared p120ctn-labeled cell border, confirming that border breakdown is indeed cell fusion, but that cytoplasmic mixing occurs more than 10 minutes before the border breakdown is first observed to start (<xref rid="fig1" ref-type="fig">Figure 1I</xref>, <xref ref-type="supplementary-material" rid="supp2">Video 2</xref>). GFP mixing always preceded border breakdowns (n=11). Cytoplasmic GFP mixing resulted in a consistent level of fluorescence across the two cells, indicating that GFP mixing is a reliable indicator of plasma membrane fusion. The order of events demonstrates that plasma membrane fusion occurs many minutes before the visible disassembly of the apically located adherens junctions. Thus, epithelial fusion is a rapid local response to wounding, and border breakdown is a lagging indicator of cell fusion.</p>
</sec>
<sec id="s2b">
<title>Apical cell shrinking also represents cell-cell fusion, evident later during wound closure</title>
<p>Border breakdowns, representing cell fusion events, occurred mostly within 1 h after wounding, so it was unclear how syncytia grew in size and nuclear number between 1-2 h after wounding. However, an unexpected cell behavior was frequently observed during this time: the apical area of diploid epithelial cells shrank until they disappeared from the epithelial sheet, a phenomenon we termed “apical shrinking” (<xref rid="fig2" ref-type="fig">Figure 2A</xref>). Although the appearance of apical shrinking suggested cell extrusion, we were surprised at its high frequency around wounds (<xref rid="fig2" ref-type="fig">Figure 2E</xref>), as wounds have already lost many cells and would be expected to prioritize cell survival to speed barrier repair. To understand the fate of apical-shrinking cells, we tracked their nuclei and determined that they did not extrude; rather, all apical-shrinking cell nuclei moved laterally within the plane of the epithelium to join neighboring syncytia (n=7, <xref rid="fig2" ref-type="fig">Figure 2B</xref>), suggesting that apical shrinking is an indicator of cell fusion. To better understand this behavior, we analyzed individual GFP-labeled cells so that we could observe the fate of the cytoplasm.</p>
<fig id="fig2" position="float" orientation="portrait" fig-type="figure">
<label>Figure 2:</label>
<caption>
<title>Cell fusion often appears as apical shrinking.</title>
<p><bold>A)</bold> The apical footprint of an epithelial cell shrinks in the epithelial plane after wounding (yellow arrow). <bold>B)</bold> Same sample as A, showing that the nucleus (asterisk) of the apically shrinking cell enters a neighboring syncytium, outlined in B<sup>iv</sup>. <bold>C)</bold> Cell 1 expresses actin-GFP before wounding. After wounding, cell 1 fuses with cells 2-6 evidenced by GFP sharing, then the apical surface of cell 1 shrinks. <bold>D)</bold> Two cells undergoing apical shrinking are identified in the X-Y plane with white and yellow arrows, shown at three times after wounding. Below, two X-Z projections are shown for each, at Y1 and Y2 as indicated, with the Z-plane of the adherens junctions (Z<sub>AJ</sub>) indicated by dotted lines. Rather than extrude, cytoplasm moves to the right as the cell depth in the Z-axis diminishes, so that cytoplasm joins with the neighboring wound-proximal syncytium. These video frames are a continuation of the sample shown in <xref rid="fig1" ref-type="fig">Figure 1I</xref>. <bold>E)</bold> All cells displaying apical shrinking mapped to first frame after wounding. <bold>F)</bold> All apical shrinking and border breakdowns were tracked in 3 wounds. Border-breakdown fusions happen sooner after wounding than apical-shrinking fusions. A, B, C, D (top), and E show maximum intensity projections. Lower panels in D show X-Z projections. Scale bar for all panels A and B shown in B<sup>iv.</sup> A, B, C, D (top),E = 10 µm; D (X-Z projections) = 5 µm.</p>
</caption>
<graphic xlink:href="546442v3_fig2.tif" mimetype="image/tiff"/>
</fig>
    <p>Like with border breakdowns, GFP mixing in the X-Y plane of the epithelium was observed to precede the initiation of apical shrinking, although the interval between GFP mixing and apical shrinking was longer, one or more hours (<xref rid="fig2" ref-type="fig">Figure 2C</xref>, <xref ref-type="supplementary-material" rid="supp3">Video 3</xref>). In X-Z projections, GFP labeled cytoplasm associated with apical shrinking shifted laterally to join with a neighboring cell as shown for two apical-shrinking cells in <xref rid="fig2" ref-type="fig">Figure 2D</xref>. For the cell labeled with the yellow arrow, before apical shrinking at 60 min post wound, its GFP-labeled cytoplasm extended from the plane of the adherens junctions (Z<sub>AJ</sub>) basally over 8 µm; when apical shrinking was underway at 120 min post wound, its cytoplasm extended less than 5 µm down from the apical plane; and when shrinking was almost complete at 150 min post wound, it extended only 1-2 µm down from the apical plane, appearing as a whisp of cytoplasm connecting the shrinking apical surface with the neighboring syncytia. A similar loss of basal depth over time is observed in the cell labeled with the white arrow. In both these cells, as the cell lost its basal volume, cytoplasm moved laterally to join the neighboring syncytia. Thus, analysis of both nuclei and cytoplasm demonstrated that apical shrinking represented cell fusion events. The spatial distribution of apical shrinking around wounds was similar to border breakdowns, but fusions associated with apical shrinking occurred later and were more numerous (<xref rid="fig2" ref-type="fig">Figure 2E,F</xref>). Thus, cell fusion is evident as either border breakdown or apical shrinking, which both occur after GFP sharing.</p>
    <p>To determine what percentage of cells around a wound will fuse, we analyzed over 100 single epithelial cells randomly-labeled with cytoplasmic GFP within the radius of observed fusion (80 µm), tracking them for 6.5 h to assess their fate (<xref rid="fig3" ref-type="fig">Figure 3A,B</xref>): a full quarter of the cells fused (25%), sharing GFP before borders breakdown or apical shrinking; 67% persisted as diploid cells, most with stable GFP, but infrequently (n=3) with GFP mixing and no subsequent cell fusion; the remaining 7% could not be tracked (<xref rid="fig3s1" ref-type="fig">Figure 3—figure supplement 1A</xref>). All GFP-labeled cells with apical shrinking had previously shared cytoplasm, indicating that all apical shrinking represents fusion. The observation of rare diploid cells with previous cytoplasmic mixing confirms that plasma membrane fusion occurs before the later steps of border breakdown/apical shrinking, as these cells represent fusion initiation events (fusion pore) but were unable to productively stabilize and expand the site of fusion and so returned to the diploid state. Fusing cells were strongly skewed toward the center of the wound: within 70 µm, about half the cells (47%) underwent fusion (<xref rid="fig3" ref-type="fig">Figure 3A</xref>, left), and fusion continued for over 300 min after wounding (<xref rid="fig3s1" ref-type="fig">Figure 3—figure supplement 1B,C</xref>). Apical shrinking accounts for more than half of all fusing cells (<xref rid="fig3" ref-type="fig">Figure 3C</xref>), and the spatial distribution of fusing cells that shrank vs. lost borders was similar (compare <xref rid="fig1" ref-type="fig">Figures 1G</xref> and <xref rid="fig2" ref-type="fig">2E</xref>). However, apical shrinking began later than border breakdowns (<xref rid="fig2" ref-type="fig">Figure 2F</xref>, <xref rid="fig3s1" ref-type="fig">Figure 3—figure supplement 1C</xref>), continued for several hours after wounding (<xref rid="fig2" ref-type="fig">Figure 2F</xref>, <xref rid="fig3s1" ref-type="fig">Figure 3—figure supplement 1C</xref>), and took longer to complete (<xref rid="fig3s1" ref-type="fig">Figure 3—figure supplement 1D</xref>). Thus, fusion associated with apical shrinking accounted for continuing syncytial growth after border breakdowns subsided. Further, cell fusion is a persistent behavior over the course of wound closure.</p>
<fig id="fig3" position="float" orientation="portrait" fig-type="figure">
<label>Figure 3:</label>
<caption>
<title>Half the cells near the wound fuse to form syncytia, demonstrated by tracking individual cell fates.</title>
    <p><bold>A)</bold> All GFP labeled cells in the region of fusion (80 µm) were tracked in 5 wounds over 6.5 h after wounding to determine frequency of fusion initiation (GFP mixing) and later morphological changes into syncytia. All morphological fusion events were preceded by GFP sharing, and 90% of GFP sharing events were followed by morphological fusion. Untrackable cells lost GFP, see <xref rid="fig3s1" ref-type="fig">Figure 3—figure supplement 1A</xref>. <bold>B-C)</bold> Pre-wound location of persisting and fusing cells from panel A is shown with respect to the wound center. Panel B shows that fusion is common within 70 µm. Panel C shows that apical-shrinking fusion and border-breakdown fusion occur at similar distances from the wound.</p>
</caption>
<graphic xlink:href="546442v3_fig3.tif" mimetype="image/tiff"/>
</fig>
    <p>Our individual cell tracking indicated that syncytia were the result of epithelial cell fusions. However, phagocytic hemocytes are known to migrate to the sites of pupal wounds (<xref ref-type="bibr" rid="c4">Antunes et al., 2013</xref>). To determine if hemocytes fused with epithelial syncytia around wounds, we labeled hemocytes with cytoplasmic GFP (<italic>hml&gt;GFP</italic>) and observed their behavior in live imaging. In six wounds, we observed GFP-labeled hemocytes at the basal side of the wound margin; however, we did not observe any events where GFP was transferred from hemocytes to the epithelium, ruling out the fusion of hemocytes with epithelia in pupal wounds (<xref ref-type="supplementary-material" rid="supp4">Supplemental Video 4</xref>) .</p>
</sec>
<sec id="s2c">
<title>Syncytia close wounds faster</title>
<p>To evaluate the role of cell fusion and syncytia in repairing wounds, we wanted to analyze a mutant that blocked syncytia formation. It has been reported that several individual autophagy (<italic>Atg</italic>) genes are required for syncytia formation around small laser ablation wounds in the polyploid <italic>Drosophila</italic> larval epithelium (<xref ref-type="bibr" rid="c25">Kakanj et al., 2022</xref>), so we asked if autophagy promotes fusion around laser wounds in the diploid pupal epithelium. Using a dsRNA line known to disrupt syncytia in larvae, we knocked down <italic>Atg1</italic> on one side of the wound expressing <italic>pnr-Gal4</italic>, as illustrated in <xref rid="fig4" ref-type="fig">Figure 4A</xref>, reserving the other side of the wound as an internal control, modifying an internally controlled wounding system we have previously reported (<xref ref-type="bibr" rid="c53">O’Connor et al., 2021b</xref>). Visualizing Ecad-labeled cell borders across the wound, we found that indeed <italic>Atg1</italic> is required for syncytia formation in pupal wounds, like it is in larval wounds (<xref rid="fig4" ref-type="fig">Figure 4B</xref>).</p>
<fig id="fig4" position="float" orientation="portrait" fig-type="figure">
<label>Figure 4:</label>
<caption>
<title><italic>Atg1</italic> promotes wound-induced fusion and faster wound closure.</title>
<p><bold>A)</bold> Overview: <italic>Atg1</italic> was knocked down in central <italic>pnr</italic> domain (pink), visualized by nls-mCherry (not shown). A laser pulse was targeted to the edge of the <italic>pnr</italic> domain (right or left) so that the wound extended into both <italic>Atg1</italic> knockdown and control domains, allowing the symmetry of response to be analyzed. <bold>B-C)</bold> Inhibition of <italic>Atg1</italic> decreased the frequency of wound-induced fusion in the <italic>pnr</italic> domain. For border loss, n = 11 pupae, p &lt; 0.0001. For apical shrinking, n=9 pupae, p = 0.0008 (paired T-test). <bold>D-E)</bold> Wound closed more slowly when <italic>Atg1</italic> was knocked down. (D) Radius of the wound was calculated by the distance between the wound center and the leading edge in <italic>pnr</italic> or control domains. (E) Difference in the wound radius between <italic>pnr</italic> and control domains over time (i.e., wound asymmetry) is shown. Each dot represents one wound. With no genetic manipulation in either domain (black), wound radius was slightly larger in <italic>pnr</italic> than in control domain. When <italic>Atg1</italic> was knocked down in the <italic>pnr</italic> domain, the asymmetry grew over time indicating slower wound closure on the <italic>Atg1</italic> knockdown side. p = 0.0031 (5 hr) calculated from two-way ANOVA, fit full model, comparing each cell mean with the other cell mean in that row. error bar = 1 +/- SEM. <bold>F-G)</bold> Larger cells (<italic>i.e.</italic> syncytia) move further during wound closure, evident in control wounds (F) or with <italic>Atg1</italic> knockdown (G). Each data point represents a cell or syncytium present at the leading edge when the wound is half closed. The curve of square root area was overlaid for comparison, as it represents the amount of movement expected based on reshaping of a cell/syncytium from an initial round state to one strongly elongated towards the wound.</p>
</caption>
<graphic xlink:href="546442v3_fig4.tif" mimetype="image/tiff"/>
</fig>
<p>Specifically, we observed a reduction in cell fusion, both reductions of border loss and apical shrinking (<xref rid="fig4" ref-type="fig">Figure 4C</xref>). We next compared wound closure rates on the two sides of the wound (<xref rid="fig4" ref-type="fig">Figure 4D,E</xref>). Because leading edge migration is slightly delayed on the <italic>pnr-Gal4</italic> side of the wound even in control wounds (<italic>pnr&gt;+</italic>), we compared the difference in wound radii on the two sides, comparing control wounds to <italic>pnr&gt;Atg1<sup>RNAi</sup></italic> wounds. By 5h after wounding, the <italic>pnr&gt;+</italic> side lagged behind the other side by only about 10 µm, yet the <italic>pnr&gt;Atg1<sup>RNAi</sup></italic> side lagged behind the other side by an average of about 25 µm, a reproducible, significant, and large reduction in wound closure when syncytia formation was reduced (<xref rid="fig4" ref-type="fig">Figure 4E</xref>). These results suggest that syncytia speed wound closure. It is difficult, however, to disentangle the roles of autophagy and syncytia in this experiment, as the <italic>Atg1</italic> knockdown cells may move more slowly because they are defective in the essential cellular function of autophagy and/or lacking syncytia. To address this question, we found a strong correlation between the size of the cell/syncytium and the distance it had moved from the start, measured at the time when the wound was half-closed. This correlation was true for cells/syncytia in control wounds as well as for those when <italic>Atg1</italic> was knocked down (<xref rid="fig4" ref-type="fig">Figure 4F,G</xref> respectively). These data indicate that syncytia formed through cell fusion speed wound closure.</p>
</sec>
<sec id="s2d">
<title>Syncytia outcompete mononucleate cells at the leading edge of repair</title>
<p>To understand this phenomenon better, we further investigated control wounds. Because about half the cells fused to form syncytia around wounds, we were able to compare the behavior of syncytial to non-syncytial cells within the same wound, providing a well-controlled environment for assessing how syncytia contribute to wound closure. In live imaging, we observed that syncytia frequently moved faster than mononucleated cells toward the wound, overtaking unfused cells as the wound closed. <xref rid="fig5" ref-type="fig">Figure 5A</xref> tracks four GFP-labeled cells near a wound, with cell 1 furthest from and cell 4 closest to the wound (<xref rid="fig5" ref-type="fig">Figure 5A<sup>i</sup></xref>). Middle cells 2 and 3 fuse with five others into a large syncytium, which advances toward the wound faster than both non-fusing cells, and by 400 min after wounding the syncytium extends well beyond the unfused cells (<xref rid="fig5" ref-type="fig">Figure 5A<sup>iii</sup></xref>). This behavior was evident even without GFP labeling: <xref rid="fig5" ref-type="fig">Figure 5B-C</xref> show a group of cells at the leading edge of the wound (the wound is recognized by the lack of p120ctn). At 90 min after wounding, this region of the leading edge comprises three mononuclear cells flanked on either side by syncytia (outlined in yellow); the middle of the three mononuclear cells is outlined in orange (5B) and white (5C). By 150 min, the syncytia have pushed out all three mononuclear cells from the leading edge, and at 360 min two of these mononuclear cells are visible about 20 µm back from the wound edge. Indeed, we observed that several hours after wounding, the entire leading edge was occupied by syncytia. To investigate how syncytia came to occupy this position at the front lines of wound healing, we expressed MyoIIGFP/Zip-GFP, which along with actin forms the contractile purse string and makes the leading edge visible, along with p120ctnRFP to label cell borders. We analyzed the persistence of all mononuclear and syncytial cells at the leading edge over the course of closure for three wounds, starting when the leading edge was first visible about 30 min after wounding (<xref rid="fig5" ref-type="fig">Figure 5D-G</xref>). At the start, 75% of the perimeter was occupied by syncytia with the rest occupied by 10-13 mononuclear cells (<xref rid="fig5" ref-type="fig">Figure 5D</xref>). As the wound closed, the syncytia became larger and displaced all the mononuclear cells, with the last mononuclear cell removed from the leading edge 20-160 min before closure (<xref rid="fig5" ref-type="fig">Figure 5E-G</xref>). No mononuclear cell persisted at the leading edge through wound closure, indicating that syncytia outcompete unfused cells to close the wound.</p>
<fig id="fig5" position="float" orientation="portrait" fig-type="figure">
<label>Figure 5:</label>
<caption>
<title>Syncytia outpace mononuclear cells.</title>
<p><bold>A)</bold> Before wounding, two clusters of cells are labeled with GFP, 1-2 and 3-4 (white numbers). After wounding, cells 2 and 3 fuse with neighbors 5-9 to form a syncytium (dashed leading edge in A<sup>iii</sup>), which advances toward the wound, passing unfused cell 4 (arrow). <bold>B-C)</bold> Unfused cell (outlined in orange and white) is replaced at leading edge by neighboring syncytia (S and yellow outline). <bold>D)</bold> Leading-edge perimeter was analyzed over time for three wounds, also analyzed in panel G. Percent leading edge occupied by syncytia increased over time to 100%. <bold>E)</bold> Images of sample 1 from graph D. Unfused cells (arrows) were tracked over the course of wound closure; 30 min after wounding, 10 unfused cells at the wound leading edge are indicated by arrows. <bold>F)</bold> At 120 min, the last unfused cell was ejected from leading edge (arrow). The wound closed at 140 min. <bold>G)</bold> The loss of unfused cells was analyzed over time in the three wounds from panel D. All unfused cells are excluded from leading edge by syncytia well before each wound closed 20-160 min later. Images are single Z slices in A<sup>i</sup>-A<sup>ii</sup> and maximum intensity projections in A<sup>iii</sup>-F. Scale bar for B,C shown in C<sup>iv</sup> and for E,F shown in F. Scale bars in A,E,F = 20 µm, B,C = 10 µm.</p>
</caption>
<graphic xlink:href="546442v3_fig5.tif" mimetype="image/tiff"/>
</fig>
</sec>
<sec id="s2e">
<title>Radial border fusion reduces intercalation, the rate-limiting step of wound closure</title>
    <p>Why do syncytia move faster? To address this question, we considered the geometry of fusion because different fusion orientations could provide different benefits for wound repair. We observed that fusions sometimes occur between two adjacent cells equidistant from the wound, as diagramed in the top panel of <xref rid="fig6" ref-type="fig">Figure 6A</xref> and exemplified in <xref rid="fig1" ref-type="fig">Figure 1I<sup>iii</sup>-I<sup>iv</sup></xref> (cells 1,2). This breakdown of a radial border produces a syncytium elongated along the wound edge.</p>
<fig id="fig6" position="float" orientation="portrait" fig-type="figure">
<label>Figure 6:</label>
<caption><title>Cells fuse along different axes at different frequencies, reducing the number of wound-proximal cell intercalations.</title>
<p><bold>A)</bold> Illustration of tangential vs radial border breakdown. <bold>B)</bold> More tangential than radial borders break down after wounding. Data are from four wounds, with a total of 235 border breakdowns: 39 radial and 196 tangential. Individual counts are shown per wound with mean and SEM. <bold>C)</bold> Fusions across radial borders reduce intercalation at a wound. <bold>D)</bold> Quantification of intercalations and fusions around the three wounds of <xref rid="fig5" ref-type="fig">Figure 5D,G</xref>.</p></caption>
<graphic xlink:href="546442v3_fig6.tif" mimetype="image/tiff"/>
</fig>
    <p>Alternatively, fusion may occur between adjacent cells at different distances from the wound, as diagramed in the lower panel of <xref rid="fig6" ref-type="fig">Figure 6A</xref> and exemplified in <xref rid="fig1" ref-type="fig">Figure 1F</xref> (cells 3,4). This breakdown of a tangential border produces a spoke-like syncytium pointing into the wound. To analyze the frequency and timing of these two different axes of fusion, we calculated the orientations of all lost borders in four wounds. (The angle of the lost border can be determined for border breakdowns; it is difficult to determine for apical shrinking because the other fusion partner is hard to identify). In four analyzed wounds, we identified 235 border breakdowns: 39 radial borders and 196 tangential borders (<xref rid="fig6" ref-type="fig">Figure 6B</xref>). Thus, there were about five-fold more tangential borders lost to fusion than radial. Nonetheless, the two types had similar temporal and spatial distributions around the wounds (<xref rid="fig6s1" ref-type="fig">Figure 6—figure supplement 1</xref>).</p>
<p>As a wound closes, fewer cells can occupy the ever-smaller leading edge, necessitating a rearrangement of cell adhesions to allow cell intercalation, as depicted in the top of <xref rid="fig6" ref-type="fig">Figure 6C</xref>. Indeed, when cells do not fuse after wounding, as in <italic>Drosophila</italic> wing discs, the impact of intercalations on tissue fluidity is known to be a rate-limiting step of wound repair (<xref ref-type="bibr" rid="c77">Tetley et al., 2019</xref>). As shown in the bottom of <xref rid="fig6" ref-type="fig">Figure 6C</xref>, the requirement for cell intercalation would be reduced specifically by radial border fusion.</p>
<p>To consider the contribution of radial border fusions to wound closure, we took three approaches. First, we analyzed existing data from the three wounds shown in <xref rid="fig5" ref-type="fig">Figure 5D-G</xref>, and asked how many leading-edge cells fused radially vs. intercalated: 17-41% of cells removed from the leading edge were removed through fusion, reducing the burden of intercalation substantially (<xref rid="fig6" ref-type="fig">Figure 6D</xref>). Interestingly, the larger the percentage of cells that fused rather than intercalated, the faster the wound closed (<xref rid="fig6" ref-type="fig">Figure 6D</xref>).</p>
<p>Second, we analyzed tissue fluidity as measured by the cell shape index, ! = #⁄√%, where <italic>P</italic> is cell perimeter and <italic>A</italic> is cell area. This dimensionless index characterizes the cell jamming transition in vertex models of epithelia: for π &lt; 3.81, a modeled isotropic epithelium is in a jammed state with energy barriers that limit intercalations, giving rise to a solid-like tissue; but for π &gt; 3.81, the energy barriers vanish, yielding an unjammed fluid-like tissue (<xref ref-type="bibr" rid="c8">Bi et al., 2016</xref>; <xref ref-type="bibr" rid="c56">Park et al., 2015</xref>). In real epithelia, the solid-fluid transition may take place at different values of π (<xref ref-type="bibr" rid="c79">Wang et al., 2020</xref>), but higher π still implies greater tissue fluidity. We segmented images of the pupal notum before and after wounding and calculated the distributions of cell shape index for both syncytia and non-syncytial cells (<xref rid="fig7" ref-type="fig">Figure 7A-B</xref>). The mean cell shape index increased significantly after wounding with syncytia having a higher shape index than nearby post-wound non-syncytial cells (<italic>p</italic> = 0.001) and both having higher shape indices than pre-wound cells (<italic>p</italic> &lt; 10<sup>-6</sup>). The post-wound epithelium is thus substantially more fluid-like than it was before wounding</p>
<fig id="fig7" position="float" orientation="portrait" fig-type="figure">
<label>Figure 7:</label>
<caption>
<title>Computational modeling indicates that fusion speeds the rate of wound closure because of reduced cell intercalation.</title>
    <p><bold>(A-B)</bold> Experimental observations of cell shape index (perimeter divided by square root of area). By two hours after wounding, the cell shape index has increased for both syncytia and non-syncytial cells within two rows of the wound margin. These increases indicate an increase in tissue fluidity. (A) Cells and syncytia were segmented, and cell shape index calculated, as shown for this image at 115 min after wounding; cell shape index indicated by color-coding. (B) Pre-and post-wound cell-shape distributions were compiled from 6 pupae. The red dashed line represents the critical cell shape parameter, 3.81, for the solid-to-fluid transition in vertex models of epithelia. Grey boxes span the interquartile range with a line at the median; whiskers extend out 1.5x the median-to-closest-quartile range; and outliers beyond the whiskers are plotted as individual points. Distributions include 1304 pre-wound mononucleate cells, 168 post-wound mononucleate cells, and 52 post-wound syncytia; **** denotes p &lt; 10<sup>-6</sup> level; *** denotes p &lt; 0.001. <bold>(C-E)</bold> Vertex model simulations of wound closure with cell fusion allowed or suppressed. When the spatial and temporal probabilities for cell fusion match experimental observations, the model yielded 55 ± 22 fusions per wound (mean ± standard deviation), with 15 ± 6 of these occurring at radially aligned edges. As shown in C, fusions in the model speed wound closure: four simulations per condition; shaded regions denote standard deviation; time normalized to the average time to closure when fusion is suppressed. Panels D-E show a series of still frames from a matched pair of simulations in which fusion is allowed or suppressed. Corresponding videos are available as <xref ref-type="supplementary-material" rid="supp5">Video 5</xref>.</p>
</caption>
<graphic xlink:href="546442v3_fig7.tif" mimetype="image/tiff"/>
</fig>
    <p>Third, we adapted the computational vertex model from <xref ref-type="bibr" rid="c77">Tetley et al. (2019)</xref> to include probabilistic cell-cell fusions to directly investigate the role of cell fusion in tissue fluidity and wound closure. We generated four initial cell configurations with similarly sized wounds and used these to run four matched pairs of simulations – one that proceeded to close without any cell fusions and the other that allowed fusions to occur with spatiotemporal probabilities that matched our experimental observations (<xref rid="fig6" ref-type="fig">Figure 6B</xref>, <xref rid="fig6s1" ref-type="fig">Figure 6—figure supplement 1A</xref>). On average, the probabilistic fusion-allowed simulations had 68 ± 14 (mean ± SD) fusions and closed the wound in about 1/3 less time than those without fusions (<xref rid="fig7" ref-type="fig">Figure 7C</xref>). Selected frames from one of the matched simulation pairs are shown in <xref rid="fig7" ref-type="fig">Figure 7D-E</xref> and full videos of this pair are available as <xref ref-type="supplementary-material" rid="supp5">Video 5</xref>. Importantly, the modeled syncytia had no special properties: same contractility as other cells, same target shape index, and same target area as the sum of the fused pair. Just the presence of these larger cells reduced the need for intercalations during wound closure and thus sped up the process.</p>
</sec>
<sec id="s2f">
<title>Tangential border fusions allow resources from distant cells to be mobilized to the wound edge</title>
    <p>In contrast to radial border fusions, tangential border fusions might provide a way for cellular resources that would be trapped in distal cells to move toward the wound to contribute to closure. To test this hypothesis, we generated small flip-out clones expressing actin-GFP and wounded such that unlabeled cells intervened between the labeled cell and the leading edge (<xref rid="fig8" ref-type="fig">Figure 8</xref>). Like cytoplasmic GFP in <xref rid="fig1" ref-type="fig">Figures 1I</xref> and <xref rid="fig2" ref-type="fig">2C</xref>, we observed actin-GFP to equilibrate between cells soon after fusing. For syncytia that did not have access to the leading edge (n =2), actin-GFP levels remained uniform (<xref rid="fig8" ref-type="fig">Figure 8A,B</xref>). In contrast, syncytia with access to the leading edge (n = 10) first uniformly distributed actin (<xref rid="fig8" ref-type="fig">Figure 8C<sup>ii</sup></xref>), but once the leading edge was contacted, they redistributed actin-GFP to it (<xref rid="fig8" ref-type="fig">Figure 8C,D</xref>). Kymographs of actin-GFP confirm that regardless of location, actin equilibrates between fusing cells within 5 minutes (<xref rid="fig8" ref-type="fig">Figure 8B<sup>iii</sup></xref>, D<sup>iv</sup>); however, nearly all actin that originated in the distal cell is redistributed to the leading edge in a syncytium positioned there (<xref rid="fig8" ref-type="fig">Figure 8D<sup>iv</sup></xref>). In one striking instance, actin-GFP appeared to travel through three cells to arrive at the leading edge from its initial location three rows back (<xref rid="fig8" ref-type="fig">Figure 8E-G</xref>, <xref ref-type="supplementary-material" rid="supp6">Video 6</xref>). Importantly, although actin is labeled from only one of the fusing cells, it likely represents the location of actin from all fusing cells, explaining why syncytia are better able to occupy the leading edge. We envision that other resources would also be concentrated in subcellular regions as needed by syncytia. This ability of syncytia to concentrate pooled actin to the leading edge may allow syncytia to outcompete their smaller mononuclear neighbors and close wounds more rapidly.</p>
<fig id="fig8" position="float" orientation="portrait" fig-type="figure">
<label>Figure 8:</label>
<caption><title>Syncytia concentrate pooled resources at the leading edge.</title>
    <p>Random scattered cells expressing Actin-GFP were generated by heat-shock mediated flip-out expression of Gal4. <bold>A-B)</bold> Labeled actin is expressed in cell 1 before wounding (A<sup>i</sup>,B<sup>i</sup>). These cells are not close to the wound (inset in A<sup>ii</sup>). By 28 min after wounding, actin-GFP equilibrated between cells 1 and 2 (A<sup>ii</sup>,B<sup>ii</sup>), demonstrating cytoplasmic fusion. The resulting syncytium had no access to the leading edge, and actin remained equilibrated, as shown in the kymograph (B<sup>iii</sup>) generated from actin-GFP intensity over time at the yellow line in B<sup>ii</sup>. Fusion was confirmed at 180 min after wounding by apical shrinking of cell 2 (not shown). <bold>C-D)</bold> Labeled actin is expressed in cell 1 before wounding (C<sup>i</sup>,D<sup>i</sup>) and equilibrates between cells 1 and 2 by 6 minutes after wounding, demonstrating cytoplasmic fusion (C<sup>ii</sup>,D<sup>ii</sup>). The resulting syncytium contacts the leading edge, and by 28 min after wounding actin from cell 1 is redistributed to the wound margin (C<sup>iii</sup>,D<sup>iii</sup>), as shown in the kymograph (D<sup>iv</sup>) of actin intensity over time at the yellow line in D<sup>iii</sup>. Fusion was confirmed at 55 min after wounding, by apical shrinking of cell 1 (not shown). <bold>E-F)</bold> Before wounding, actin-GFP in cell 1 is three cells away from the future leading edge. After wounding, fusion of cells 1-4 allows actin-GFP to be subcellularly localized to the leading-edge actin cable. Border breakdown is visible between cells 1-2 at 30 min after wounding (E<sup>v</sup>) and apical shrinking occurs later (see <xref ref-type="supplementary-material" rid="supp6">Video 6</xref>). <bold>G)</bold> Mean profile plot of actin-GFP comparing the syncytia in F<sup>v</sup> at 30 min after wounding (dark line) with the cells in F<sup>i</sup> before wounding (dotted line) demonstrating that nearly all actin-GFP has been relocalized to the leading edge from its starting position 20-30 µm away. Single Z slices for E<sup>i</sup> <sup>-</sup> <sup>ii</sup>, F<sup>i</sup> <sup>-</sup> <sup>ii</sup>; maximum intensity projections for A-D, E<sup>iii</sup> <sup>-</sup> <sup>v</sup>, F<sup>iii</sup> <sup>-</sup> <sup>v</sup>. Scale bar for panels in A-B shown in B<sup>ii</sup>, 10 µm. Scale bar for panels in C-D shown in D<sup>iii</sup>, 5 µm. Scale bar for panels E-F shown in F<sup>v</sup>, 10 µm.</p></caption>
<graphic xlink:href="546442v3_fig8.tif" mimetype="image/tiff"/>
</fig>
</sec>
</sec>
<sec id="s3">
<title>Discussion</title>
<p>Previous work established that polyploid cells – both cells with multiple nuclei and cells with enlarged nuclei – are important for closing epithelial wounds in post-mitotic tissues (<xref ref-type="bibr" rid="c33">Losick et al., 2013</xref>). Here we have used live-imaging to analyze the response to wounds of a diploid mitotic tissue, the epithelial monolayer of the pupal notum. We found that syncytia form around wounds by cell fusion at a remarkably high rate, with almost half the epithelial cells within 5 cells of the wound fusing with neighbors over the course of hours. Syncytial size increases with wound size, indicating syncytia formation is a dynamic and scalable response to wounding.</p>
<p>Several lines of evidence demonstrate that syncytia are faster at closing wounds than unfused cells. Knockdown of the autophagy gene <italic>Atg1</italic> reduces fusion around pupal wounds as was previously reported for larval wounds; <italic>Atg1</italic> knockdown also reduces the rate of wound closure. In both <italic>Atg1</italic> knockdowns and in controls, there was a consistent observation that the bigger the syncytium, the faster it moved. Within control wounds, syncytia completely displace unfused cells of the same genotype at the leading edge of the wound, such that wounds are closed entirely by syncytia, even though there is a smaller number of syncytia than unfused cells. Finally, computational modeling of wound closure with and without cell fusion shows that wounds with fusion-based syncytia close faster because of the reduced need for cell intercalations.</p>
<p>Thus, wound-induced polyploidy is a generalized strategy for wound closure, used by both mitotic and non-mitotic tissues. Although one might have wondered if polyploidy was a wound response limited to tissues that cannot use mitosis to increase nuclear content, both endoreplication and cell fusion into syncytia occur after wounding in this mitotically active diploid tissue (<xref ref-type="bibr" rid="c80">Wang et al., 2015</xref>; <xref ref-type="bibr" rid="c84">White et al., 2024</xref>; this study). The requirement for <italic>Atg1</italic> for fusion in both polyploid larval tissue and in diploid pupal tissue suggests that the fusion mechanisms are common, despite the altered cell cycle of the starting cells. Further, our finding that larger syncytia travel faster suggests that syncytia – and by extension perhaps cell enlargement via endoreplication –occur as adaptations to close wounds faster.</p>
<p>We identified two unique properties of syncytia that may improve their wound-closing ability. First, syncytia are larger than neighboring diploid cells and their presence enhances tissue fluidity. Previous studies have determined that the rate-limiting step in epithelial wound healing is the process of cell intercalation or rearrangement (<xref ref-type="bibr" rid="c77">Tetley et al., 2019</xref>). As the wound closes and the leading edge encircling the wound gets smaller, fewer cells can occupy the leading edge. The cells leaving the leading edge must remodel their cellular junctions, requiring time and energy. Overall, tissue solidity slows closure, so enhancing fluidity promotes faster closure. By fusing into larger syncytia, cells reduce the need for adhesion remodeling and intercalation and instead just change shape as the leading edge becomes smaller. Moreover, the resulting larger cells can have significantly more fluidity and less epithelial tension than their diploid progenitors, as recently demonstrated in syncytia formed by age-induced epidermal cell fusion (<xref ref-type="bibr" rid="c14">Dehn et al., 2023</xref>). As our computational modeling demonstrates, fusion can speed wound closure by ∼33% even when the resulting syncytia have no special properties besides being larger than neighboring diploid cells. Making the syncytia individually more fluid would be expected to speed closure even more.</p>
<p>The second unique property of syncytia is their ability to pool and concentrate the cellular resources of the many constituent cells into a subcellular location within the large syncytium. We explored this concept by monitoring the localization of actin within syncytia. Actin is important for wound healing, as epithelial wounds close through the action of two actin-dependent processes: the cinching of a multicellular actin cable at the leading edge that surrounds the wound, sometimes called a purse string (<xref ref-type="bibr" rid="c1">Abreu-Blanco et al., 2012</xref>; <xref ref-type="bibr" rid="c6">Bement et al., 1993</xref>; <xref ref-type="bibr" rid="c37">Martin and Lewis, 1992</xref>; <xref ref-type="bibr" rid="c75">Tamada et al., 2007</xref>), and the protrusion of actin-rich projections into the wound (<xref ref-type="bibr" rid="c1">Abreu-Blanco et al., 2012</xref>; <xref ref-type="bibr" rid="c15">Farooqui and Fenteany, 2005</xref>). Pupal wounds have been shown to use both processes, with the actin cable developing early and actin protrusions appearing later in wound closure (<xref ref-type="bibr" rid="c4">Antunes et al., 2013</xref>). By labeling actin in individual cells (clones), we were able to follow it redistribution in syncytia after fusion. As expected, at first labeled actin diffuses and equilibrates throughout the new large cell. Remarkably however, when the syncytium is in contact with the leading edge, labeled actin is concentrated at the leading edge, even if the actin originated several cells away from the leading edge. Without fusion, the labeled actin would have been trapped in a distal cell without access to the leading edge, but after fusion, the syncytium can concentrate the actin of its many component cells at the wound front. If N represents the number of cells that fused, our results suggests that syncytia can apply up to N times more actin to the leading edge; considering that we observed syncytia with dozens of nuclei, this could represent a significant enhancement of actin at the leading edge. Increased actin might explain the ability of syncytia to outcompete diploid cells at the leading edge.</p>
<p>Presumably, other resources such as mitochondria and ribosomes could also be pooled and concentrated by syncytia at cellular locations where they promote wound healing. It is known that mitochondrial fragmentation is localized to the site of cellular injury (<xref ref-type="bibr" rid="c22">Horn et al., 2020</xref>), and that ribosomes are localized at the tips of severed neurons (<xref ref-type="bibr" rid="c48">Noma et al., 2017</xref>), and syncytia would have access to a larger pool of mitochondria and ribosomes than their component cells. By pooling the cellular resources of component cells, syncytia may also allow lethally damaged cells to survive by providing them with needed survival factors originating in cells further from the wound. Thus, the concept of resource sharing that we demonstrate with actin may have ramifications for many resources. Interestingly, it has been demonstrated that wound-induced endoreplicating cells also increase protein levels of some wound-repair resources, such non-muscle myosin, presumably possible because of the many copies present in the polyploid genome (<xref ref-type="bibr" rid="c32">Losick and Duhaime, 2021</xref>).</p>
<p>Two visibly distinct cellular behaviors attended fusion in the apical plane of the adherens junctions: border breakdowns and apical shrinking. Both processes were confirmed as fusion by expressing GFP in clones and analyzing GFP sharing at fusion. Border breakdowns occurred sooner after wounding than apical shrinking and appeared to be a faster process, as apical shrinking started later and took hours to complete. It is unclear whether these differences in appearance and timing indicate different mechanisms, as both require the autophagy gene Atg1. For border-breakdown, it is simple to envision that fusion initiates near the apical adherens junctions, which are under more tension than the basolateral membranes, and this may explain why fusion proceeds more quickly there. We recently found that although epithelial tension drops after laser wounding, it is restored within about 10 min (<xref ref-type="bibr" rid="c20">Han et al., 2023</xref>), consistent with the timing of apical border breakdown. Also consistent with this model, in the <italic>C. elegans</italic> hypodermis, developmental cell fusion has been observed to initiate at the apical side and travel in the apical-to-basal direction (<xref ref-type="bibr" rid="c44">Mohler et al., 1998</xref>). It is also possible that fusion initiates at a more basal site, and that fusion proceeds apically, with adherens junction disassembly occurring later. Regardless of the site of fusion initiation, fusion seems to be a relatively equal process when border breakdown is observed, with the resulting syncytium occupying the same footprint that the two fusion partners did, at least initially. For apical shrinking, however, one cell appears to transfer its cytoplasmic contents and nucleus into another recipient cell, with both cytoplasm and nucleus moving laterally to the location of the fusion recipient, while the apical surface of the donor cell shrinks. It is possible that apical shrinking may indicate a different location for the initial fusion pore below the plane of the adherens junctions; it is also possible that this may reflect a difference in the starting pressure of the two fusion partners, so that one subsumes the other.</p>
<p>It is unclear what triggers either border breakdown or apical shrinking fusion. Many developmentally programmed cell fusions are mediated by fusogens, cell surface proteins that bring opposing membranes into close contact with each other, as in the <italic>C. elegans</italic> hypodermis (<xref ref-type="bibr" rid="c11">Chernomordik and Kozlov, 2008</xref>; <xref ref-type="bibr" rid="c24">Iosilevskii and Podbilewicz, 2021</xref>; <xref ref-type="bibr" rid="c36">Markvoort and Marrink, 2011</xref>; <xref ref-type="bibr" rid="c43">Mohler et al., 2002</xref>; <xref ref-type="bibr" rid="c60">Podbilewicz et al., 2006</xref>; <xref ref-type="bibr" rid="c66">Sapir et al., 2007</xref>; <xref ref-type="bibr" rid="c70">Shemer et al., 2004</xref>). For other cell fusions, the fusogen is elusive and may not exist, as none has been identified yet in <italic>Drosophila</italic> myoblast fusions, which occur when a fusion competent myoblast generates actin-rich podosome-like membrane protrusions that invade a founder cell (<xref ref-type="bibr" rid="c27">Kim et al., 2015b</xref>; <xref ref-type="bibr" rid="c28">Lee and Chen, 2019</xref>; <xref ref-type="bibr" rid="c58">Petrany and Millay, 2019</xref>; <xref ref-type="bibr" rid="c65">Rushton et al., 1995</xref>; <xref ref-type="bibr" rid="c68">Sens et al., 2010</xref>). Wound-induced fusion may be a response to the plasma membrane damage that occurs around wounds; indeed, plasma membrane damage has been documented around both laser wounds and puncture wounds (<xref ref-type="bibr" rid="c39">McNeil and Steinhardt, 2003</xref>; <xref ref-type="bibr" rid="c69">Shannon et al., 2017</xref>). Interestingly, in the large syncytial cells of the <italic>C. elegans</italic> hypodermis, plasma membrane repair after a puncture wound requires the fusogen EFF-1 (<xref ref-type="bibr" rid="c42">Meng et al., 2020</xref>).</p>
<p>Polyploidy as a wound response has begun to get increased recognition. In adult <italic>Drosophila</italic>, epithelial puncture wounds are repaired by both endoreplication and syncytia formation (<xref ref-type="bibr" rid="c5">Bailey et al., 2020</xref>; <xref ref-type="bibr" rid="c7">Besen-McNally et al., 2021</xref>; <xref ref-type="bibr" rid="c18">Grendler et al., 2019</xref>; <xref ref-type="bibr" rid="c31">Losick, 2016</xref>; <xref ref-type="bibr" rid="c33">Losick et al., 2013</xref>; <xref ref-type="bibr" rid="c34">Losick et al., 2016</xref>). In the zebrafish epicardium, genetic ablation is repaired by a wavefront of multinucleated polyploid cells formed by endomitosis, and these lead diploid cells to encompass the heart (<xref ref-type="bibr" rid="c9">Cao et al., 2017</xref>). In adult mammalian cardiomyocytes, polyploidy may be an adaptive response to maintain growth after the cardiomyocytes lose their ability to complete mitosis. Mouse cornea endothelial cells endoreplicate to increase polyploidy to restore tissue ploidy following genetic ablation (<xref ref-type="bibr" rid="c34">Losick et al., 2016</xref>). Mammalian hepatocytes are known to become increasingly polyploid with age (<xref ref-type="bibr" rid="c10">Carriere, 1969</xref>; <xref ref-type="bibr" rid="c83">Wheatley, 2008</xref>) and in response to various types of injury and disease (<xref ref-type="bibr" rid="c17">Gentric et al., 2015</xref>; <xref ref-type="bibr" rid="c35">Madra et al., 1995</xref>; <xref ref-type="bibr" rid="c46">Muramatsu et al., 2000</xref>; <xref ref-type="bibr" rid="c71">Sigal et al., 1999</xref>; <xref ref-type="bibr" rid="c78">Toyoda et al., 2005</xref>; <xref ref-type="bibr" rid="c85">Wilkinson et al., 2019</xref>). All mechanisms that promote polyploidy – fusion, endomitosis, endoreplication – result in larger cells with the potential to localize more resources; of these, fusion would act the fastest after wounding because there is no need for DNA replication. Interestingly, in <italic>Drosophila</italic> embryos, wounds induce the surrounding cells to become larger by increasing their volume alone and not their ploidy (<xref ref-type="bibr" rid="c67">Scepanovic et al., 2021</xref>), suggesting that simply an increase in size is important. Although many examples of wound-induced polyploidy exist, it is still likely to be an underreported phenomenon, as endpoint analysis might miss a transient polyploid response to injury; live imaging is the surest way to identify a polyploid wounding response.</p>
<p>Another polyploid response to injury can occur after surgical implantation of biomaterials for the purpose of guiding regeneration, as reviewed previously (<xref ref-type="bibr" rid="c2">Al-Maawi et al., 2017</xref>). In some cases, only mononuclear cells of the immune system respond to the implant, and in these cases the biomaterial is integrated into the body; in other cases, the implant triggers the fusion of immune cells into multinucleated giant cells, and in these cases the material is degraded and rejected. These multinucleated giant cells seem to share properties with the syncytia of the pupal notum, as they are formed by fusion in response to an environmental trigger and they have an aggressive ability to protect the animal in response to wounding. As these studies highlight, understanding the formation, maintenance, and regulation of polyploid cells may improve our ability to successfully implant biomaterials to aid tissue regeneration.</p>
    <p>It is often noted that wound responses are similar to cancer cell behaviors. This similarity extends to wound-induced syncytia and their counterparts, polyploid giant cancer cells, as both cell types are highly aggressive and invasive. Chemotherapeutics induce the formation of polyploid giant cancer cells (<xref ref-type="bibr" rid="c23">Illidge et al., 2000</xref>; <xref ref-type="bibr" rid="c45">Mosieniak et al., 2015</xref>; <xref ref-type="bibr" rid="c54">Ogden et al., 2015</xref>; <xref ref-type="bibr" rid="c81">Wang et al., 2013</xref>), and some studies indicate that they can form through cell-cell fusion in tumors (<xref ref-type="bibr" rid="c41">Melzer et al., 2018</xref>; <xref ref-type="bibr" rid="c49">Noubissi et al., 2015</xref>; <xref ref-type="bibr" rid="c62">Powell et al., 2011</xref>; <xref ref-type="bibr" rid="c73">Song et al., 2021</xref>; <xref ref-type="bibr" rid="c86">Zhang et al., 2021</xref>). Once formed polyploid giant cancer cells are hypothesized to escape further chemotherapy treatments due to increased resistance to genotoxic stress (<xref ref-type="bibr" rid="c82">Weihua et al., 2011</xref>).</p>
<p>These polyploid giant cancer cells and their progeny also exhibit increased migration and invasion potential (<xref ref-type="bibr" rid="c63">Qu et al., 2013</xref>; <xref ref-type="bibr" rid="c87">Zhao et al., 2021</xref>). The parallels between the behaviors of polyploid giant cancer cells and the wound-induced syncytia of the pupal notum highlight the importance of understanding wound induced syncytia formation in a highly reproducible system, as a basic understanding of how these cells form in the <italic>Drosophila</italic> notum could inform how they become dysregulated in cancer.</p>
</sec>

<sec id="s7">
<title>Experimental model and subject details</title>
    <table-wrap id="utbl1" orientation="portrait" position="float">
        <label>Key resources table</label>
        <graphic xlink:href="546442v3_utbl1.tif" mimetype="image/tiff"/>
        <graphic xlink:href="546442v3_utbl1a.tif" mimetype="image/tiff"/>
    </table-wrap>
<sec id="s7a">
<title>Drosophila melanogaster</title>
<p><italic>Drosophila</italic> lines used in this study are in Table S1. All <italic>Drosophila</italic> lines were maintained on standard cornmeal-molasses media supplemented with dry yeast. All flies, except those used in heat-shock flip clonal analysis, were raised at room temperature. For clonal analysis experiments flies were raised at 18 degrees Celsius until the 3<sup>rd</sup> instar stage when they were heat shocked in a circulating water bath at 37°C for 3 minutes. They were then allowed to develop at room temperature to 15-18hr after puparium formation (APF) before wounding experiments (described below) were conducted. To knock down <italic>Atg1</italic>, <italic>Atg1<sup>RNAi</sup></italic> was crossed to the stock for internally controlled wounding analysis, expressing <italic>Ecad-GFP</italic> and <italic>TubP-Gal80<sup>ts</sup></italic> ubiquitously and <italic>pnr-Gal4, UAS-nls-mCherry</italic> in the central region of the notum, similar to our previous system (<xref ref-type="bibr" rid="c53">O’Connor et al., 2021b</xref>). Crosses were moved to 29° for 6 days to allow expression of the RNAi construct and dissected between 12-15 hr APF.</p>
</sec>
<sec id="s7b">
<title>Method details</title>
<sec id="s7b1">
<title>Pupal mounting</title>
<p>At room temperature, white prepupae were identified and marked within plastic food vials. 15-18 APF pupae were removed from the vial onto a piece of double-sided tape (Scotch brand, catalogue #665) applied to a microscope slide. Using fine forceps, the anterior pupal case was removed exposing the head and notum of all pupae applied to the tape, as previously described (<xref ref-type="bibr" rid="c52">O’Connor et al., 2022</xref>; <xref ref-type="bibr" rid="c69">Shannon et al., 2017</xref>). The tape was carefully removed from the microscope slide and inverted onto a pre-prepared cover glass (Corning 2980-246, 24 mm x 64 mm) (<xref ref-type="bibr" rid="c52">O’Connor et al., 2022</xref>). The pupae were carefully pressed down onto the cover glass by adhering the section of tape above the pupal head. Once the notum was visibly pressed onto the cover glass an oxygen permeable membrane (YSI, standard membrane kit, cat#1329882) was applied to prevent the pupae from drying out during imaging.</p>
</sec>
</sec>
<sec id="s7c">
<title>Pupal survival</title>
<p>Following imaging, pupae were kept mounted as described above and allowed to continue to develop and eclose for 3-4 days. Pupae that continued developing until they were able to crawl out of the partially dissected case were classified as ‘survived’ and their data acquired form these samples were used for analysis. If a pupae did not survive to eclosion, the associated datasets were not used in the study.</p>
</sec>
<sec id="s7d">
<title>Live imaging</title>
<p>Images were collected using a Nikon Ti2 Eclipse with X-light V2 spinning disc (Nikon, Tokyo, Japan) with a 40X 1.3 NA oil-immersion objective or 60X 1.4 NA oil-immersion objective.</p>
<p>Unless otherwise noted samples were imaged pre-wounding, immediately after wounding, every 2 min for 30 min, and then every 10 min for 6 h. Images were pre-processed in NIS-Elements using combinations of background subtraction, rolling ball correction, local contrast, and Denoise a.i. Assembly of figure panels was done using Affinity Designer and frames were centered on the entity in focus, compensating for frame shift due to wounding.</p>
</sec>
<sec id="s7e">
<title>Laser ablation</title>
<p>A single pulse of a 3rd harmonic (355 nm) Q-switched Nd:YAG laser (5 ns pulse-width, Continuum Minilite II, Santa Clara, CA) was used for laser ablation. Laser pulse energies were kept to 1.9 μJ +/- 0.1 μJ, increased from our previous report (<xref ref-type="bibr" rid="c53">O’Connor et al., 2021b</xref>) to keep the wound size similar between old and new ablation rig.</p>
</sec>
<sec id="s7f">
<title>Border breakdown and tangential vs radial assignment analysis</title>
<p>Individual border breakdown events were manually observed using FIJI by identifying syncytia late in the video and back-tracking to determine which borders broke down to form each syncytium. These borders were traced back to the first frame after wounding to develop the map on <xref rid="fig1" ref-type="fig">Fig 1G</xref>. For each border breakdown event, distance from the center of the wound and time after wounding were recorded in Microsoft Excel. These events were categorized as tangential or radial based on the orientation of the border-to-be-lost relative to a vector pointing outward from the center of the wound. Specifically, the line tool in FIJI was used to measure both the angle of the border with respect to the horizon, 8, and the angle of the line from the center of the wound to the center of the border with respect to the horizon, α. If |cos(, − .)| ≥ cos 45°, then the border was classified as radial; otherwise, the border was classified as tangential.</p>
</sec>
<sec id="s7g">
<title>Shrinking cell initiation / duration analysis</title>
<p>Shrinking cells were identified in live microscopy videos by beginning at the end of the video and playing backwards in FIJI. Backwards, a shrinking cell appears to bloom from the epithelial layer, characterized by the expansion of a bright puncta of p120ctnRFP. Each cell that underwent this behavior was marked on a single frame of the video, then the distance from the center of the wound when shrinking started was denoted as well as the time that the shrinking started and completed. All cells that shrank were then manually traced back to the first frame after wounding to develop the map of shrinking cells (<xref rid="fig2" ref-type="fig">Fig 2E</xref>).</p>
</sec>
<sec id="s7h">
<title>Approximating nuclei per syncytia</title>
<p>Nuclei and cell borders do not align in Z-projections of the pupal notum as the cells are non-prismatic. To estimate the number of nuclei per syncytium, the pre-wounding density of nuclei per unit area was determined for the circular region where syncytia form after wounding. Next, the apical area of the three largest syncytia/cells around a wound was measured at 0h, 1 h and 2 h post wounding. The area of each syncytia was multiplied by the nuclear density to yield the approximate number of nuclei per syncytia. The number of nuclei in each of the three syncytia was averaged to give a value for each of three samples in <xref rid="fig1" ref-type="fig">Figure 1B</xref>.</p>
</sec>
<sec id="s7i">
<title>Measuring apical area of syncytia across varied wound sizes</title>
<p>The three largest syncytia were determined by eye in FIJI for six samples, three ablated at 1.9 µJ and three ablated at 3 µJ ablation. The apical area of syncytia was measured 3 h post wounding using the p120ctnRFP signal. Initial wound size was calculated by measuring Myosin II marked leading edge when it became apparent 30-160 min post wounding.</p>
</sec>
<sec id="s7j">
<title>Unfused cells at leading edge: count and percent analysis</title>
<p>Unfused cells at the leading edge were identified using FIJI by a lack of border breakdowns. Each unfused cell was manually observed over the duration of wound closure and the time at which it departed from the leading edge was noted. A count of unfused cells at the leading edge was created in Excel and formal graphs were generated using Prism 9. To measure percent of the leading edge comprised of unfused vs. syncytial cells, each unfused cell’s leading edge contact was measured in FIJI using the polygon line tool. The total circumference of the wound was measured using the polygon line tool and unfused cell measurements were subtracted from the total to infer the syncytial occupancy at the leading edge. Formal histograms were generated using Prism 9.</p>
</sec>
<sec id="s7k">
<title>Analyzing GFP labeled cells</title>
<p>107 individually labeled GFP cells were analyzed across 5 wounds over 6.5 h. The position of the ablation was optimized to place as many individually labeled cells within 40-80 µm from the center of the wound as possible. After wounding it was possible to identify a mixing event by the decrease in intensity from the source cell with a corresponding increase in intensity of a previously unlabeled neighbor. Intensity differences made it possible to distinguish instances where two source cells were adjacent to each other but only one had a mixing event. However, large patches of source cells were not evaluated because inter-patch mixing was not distinguishable. To evaluate if border breakdowns were preceded by mixing, the 11 individually labeled cells that had border breakdowns were tracked back to the start of the video and confirmed to have a mixing event. There was never an instance where a labeled source cell had a border breakdown without a prior mixing event occurring.</p>
</sec>
<sec id="s7l">
<title>Wound closure analysis</title>
<p>A pigmented scar forms at the site of laser ablation making identifying the exact moment a wound is closed difficult. Since the scar is approximately the same size in each sample, the time point at which the Myosin II signal disappeared below the scar was used as a proxy for closure.</p>
</sec>
<sec id="s7m">
<title>Fusion analysis</title>
<p>A cell border was counted as a location of wound-induced fusion if it met three criteria: (1) adherens junctions along the cell border were lost; (2) the lost adherens junctions were not restored; and (3) the loss of adherens junctions was accompanied by a morphological change of the neighboring cells, for example, the moving apart of tri-cellular junctions previously connected by the lost cell border. Since border-breakdown fusions are observed most frequently within 1 hr after wounding, we counted all such fusions occurring within 1 hr 40 min of wounding.</p>
<p>When comparing the fusion frequency in <italic>pnr</italic> versus control domains, we used a landscape-oriented rectangle centered on the wound with its height defined by the inner radius of the zone of nuclear membrane damage visualized by the release of nls-mCherry from the nucleus, which is approximately the same as the zone of lysis (<xref ref-type="bibr" rid="c51">O’Connor et al., 2021a</xref>).</p>
<p>Replacing the annular region with an extended rectangle excludes possible heterotypic fusions along the <italic>pnr</italic>-control border just above and below the wound. To calculate the frequency of fusion, in addition to the raw number of fusion borders, the total number of cell borders was also estimated by area-based scaling of the border count within a randomly selected 60-x-60-pixel (16.8-x-16.8-µm) region in the pre-wound image.</p>
<p>Since fusions can also appear as apical shrinking rather than border breakdown, we also quantified the number of apical-shrinking cell fusions in <italic>pnr</italic> versus control domains. Apical-shrinking cell fusions were defined as diploid cells that decreased in surface area over time and fully disappeared within a 5-hr movie. As with fusion analysis, cells near the <italic>pnr</italic>-control border were excluded. Apical shrinking cells were counted manually and their spatial locations marked using FIJI’s “Multi-point” tool.</p>
</sec>
<sec id="s7n">
<title>Determining the effect of syncytia on wound closure</title>
<p>The distance between the leading edge and the wound center over time was used to calculate the speed of wound closure. The distance was calculated using the coordinates of the wound center and fixed points on the leading edge. To identify fixed positions on the leading edge that are unbiased and consistent over time, four reference lines, all crossing the center of the wound, were drawn using the red channel with only the nuc-mCherry signal: line 1 along the edge of the <italic>pnr</italic> domain labeled by nuc-mCherry, line 2 perpendicular to line 1, and line 3 and 4 are 30° from line 2. These references lines were then overlaid on the green channel with the E-cadherin signal.</p>
<p>To determine the speed of wound closure, the intersection of E-cadherin marked leading edge and reference lines 2-4 were used as the position of the leading edge. That is, at each time point, a total of 6 positions of the leading edge were recorded, among which 3 will be in the <italic>pnr</italic> domain and the other 3 in the ctrl domain. The average distance (d) between the leading edge and the center of the wound were calculated at each time point for both the <italic>pnr</italic> domain (d<sub>pnr</sub>) and the control domain (d<sub>ctrl</sub>). The difference between control and <italic>pnr</italic> distance (Δd = d<sub>pnr</sub> – d<sub>ctrl</sub>) was calculated over time for both the control pupae with no genetic manipulation in the <italic>pnr</italic> domain (<italic>pnr &gt; +</italic>) and experimental animals with <italic>Atg1</italic> knocked down in the <italic>pnr</italic> domain (<italic>pnr &gt; Atg1<sup>RNAi</sup></italic>). To determine whether Δd is statistically different between control and experimental pupae at each time point, two-way ANOVA (fit using full model) was used, comparing each cell mean with the other cell mean in that row.</p>
<p>To determine the distance syncytia covered during wound healing, syncytia were analyzed (1) at the leading edge when wound is half closed and (2) within the bow-tie region between reference line 3 and 4. ROIs were drawn along syncytia of interest using the “Freehand selections” tool of FIJI. In addition to syncytia location when wound is half closed, the starting position of cells that later fuse to form syncytia were also recorded in live-imaging videos, tracking the syncytia back in time. In addition to area, the coordinates of ROIs outlining syncytia at different time points were obtained using a self-written FIJI Macro. Within each ROI, the coordinate closest to the center of the wound was recorded using python, as the location of the syncytia. The distance a certain syncytium moved was calculated by subtracting the distance between the syncytium and the wound center when the wound was half closed from the distance between the syncytium and the wound center immediately after injury.</p>
</sec>
<sec id="s7o">
<title>Calculating intercalation in live imaging</title>
<p>The change in the number of cells when the leading edge forms at 30 min (N<sub>start</sub>) to when the wound is closed (N<sub>end)</sub> is equal to the number of intercalations plus the number of radial fusion events. Thus, (intercalations = ΔN – radial fusions). For the same three samples used in <xref rid="fig4" ref-type="fig">Fig 4D,G</xref>, we determined ΔN from N<sub>start</sub> at 30 min and N<sub>end</sub> when the wound had closed. Radial fusions were tallied by manually observing border breakdown events between the leading-edge cells and intercalations were calculated. Each radial fusion was counted as one prevented intercalation event.</p>
</sec>
<sec id="s7p">
<title>Calculating cell shape index</title>
<p>Images of pupae labeled with Ecad-GFP were segmented into individual cells with Cellpose (<xref ref-type="bibr" rid="c74">Stringer et al., 2021</xref>); cells that were not readily segmented were excluded from subsequent analysis. To avoid perimeter inflation due to pixelation, the boundaries of segmented cells were smoothed by taking the midpoint between every other pair of boundary pixels. Smoothing and calculation of perimeters, areas and cell shape indices (#⁄√%) were performed in Mathematica (Wolfram Research Inc., Champaign, IL).</p>
</sec>
<sec id="s7q">
<title>Vertex models with cell fusion</title>
<p>Simulations of wound healing were run using vertex models implemented in Mathematica (Wolfram Research Inc., Champaign, IL) following the methods of <xref ref-type="bibr" rid="c77">Tetley et al. (2019</xref>)and using parameters that match experimental observations from the <italic>Drosophila</italic> pupal notum as detailed in <xref ref-type="bibr" rid="c21">Han et al. (2024)</xref> with the following exceptions: the mean line tension on each edge (Λ) was specified in terms of a target shape parameter (<italic>ρ</italic><sub>0</sub>) such that <inline-formula id="inline-eqn-1"><alternatives><mml:math><mml:mi mathvariant="normal">Λ</mml:mi><mml:mo>=</mml:mo><mml:mo>−</mml:mo><mml:mn>2</mml:mn><mml:msub><mml:mi>ρ</mml:mi><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub><mml:mi mathvariant="normal">Γ</mml:mi><mml:msqrt><mml:msub><mml:mi>A</mml:mi><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub></mml:msqrt></mml:math><tex-math>\begin{document}$\Lambda=-2 \rho_{0} \Gamma \sqrt{A_{0}}$\end{document}</tex-math><inline-graphic xlink:href="546442v3_inline1.gif" mimetype="image/gif"/></alternatives></inline-formula>, where the contractility (Γ) and target cell area (<italic>A</italic><sub>0</sub>) were taken from <xref ref-type="bibr" rid="c21">Han et al. (2024)</xref> and <italic>ρ</italic><sub>0</sub> = 3.745 was chosen so that the actual cell shape index matched experimental pre-wound measurements; and the line tension variability (α<sub>m</sub>) was decreased from 1.0 x 10<sup>-2</sup> to 9.3 x 10<sup>-4</sup> so that the intercalation rate in unwounded cell sheets matched experimental observations. Pre-wound configurations were generated by performing a Voronoi tessellation of a circular area with 320 randomly distributed seed points and then equilibrating the cell configuration without stochastic fluctuations until it reached a steady state. Wounds were introduced by removing all cell borders within a circular patch ∼8 cells across and removing the wound’s contributions to the energy Hamiltonian. To handle wound closure and fusion, the following additions were made to the model: (1) purse-string tension on the leading edge of the wound was incorporated as in <xref ref-type="bibr" rid="c77">Tetley et al. (2019)</xref> with a normalized strength of 0.115; (2) traction/crawling forces of cells on the leading edge of the wound were incorporated as a uniform tensile stress acting inwardly on the edges and vertices of the wound area (similar to the uniform stress applied to the outer edge of the patch to represent tension from surrounding cells); this inward stress had a normalized strength of Σ<sub>in</sub>⁄<italic>KA</italic><sub>0</sub> = 0.13, where <italic>K</italic> is the area elasticity modulus; (3) the cell-cell interfaces at which fusion would occur were selected stochastically with probabilities that depended on time, distance from the wound, and the radial or tangential orientation of the interface – all chosen to match experimental observations reported here; and (4) the fusion of two cells was handled by eliminating the interface between those cells and setting the target area of the fused cell to the sum of the target areas of its two progenitors. All cells, fused or not, had the same contractility and target shape parameter.</p>
</sec>
<sec id="s7r">
<title>Kymograph and plot profile analysis</title>
<p>Actin-GFP intensity was analyzed using the kymograph tool in FIJI after drawing a 11-pixel line through the middle of the syncytia. Profile plot values were exported from NIS elements to Excel and graphs were generated using Prism.</p>
</sec>
    <sec id="s4">
        <title>Resource availability</title>
        <sec id="s4a">
            <title>Lead contact</title>
        <p>Requests for fly lines, reagents, and additional questions should be directed to Dr. Andrea Page-McCaw (<email>andrea.page-mccaw@vanderbilt.edu</email>).</p>
    </sec>
    <sec id="s4b">
        <title>Materials availability</title>
        <p>Fly lines generated in this study are available from the Bloomington <italic>Drosophila</italic> Stock Center or from the lead contact.</p>
    </sec>
    </sec>
</sec>
</body>
    <back>
<sec sec-type="supplementary" id="supplementary36">
    <title>Figure supplements</title>
<fig id="figs1" position="float" orientation="portrait" fig-type="figure">
<label>Figure 1—figure supplement 1:</label>
<caption><title>Characteristics of the pupal notum epithelium.</title>
<p><bold>A-C)</bold> An example of mitosis occurring ∼80 µm from the wound. Scale bar for A-C shown in C<sup>v</sup>, 10 µm. <bold>D)</bold> Z-slices at different depths of GFP-labeled cells reveal that the apical area (red outline) does not reflect the position of cells at basal slices (yellow arrows). The nuclear shadow in panel D<sup>ii</sup> demonstrates the location of the nucleus. Scale bar, 10 µm. <bold>E-H)</bold> Ecad-GFP and p120ctnRFP colocalize and behave similarly during border breakdown. Arrowheads in F-H points to borders breaking down in first hour after wounding. Scale bar for F-H shown in H<sup>v</sup>, 10 µm.</p></caption>
<graphic xlink:href="546442v3_figs1.tif" mimetype="image/tiff"/>
</fig>
<fig id="fig3s1" position="float" orientation="portrait" fig-type="figure">
<label>Figure 3—figure supplement 1:</label>
<caption>
<title>Temporal analysis of fusion events</title>
<p><bold>A)</bold> An example of an untrackable cell is shown. After wounding, cell 1 loses cytoplasmic GFP, but there is no obvious recipient cell. Cell 1 then shrinks. Scale bar = 10 µm. <bold>B)</bold> Cells individually labeled with GFP reveal the timing and frequency of fusion or GFP loss (untrackable). <bold>C)</bold> Fusion cells from panel B were divided into two types of fusion events, shrinking cells and border breakdowns, to compare the temporal onset of each type of fusion. <bold>D)</bold> Cell shrinking was a lengthy and variable process, lasting up to hundreds of minutes. 274 shrinking cell events from three wounds were identified by p120ctnRFP, mean and SD indicated.</p>
</caption>
<graphic xlink:href="546442v3_fig3s1.tif" mimetype="image/tiff"/>
</fig>
<fig id="fig6s1" position="float" orientation="portrait" fig-type="figure">
<label>Figure 6—figure supplement 1:</label>
<caption><title>Comparisons of tangential and radial border breakdowns</title>
<p><bold>A)</bold> The distance of tangential and radial border breakdown events from the wound, compared over time binned into 10 min intervals. The data is the same as in <xref rid="fig6" ref-type="fig">Figure 6B</xref>, from four wounds, with a total of 235 border breakdowns: 39 radial and 196 tangential. Border breakdown events were identified by p120ctn. B) The timing of tangential vs radial border breakdown fusion events observed in single GFP-labeled cells.</p></caption>
<graphic xlink:href="546442v3_fig6s1.tif" mimetype="image/tiff"/>
</fig>
</sec>
<sec id="das" sec-type="data-availability">
<title>Data availability</title>
<p>Modeling code is available at: <ext-link ext-link-type="uri" xlink:href="https://github.com/kadentrowork/MathematicaVertexModelWhiteetal2024/tree/main">https://github.com/kadentrowork/MathematicaVertexModelWhiteetal2024/tree/main</ext-link>. Original data files are publicly available via Open Science Framework, DOI 10.17605/OSF.IO/XV67J.</p>
</sec>
<ack>
<title>Acknowledgements</title>
<p>We thank James O’Connor for his original observations of syncytial cells around pupal wounds, and Kimi LaFever Hodge for technical assistance, and we thank Chloe Hecht and Kimi LaFever Hodge for comments on the manuscript. Stocks obtained from the Bloomington Drosophila Stock Center (NIH P40OD018537) were used in this study. JSW was supported by NIH T32HD007502 to Chris Wright, and JH was supported by American Heart 25PRE1374646 to JH. This work was supported by the National Institute of General Medical Sciences R01GM130130 to APM and MSH.</p>
</ack>
<sec id="additional-info" sec-type="additional-information">
<title>Additional information</title>
<sec id="s8">
<title>Author contributions</title>
<p>Conceptualization, J.S.W., J.H., A.P.M., M.S.H.; Formal Analysis, J.S.W., J.H., J.J.S., K.T.; Investigation, J.S.W., J.H., J.J.S., E.M.R., J.H.; Writing – Original Draft., J.S.W., A.P.M.; Visualization, J.S.W., J.J.S.; Supervision, A.P.M., M.S.H., J.S.W. ; Project Administration, J.S.W., A.P.M., M.S.H; Funding Acquisition, A.P.M., M.S.H</p>
</sec>
</sec>
<sec id="additional-files" sec-type="supplementary-material">
<title>Additional files</title>
<supplementary-material id="supp1">
<label>Video 1</label>
    <caption>
        <title>Syncytial cells form after wounding in the <italic>Drosophila</italic> pupal notum.</title>
        <p>Epithelial cell borders in red (p120ctnRFP) and nuclei in green (HistoneGFP). White box on first frame denotes field of view in <xref rid="fig1" ref-type="fig">Figure 1A</xref>. Video begins before wounding and extends to 2 h after wounding.</p>
    </caption>
<media xlink:href="supplements/546442_file03.mp4"/>
</supplementary-material>
<supplementary-material id="supp2">
<label>Video 2</label>
    <caption>
        <title>GFP mixing precedes border breakdown after wounding.</title>
        <p>Arrow in first frame points to cell border between cells that will fuse after wounding. GFP diffusion into the unlabeled cell precedes visible border breakdown. w, wound region. Cell borders are labeled with p120ctnRFP. Video begins before wounding and extends to 2 h 10 min after wounding. Same cells as <xref rid="fig1" ref-type="fig">Figure 1I</xref> and <xref rid="fig2" ref-type="fig">2D</xref>.</p>
    </caption>
<media xlink:href="supplements/546442_file04.mp4"/>
</supplementary-material>
<supplementary-material id="supp3">
<label>Video 3</label>
    <caption>
        <title>Shrinking cells contribute to syncytia.</title>
        <p>Arrow in first frame points to an individual cell labeled with Actin-GFP that fuses by shrinking after wounding. This cell contributes its actin-GFP to neighboring cells minutes after wounding then shrinks much later; shrinking is first evident about 1.5 h after wounding and is nearly complete by 3.5 h after wounding. w, wound region. Cell borders are labeled with p120ctnRFP. Same cells as <xref rid="fig2" ref-type="fig">Figure 2C</xref>.</p>
    </caption>
<media xlink:href="supplements/546442_file05.mp4"/>
</supplementary-material>
<supplementary-material id="supp4">
<label>Video 4</label>
    <caption>
        <title>Blood cells labeled with <italic>hml-Gal4, UAS-GFP</italic> were observed migrating to and along the basal side of the wounded pupal notum.</title>
        <p>Video is a Z-stack maximum projection. Wound is indicated by w in the first frame. No GFP was observed to enter the epithelium, indicating that blood cells do not fuse with the wounded epithelium. Six similar wounds were analyzed, with no evidence of fusion.</p>    </caption>
<media xlink:href="supplements/546442_file06.mp4"/>
</supplementary-material>
<supplementary-material id="supp5">
<label>Video 5</label>
    <caption>
        <title>Computational vertex models show that incorporating cell fusion speeds wound closure.</title>
        <p>When fusion occurs with spatiotemporal and edge-orientation probabilities that match experimental observations, wound closure in the model with fusion is 33% faster than when fusion is suppressed.</p>
    </caption>
<media xlink:href="supplements/546442_file07.mov"/>
</supplementary-material>
<supplementary-material id="supp6">
<label>Video 6</label>
    <caption>
        <title>Syncytia pool actin and concentrate it at the leading edge of repair.</title>
        <p>An individual cell labeled with actin-GFP fuses with wound proximal cells and contributes its actin to the leading edge of the syncytium. w, wound region. The original source cell and its immediate neighbor go on to shrink into wound proximal cells. Cell borders are labeled with p120ctnRFP. Same cells as <xref rid="fig6" ref-type="fig">Figure 6E,F</xref>.</p>
    </caption>
<media xlink:href="supplements/546442_file08.mp4"/>
</supplementary-material>
</sec>
<ref-list>
<title>References</title>
<ref id="c1"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Abreu-Blanco</surname>, <given-names>MT</given-names></string-name>, <string-name><surname>Verboon</surname>, <given-names>JM</given-names></string-name>, <string-name><surname>Liu</surname>, <given-names>R</given-names></string-name>, <string-name><surname>Watts</surname>, <given-names>JJ</given-names></string-name>, <string-name><surname>Parkhurst</surname>, <given-names>SM</given-names></string-name></person-group>., <year>2012</year>. <article-title>Drosophila embryos close epithelial wounds using a combination of cellular protrusions and an actomyosin purse string</article-title>. <source>J Cell Sci</source> <volume>125</volume>, <fpage>5984</fpage>–<lpage>5997</lpage>. <pub-id pub-id-type="doi">10.1242/jcs.109066</pub-id> <pub-id pub-id-type="pmid">23038780</pub-id></mixed-citation></ref>
<ref id="c2"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Al-Maawi</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Orlowska</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Sader</surname>, <given-names>R</given-names></string-name>, <string-name><surname>James Kirkpatrick</surname>, <given-names>C</given-names></string-name>, <string-name><surname>Ghanaati</surname>, <given-names>S</given-names></string-name></person-group>., <year>2017</year>. <article-title>In vivo cellular reactions to different biomaterials-Physiological and pathological aspects and their consequences</article-title>. <source>Semin Immunol</source> <volume>29</volume>, <fpage>49</fpage>–<lpage>61</lpage>. <pub-id pub-id-type="doi">10.1016/j.smim.2017.06.001</pub-id> <pub-id pub-id-type="pmid">28647227</pub-id></mixed-citation></ref>
<ref id="c3"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Alvarez-Dolado</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Pardal</surname>, <given-names>R</given-names></string-name>, <string-name><surname>Garcia-Verdugo</surname>, <given-names>JM</given-names></string-name>, <string-name><surname>Fike</surname>, <given-names>JR</given-names></string-name>, <string-name><surname>Lee</surname>, <given-names>HO</given-names></string-name>, <string-name><surname>Pfeffer</surname>, <given-names>K</given-names></string-name>, <string-name><surname>Lois</surname>, <given-names>C</given-names></string-name>, <string-name><surname>Morrison</surname>, <given-names>SJ</given-names></string-name>, <string-name><surname>Alvarez-Buylla</surname>, <given-names>A</given-names></string-name></person-group>., <year>2003</year>. <article-title>Fusion of bone-marrow-derived cells with Purkinje neurons, cardiomyocytes and hepatocytes</article-title>. <source>Nature</source> <volume>425</volume>, <fpage>968</fpage>–<lpage>973</lpage>. <pub-id pub-id-type="doi">10.1038/nature02069</pub-id> <pub-id pub-id-type="pmid">14555960</pub-id></mixed-citation></ref>
<ref id="c4"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Antunes</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Pereira</surname>, <given-names>T</given-names></string-name>, <string-name><surname>Cordeiro</surname>, <given-names>JV</given-names></string-name>, <string-name><surname>Almeida</surname>, <given-names>L</given-names></string-name>, <string-name><surname>Jacinto</surname>, <given-names>A</given-names></string-name></person-group>., <year>2013</year>. <article-title>Coordinated waves of actomyosin flow and apical cell constriction immediately after wounding</article-title>. <source>The Journal of Cell Biology</source> <volume>202</volume>, <fpage>365</fpage>–<lpage>379</lpage>. <pub-id pub-id-type="doi">10.1083/jcb.201211039</pub-id> <pub-id pub-id-type="pmid">23878279</pub-id></mixed-citation></ref>
<ref id="c5"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Bailey</surname>, <given-names>EC</given-names></string-name>, <string-name><surname>Dehn</surname>, <given-names>AS</given-names></string-name>, <string-name><surname>Gjelsvik</surname>, <given-names>KJ</given-names></string-name>, <string-name><surname>Besen-McNally</surname>, <given-names>R</given-names></string-name>, <string-name><surname>Losick</surname>, <given-names>VP</given-names></string-name></person-group>., <year>2020</year>. <article-title>A Drosophila Model to Study Wound-induced Polyploidization</article-title>. <source>J Vis Exp</source>. <pub-id pub-id-type="doi">10.3791/61252</pub-id> <pub-id pub-id-type="pmid">32597839</pub-id></mixed-citation></ref>
<ref id="c6"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Bement</surname>, <given-names>WM</given-names></string-name>, <string-name><surname>Forscher</surname>, <given-names>P</given-names></string-name>, <string-name><surname>Mooseker</surname>, <given-names>MS</given-names></string-name></person-group>., <year>1993</year>. <article-title>A novel cytoskeletal structure involved in purse string wound closure and cell polarity maintenance</article-title>. <source>J. Cell Biol</source>. <volume>121</volume>, <fpage>565</fpage>–<lpage>578</lpage>. <pub-id pub-id-type="doi">10.1083/jcb.121.3.565</pub-id> <pub-id pub-id-type="pmid">8486737</pub-id></mixed-citation></ref>
<ref id="c7"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Besen-McNally</surname>, <given-names>R</given-names></string-name>, <string-name><surname>Gjelsvik</surname>, <given-names>KJ</given-names></string-name>, <string-name><surname>Losick</surname>, <given-names>VP</given-names></string-name></person-group>., <year>2021</year>. <article-title>Wound-induced polyploidization is dependent on Integrin-Yki signaling</article-title>. <source>Biology Open</source> <volume>10</volume>, <fpage>bio055996</fpage>. <pub-id pub-id-type="doi">10.1242/bio.055996</pub-id> <pub-id pub-id-type="pmid">33355119</pub-id></mixed-citation></ref>
<ref id="c8"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Bi</surname>, <given-names>D</given-names></string-name>, <string-name><surname>Yang</surname>, <given-names>X</given-names></string-name>, <string-name><surname>Marchetti</surname>, <given-names>MC</given-names></string-name>, <string-name><surname>Manning</surname>, <given-names>ML</given-names></string-name></person-group>., <year>2016</year>. <article-title>Motility-driven glass and jamming transitions in biological tissues</article-title>. <source>Phys Rev X</source> <volume>6</volume>. <pub-id pub-id-type="doi">10.1103/physrevx.6.021011</pub-id> <pub-id pub-id-type="pmid">28966874</pub-id></mixed-citation></ref>
<ref id="c9"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Cao</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Wang</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Jackman</surname>, <given-names>CP</given-names></string-name>, <string-name><surname>Cox</surname>, <given-names>AH</given-names></string-name>, <string-name><surname>Trembley</surname>, <given-names>MA</given-names></string-name>, <string-name><surname>Balowski</surname>, <given-names>JJ</given-names></string-name>, <string-name><surname>Cox</surname>, <given-names>BD</given-names></string-name>, <string-name><surname>De Simone</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Dickson</surname>, <given-names>AL</given-names></string-name>, <string-name><surname>Di Talia</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Small</surname>, <given-names>EM</given-names></string-name>, <string-name><surname>Kiehart</surname>, <given-names>DP</given-names></string-name>, <string-name><surname>Bursac</surname>, <given-names>N</given-names></string-name>, <string-name><surname>Poss</surname>, <given-names>KD</given-names></string-name></person-group>, <year>2017</year>. <article-title>Tension Creates an Endoreplication Wavefront that Leads Regeneration of Epicardial Tissue</article-title>. <source>Dev Cell</source> <volume>42</volume>, <fpage>600</fpage>–<lpage>615.</lpage>  <pub-id pub-id-type="doi">10.1016/j.devcel.2017.08.024</pub-id> <pub-id pub-id-type="pmid">28950101</pub-id></mixed-citation></ref>
<ref id="c10"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Carriere</surname>, <given-names>R</given-names></string-name></person-group>., <year>1969</year>. <article-title>The growth of liver parenchymal nuclei and its endocrine regulation</article-title>. <source>International review of cytology</source> <volume>25</volume>, <fpage>201</fpage>–<lpage>277</lpage>. <pub-id pub-id-type="doi">10.1016/s0074-7696(08)60204-1</pub-id> <pub-id pub-id-type="pmid">4319337</pub-id></mixed-citation></ref>
<ref id="c11"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Chernomordik</surname>, <given-names>LV</given-names></string-name>, <string-name><surname>Kozlov</surname>, <given-names>MM</given-names></string-name></person-group>., <year>2008</year>. <article-title>Mechanics of membrane fusion</article-title>. <source>Nature Structural &amp; Molecular Biology</source> <volume>15</volume>, <fpage>675</fpage>–<lpage>683</lpage>. <pub-id pub-id-type="doi">10.1038/nsmb.1455</pub-id> <pub-id pub-id-type="pmid">18596814</pub-id></mixed-citation></ref>
<ref id="c12"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Corbel</surname>, <given-names>SY</given-names></string-name>, <string-name><surname>Lee</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Yi</surname>, <given-names>L</given-names></string-name>, <string-name><surname>Duenas</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Brazelton</surname>, <given-names>TR</given-names></string-name>, <string-name><surname>Blau</surname>, <given-names>HM</given-names></string-name>, <string-name><surname>Rossi</surname>, <given-names>FM</given-names></string-name></person-group>., <year>2003</year>. <article-title>Contribution of hematopoietic stem cells to skeletal muscle</article-title>. <source>Nat Med</source> <volume>9</volume>, <fpage>1528</fpage>–<lpage>1532</lpage>. <pub-id pub-id-type="doi">10.1038/nm959</pub-id> <pub-id pub-id-type="pmid">14625543</pub-id></mixed-citation></ref>
<ref id="c13"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Davies</surname>, <given-names>PS</given-names></string-name>, <string-name><surname>Powell</surname>, <given-names>AE</given-names></string-name>, <string-name><surname>Swain</surname>, <given-names>JR</given-names></string-name>, <string-name><surname>Wong</surname>, <given-names>MH</given-names></string-name></person-group>., <year>2009</year>. <article-title>Inflammation and Proliferation Act Together to Mediate Intestinal Cell Fusion</article-title>. <source>PloS one</source> <volume>4</volume>, <fpage>e6530</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0006530</pub-id> <pub-id pub-id-type="pmid">19657387</pub-id></mixed-citation></ref>
<ref id="c14"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Dehn</surname>, <given-names>AS</given-names></string-name>, <string-name><surname>Duhaime</surname>, <given-names>L</given-names></string-name>, <string-name><surname>Gogna</surname>, <given-names>N</given-names></string-name>, <string-name><surname>Nishina</surname>, <given-names>PM</given-names></string-name>, <string-name><surname>Kelly</surname>, <given-names>K</given-names></string-name>, <string-name><surname>Losick</surname>, <given-names>VP</given-names></string-name></person-group>., <year>2023</year>. <article-title>Epithelial mechanics are maintained by inhibiting cell fusion with age in Drosophila</article-title>. <source>Journal of Cell Science</source>. <pub-id pub-id-type="doi">10.1242/jcs.260974</pub-id> <pub-id pub-id-type="pmid">37732459</pub-id></mixed-citation></ref>
<ref id="c15"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Farooqui</surname>, <given-names>R</given-names></string-name>, <string-name><surname>Fenteany</surname>, <given-names>G</given-names></string-name></person-group>., <year>2005</year>. <article-title>Multiple rows of cells behind an epithelial wound edge extend cryptic lamellipodia to collectively drive cell-sheet movement</article-title>. <source>Journal of Cell Science</source> <volume>118</volume>, <fpage>51</fpage>–<lpage>63</lpage>. <pub-id pub-id-type="doi">10.1242/jcs.01577</pub-id> <pub-id pub-id-type="pmid">15585576</pub-id></mixed-citation></ref>
<ref id="c16"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Galko</surname>, <given-names>MJ</given-names></string-name>, <string-name><surname>Krasnow</surname>, <given-names>MA</given-names></string-name></person-group>., <year>2004</year>. <article-title>Cellular and Genetic Analysis of Wound Healing in Drosophila Larvae</article-title>. <source>PLoS Biol</source> <volume>2</volume>, <fpage>e239</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pbio.0020239</pub-id> <pub-id pub-id-type="pmid">15269788</pub-id></mixed-citation></ref>
<ref id="c17"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Gentric</surname>, <given-names>G</given-names></string-name>, <string-name><surname>Maillet</surname>, <given-names>V</given-names></string-name>, <string-name><surname>Paradis</surname>, <given-names>V</given-names></string-name>, <string-name><surname>Couton</surname>, <given-names>D</given-names></string-name>, <string-name><surname>L’Hermitte</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Panasyuk</surname>, <given-names>G</given-names></string-name>, <string-name><surname>Fromenty</surname>, <given-names>B</given-names></string-name>, <string-name><surname>Celton-Morizur</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Desdouets</surname>, <given-names>C</given-names></string-name></person-group>., <year>2015</year>. <article-title>Oxidative stress promotes pathologic polyploidization in nonalcoholic fatty liver disease</article-title>. <source>J Clin Invest</source> <volume>125</volume>, <fpage>981</fpage>–<lpage>992</lpage>. <pub-id pub-id-type="doi">10.1172/jci73957</pub-id> <pub-id pub-id-type="pmid">25621497</pub-id></mixed-citation></ref>
<ref id="c18"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Grendler</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Lowgren</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Mills</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Losick</surname>, <given-names>VP</given-names></string-name></person-group>., <year>2019</year>. <article-title>Wound-induced polyploidization is driven by Myc and supports tissue repair in the presence of DNA damage</article-title>. <source>Development</source> <volume>146</volume>. <pub-id pub-id-type="doi">10.1242/dev.173005</pub-id> <pub-id pub-id-type="pmid">31315896</pub-id></mixed-citation></ref>
<ref id="c19"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Guirao</surname>, <given-names>B</given-names></string-name>, <string-name><surname>Rigaud</surname>, <given-names>SU</given-names></string-name>, <string-name><surname>Bosveld</surname>, <given-names>F</given-names></string-name>, <string-name><surname>Bailles</surname>, <given-names>A</given-names></string-name>, <string-name><surname>López-Gay</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Ishihara</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Sugimura</surname>, <given-names>K</given-names></string-name>, <string-name><surname>Graner</surname>, <given-names>F</given-names></string-name>, <string-name><surname>Bellaïche</surname>, <given-names>Y</given-names></string-name></person-group>., <year>2015</year>. <article-title>Unified quantitative characterization of epithelial tissue development</article-title>. <source>eLife</source> <volume>4</volume>, <elocation-id>e08519</elocation-id>. <pub-id pub-id-type="doi">10.7554/eLife.08519</pub-id> <pub-id pub-id-type="pmid">26653285</pub-id></mixed-citation></ref>
<ref id="c20"><mixed-citation publication-type="preprint"><person-group person-group-type="author"><string-name><surname>Han</surname>, <given-names>I</given-names></string-name>, <string-name><surname>Nassar</surname>, <given-names>LS</given-names></string-name>, <string-name><surname>Page-McCaw</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Hutson</surname>, <given-names>MS</given-names></string-name></person-group>., <year>2023</year>. <article-title>After wounding, a G-protein coupled receptor restores tension to epithelial cells in a dynamic inward-traveling wave</article-title>. <source>bioRxiv</source>. <pub-id pub-id-type="doi">10.1101/2023.05.31.543122</pub-id></mixed-citation></ref>
<ref id="c21"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Han</surname>, <given-names>IS</given-names></string-name>, J., H., <string-name><surname>White</surname>, <given-names>JH</given-names></string-name>, <string-name><surname>O’Connor</surname>, <given-names>JT</given-names></string-name>, <string-name><surname>Nassar</surname>, <given-names>LS</given-names></string-name>, <string-name><surname>Tro</surname>, <given-names>KJ</given-names></string-name>, <string-name><surname>Page-McCaw</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Hutson</surname>, <given-names>MS</given-names></string-name></person-group>., <year>2024</year>. <article-title>After wounding, a G-protein coupled receptor promotes the restoration of tension in epithelial cells</article-title>. <source>Molecular Biology of the Cell</source> <volume>35</volume>, <fpage>ar66</fpage>. <pub-id pub-id-type="doi">10.1091/mbc.e23-05-0204</pub-id> <pub-id pub-id-type="pmid">38536445</pub-id></mixed-citation></ref>
<ref id="c22"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Horn</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Raavicharla</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Shah</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Cox</surname>, <given-names>D</given-names></string-name>, <string-name><surname>Jaiswal</surname>, <given-names>JK</given-names></string-name></person-group>., <year>2020</year>. <article-title>Mitochondrial fragmentation enables localized signaling required for cell repair</article-title>. <source>J Cell Biol</source> <volume>219</volume>. <pub-id pub-id-type="doi">10.1083/jcb.201909154</pub-id> <pub-id pub-id-type="pmid">32236517</pub-id></mixed-citation></ref>
<ref id="c23"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Illidge</surname>, <given-names>TM</given-names></string-name>, <string-name><surname>Cragg</surname>, <given-names>MS</given-names></string-name>, <string-name><surname>Fringes</surname>, <given-names>B</given-names></string-name>, <string-name><surname>Olive</surname>, <given-names>P</given-names></string-name>, <string-name><surname>Erenpreisa</surname>, <given-names>JA</given-names></string-name></person-group>., <year>2000</year>. <article-title>Polyploid giant cells provide a survival mechanism for p53 mutant cells after DNA damage</article-title>. <source>Cell Biol Int</source> <volume>24</volume>, <fpage>621</fpage>–<lpage>633</lpage>. <pub-id pub-id-type="doi">10.1006/cbir.2000.0557</pub-id> <pub-id pub-id-type="pmid">10964452</pub-id></mixed-citation></ref>
<ref id="c24"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Iosilevskii</surname>, <given-names>Y</given-names></string-name>, <string-name><surname>Podbilewicz</surname>, <given-names>B</given-names></string-name></person-group>., <year>2021</year>. <chapter-title>Chapter Seven - Programmed cell fusion in development and homeostasis</chapter-title>, in: <person-group person-group-type="editor"><string-name><surname>Jarriault</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Podbilewicz</surname>, <given-names>B</given-names></string-name></person-group> (Eds.), <source>Current Topics in Developmental Biology</source>. <publisher-name>Academic Press</publisher-name>, pp. <fpage>215</fpage>–<lpage>244</lpage>.</mixed-citation></ref>
<ref id="c25"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Kakanj</surname>, <given-names>P</given-names></string-name>, <string-name><surname>Bhide</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Moussian</surname>, <given-names>B</given-names></string-name>, <string-name><surname>Leptin</surname>, <given-names>M</given-names></string-name></person-group>., <year>2022</year>. <article-title>Autophagy-mediated plasma membrane removal promotes the formation of epithelial syncytia</article-title>. <source>Embo j</source> <volume>41</volume>, <fpage>e109992</fpage>. <pub-id pub-id-type="doi">10.15252/embj.2021109992</pub-id> <pub-id pub-id-type="pmid">35262206</pub-id></mixed-citation></ref>
<ref id="c26"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Kim</surname>, <given-names>JH</given-names></string-name>, <string-name><surname>Jin</surname>, <given-names>P</given-names></string-name>, <string-name><surname>Duan</surname>, <given-names>R</given-names></string-name>, <string-name><surname>Chen</surname>, <given-names>EH</given-names></string-name></person-group>., <year>2015a</year>. <article-title>Mechanisms of myoblast fusion during muscle development</article-title>. <source>Current opinion in genetics &amp; development</source> <volume>32</volume>, <fpage>162</fpage>–<lpage>170</lpage>. <pub-id pub-id-type="doi">10.1016/j.gde.2015.03.006</pub-id> <pub-id pub-id-type="pmid">25989064</pub-id></mixed-citation></ref>
<ref id="c27"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Kim</surname>, <given-names>JH</given-names></string-name>, <string-name><surname>Ren</surname>, <given-names>Y</given-names></string-name>, <string-name><surname>Ng</surname>, <given-names>WP</given-names></string-name>, <string-name><surname>Li</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Son</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Kee</surname>, <given-names>YS</given-names></string-name>, <string-name><surname>Zhang</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Zhang</surname>, <given-names>G</given-names></string-name>, <string-name><surname>Fletcher</surname>, <given-names>DA</given-names></string-name>, <string-name><surname>Robinson</surname>, <given-names>DN</given-names></string-name>, <string-name><surname>Chen</surname>, <given-names>EH</given-names></string-name></person-group>., <year>2015b</year>. <article-title>Mechanical tension drives cell membrane fusion</article-title>. <source>Dev Cell</source> <volume>32</volume>, <fpage>561</fpage>–<lpage>573</lpage>. <pub-id pub-id-type="doi">10.1016/j.devcel.2015.01.005</pub-id> <pub-id pub-id-type="pmid">25684354</pub-id></mixed-citation></ref>
<ref id="c28"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Lee</surname>, <given-names>DM</given-names></string-name>, <string-name><surname>Chen</surname>, <given-names>EH</given-names></string-name></person-group>., <year>2019</year>. <article-title>Drosophila Myoblast Fusion: Invasion and Resistance for the Ultimate Union</article-title>. <source>Annu Rev Genet</source> <volume>53</volume>, <fpage>67</fpage>–<lpage>91</lpage>. <pub-id pub-id-type="doi">10.1146/annurev-genet-120116-024603</pub-id> <pub-id pub-id-type="pmid">31283358</pub-id></mixed-citation></ref>
<ref id="c29"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Lehka</surname>, <given-names>L</given-names></string-name>, <string-name><surname>Rędowicz</surname>, <given-names>MJ</given-names></string-name></person-group>., <year>2020</year>. <article-title>Mechanisms regulating myoblast fusion: A multilevel interplay</article-title>. <source>Seminars in Cell &amp; Developmental Biology</source> <volume>104</volume>, <fpage>81</fpage>–<lpage>92</lpage>. <pub-id pub-id-type="doi">10.1016/j.semcdb.2020.02.004</pub-id> <pub-id pub-id-type="pmid">32063453</pub-id></mixed-citation></ref>
<ref id="c30"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Leroy</surname>, <given-names>H</given-names></string-name>, <string-name><surname>Han</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Woottum</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Bracq</surname>, <given-names>L</given-names></string-name>, <string-name><surname>Bouchet</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Xie</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Benichou</surname>, <given-names>S</given-names></string-name></person-group>., <year>2020</year>. <article-title>Virus-Mediated Cell-Cell Fusion</article-title>. <source>Int J Mol Sci</source> <volume>21</volume>. <pub-id pub-id-type="doi">10.3390/ijms21249644</pub-id> <pub-id pub-id-type="pmid">33348900</pub-id></mixed-citation></ref>
<ref id="c31"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Losick</surname>, <given-names>VP</given-names></string-name></person-group>., <year>2016</year>. <article-title>Wound-Induced Polyploidy Is Required for Tissue Repair</article-title>. <source>Adv Wound Care</source> <volume>5</volume>, <fpage>271</fpage>–<lpage>278</lpage>. <pub-id pub-id-type="doi">10.1089/wound.2014.0545</pub-id> <pub-id pub-id-type="pmid">27274437</pub-id></mixed-citation></ref>
<ref id="c32"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Losick</surname>, <given-names>VP</given-names></string-name>, <string-name><surname>Duhaime</surname>, <given-names>LG</given-names></string-name></person-group>., <year>2021</year>. <article-title>The endocycle restores tissue tension in the Drosophila abdomen post wound repair</article-title>. <source>Cell Rep</source> <volume>37</volume>, <fpage>109827</fpage>. <pub-id pub-id-type="doi">10.1016/j.celrep.2021.109827</pub-id> <pub-id pub-id-type="pmid">34644579</pub-id></mixed-citation></ref>
<ref id="c33"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Losick</surname>, <given-names>VP</given-names></string-name>, <string-name><surname>Fox</surname>, <given-names>DT</given-names></string-name>, <string-name><surname>Spradling</surname>, <given-names>AC</given-names></string-name></person-group>., <year>2013</year>. <article-title>Polyploidization and cell fusion contribute to wound healing in the adult Drosophila epithelium</article-title>. <source>Curr Biol</source> <volume>23</volume>, <fpage>2224</fpage>–<lpage>2232</lpage>. <pub-id pub-id-type="doi">10.1016/j.cub.2013.09.029</pub-id> <pub-id pub-id-type="pmid">24184101</pub-id></mixed-citation></ref>
<ref id="c34"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Losick</surname>, <given-names>VP</given-names></string-name>, <string-name><surname>Jun</surname>, <given-names>AS</given-names></string-name>, <string-name><surname>Spradling</surname>, <given-names>AC</given-names></string-name></person-group>., <year>2016</year>. <article-title>Wound-Induced Polyploidization: Regulation by Hippo and JNK Signaling and Conservation in Mammals</article-title>. <source>PloS one</source> <volume>11</volume>, <fpage>e0151251</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0151251</pub-id> <pub-id pub-id-type="pmid">26958853</pub-id></mixed-citation></ref>
<ref id="c35"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Madra</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Styles</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Smith</surname>, <given-names>AG</given-names></string-name></person-group>, <year>1995</year>. <article-title>Perturbation of hepatocyte nuclear populations induced by iron and polychlorinated biphenyls in C57BL/10ScSn mice during carcinogenesis</article-title>. <source>Carcinogenesis</source> <volume>16</volume>, <fpage>719</fpage>–<lpage>727</lpage>. <pub-id pub-id-type="doi">10.1093/carcin/16.4.719</pub-id> <pub-id pub-id-type="pmid">7728949</pub-id></mixed-citation></ref>
<ref id="c36"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Markvoort</surname>, <given-names>AJ</given-names></string-name>, <string-name><surname>Marrink</surname>, <given-names>SJ</given-names></string-name></person-group>., <year>2011</year>. <chapter-title>Chapter 11 - Lipid Acrobatics in the Membrane Fusion Arena</chapter-title>, in: <person-group person-group-type="editor"><string-name><surname>Chernomordik</surname>, <given-names>LV</given-names></string-name>, <string-name><surname>Kozlov</surname>, <given-names>MM</given-names></string-name></person-group> (Eds.), <source>Current Topics in Membranes</source>. <publisher-name>Academic Press</publisher-name>, pp. <fpage>259</fpage>–<lpage>294</lpage>.</mixed-citation></ref>
<ref id="c37"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Martin</surname>, <given-names>P</given-names></string-name>, <string-name><surname>Lewis</surname>, <given-names>J</given-names></string-name></person-group>., <year>1992</year>. <article-title>Actin cables and epidermal movement in embryonic wound healing</article-title>. <source>Nature</source> <volume>360</volume>, <fpage>179</fpage>–<lpage>183</lpage>. <pub-id pub-id-type="doi">10.1038/360179a0</pub-id> <pub-id pub-id-type="pmid">1436096</pub-id></mixed-citation></ref>
<ref id="c38"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Martin</surname>, <given-names>P</given-names></string-name>, <string-name><surname>Pardo-Pastor</surname>, <given-names>C</given-names></string-name>, <string-name><surname>Jenkins</surname>, <given-names>RG</given-names></string-name>, <string-name><surname>Rosenblatt</surname>, <given-names>J</given-names></string-name></person-group>., <year>2024</year>. <article-title>Imperfect wound healing sets the stage for chronic diseases</article-title>. <source>Science</source> <volume>386</volume>, <fpage>eadp2974</fpage>. <pub-id pub-id-type="doi">10.1126/science.adp2974</pub-id> <pub-id pub-id-type="pmid">39636982</pub-id></mixed-citation></ref>
<ref id="c39"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>McNeil</surname>, <given-names>PL</given-names></string-name>, <string-name><surname>Steinhardt</surname>, <given-names>RA</given-names></string-name></person-group>., <year>2003</year>. <article-title>Plasma membrane disruption: repair, prevention, adaptation</article-title>. <source>Annu Rev Cell Dev Biol</source> <volume>19</volume>, <fpage>697</fpage>–<lpage>731</lpage>. <pub-id pub-id-type="doi">10.1146/annurev.cellbio.19.111301.140101</pub-id> <pub-id pub-id-type="pmid">14570587</pub-id></mixed-citation></ref>
<ref id="c40"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Mehaffey</surname>, <given-names>TM</given-names></string-name>, <string-name><surname>Hecht</surname>, <given-names>CA</given-names></string-name>, <string-name><surname>White</surname>, <given-names>JS</given-names></string-name>, <string-name><surname>Hutson</surname>, <given-names>MS</given-names></string-name>, <string-name><surname>Page-McCaw</surname>, <given-names>A</given-names></string-name></person-group>., <year>2024</year>. <article-title>Live imaging basement membrane assembly under the pupal notum epithelium</article-title>. <source>MicroPubl Biol</source> <volume>2024</volume>. <pub-id pub-id-type="doi">10.17912/micropub.biology.001105</pub-id> <pub-id pub-id-type="pmid">38525127</pub-id></mixed-citation></ref>
    <ref id="c41"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Melzer</surname> <given-names>C</given-names></string-name>, <string-name><surname>von der Ohe</surname> <given-names>J</given-names></string-name>, <string-name><surname>Hass</surname> <given-names>R</given-names></string-name></person-group> <year>2018</year>. <article-title>In Vitro Fusion of Normal and Neoplastic Breast Epithelial Cells with Human Mesenchymal Stroma/Stem Cells Partially Involves Tumor Necrosis Factor Receptor Signaling</article-title>. <source>Stem Cells</source> <volume>36</volume>, <fpage>977</fpage>–<lpage>989</lpage>. <pub-id pub-id-type="doi">10.1002/stem.2819</pub-id> <pub-id pub-id-type="pmid">29569804</pub-id></mixed-citation></ref>
<ref id="c42"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Meng</surname>, <given-names>X</given-names></string-name>, <string-name><surname>Yang</surname>, <given-names>Q</given-names></string-name>, <string-name><surname>Yu</surname>, <given-names>X</given-names></string-name>, <string-name><surname>Zhou</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Ren</surname>, <given-names>X</given-names></string-name>, <string-name><surname>Zhou</surname>, <given-names>Y</given-names></string-name>, <string-name><surname>Xu</surname>, <given-names>S</given-names></string-name></person-group>., <year>2020</year>. <article-title>Actin Polymerization and ESCRT Trigger Recruitment of the Fusogens Syntaxin-2 and EFF-1 to Promote Membrane Repair in C. elegans</article-title>. <source>Dev Cell</source> <volume>54</volume>, <fpage>624</fpage>–<lpage>638.</lpage>  <pub-id pub-id-type="doi">10.1016/j.devcel.2020.06.027</pub-id> <pub-id pub-id-type="pmid">32668210</pub-id></mixed-citation></ref>
<ref id="c43"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Mohler</surname>, <given-names>WA</given-names></string-name>, <string-name><surname>Shemer</surname>, <given-names>G</given-names></string-name>, <string-name><surname>del Campo</surname>, <given-names>JJ</given-names></string-name>, <string-name><surname>Valansi</surname>, <given-names>C</given-names></string-name>, <string-name><surname>Opoku-Serebuoh</surname>, <given-names>E</given-names></string-name>, <string-name><surname>Scranton</surname>, <given-names>V</given-names></string-name>, <string-name><surname>Assaf</surname>, <given-names>N</given-names></string-name>, <string-name><surname>White</surname>, <given-names>JG</given-names></string-name>, <string-name><surname>Podbilewicz</surname>, <given-names>B</given-names></string-name></person-group>., <year>2002</year>. <article-title>The type I membrane protein EFF-1 is essential for developmental cell fusion</article-title>. <source>Developmental cell</source> <volume>2</volume>, <fpage>355</fpage>–<lpage>362</lpage>. <pub-id pub-id-type="doi">10.1016/s1534-5807(02)00129-6</pub-id> <pub-id pub-id-type="pmid">11879640</pub-id></mixed-citation></ref>
<ref id="c44"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Mohler</surname>, <given-names>WA</given-names></string-name>, <string-name><surname>Simske</surname>, <given-names>JS</given-names></string-name>, <string-name><surname>Williams-Masson</surname>, <given-names>EM</given-names></string-name>, <string-name><surname>Hardin</surname>, <given-names>JD</given-names></string-name>, <string-name><surname>White</surname>, <given-names>JG</given-names></string-name></person-group>., <year>1998</year>. <article-title>Dynamics and ultrastructure of developmental cell fusions in the Caenorhabditis elegans hypodermis</article-title>. <source>Curr Biol</source> <volume>8</volume>, <fpage>1087</fpage>–<lpage>1090</lpage>. <pub-id pub-id-type="doi">10.1016/s0960-9822(98)70447-6</pub-id> <pub-id pub-id-type="pmid">9768364</pub-id></mixed-citation></ref>
<ref id="c45"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Mosieniak</surname>, <given-names>G</given-names></string-name>, <string-name><surname>Sliwinska</surname>, <given-names>MA</given-names></string-name>, <string-name><surname>Alster</surname>, <given-names>O</given-names></string-name>, <string-name><surname>Strzeszewska</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Sunderland</surname>, <given-names>P</given-names></string-name>, <string-name><surname>Piechota</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Was</surname>, <given-names>H</given-names></string-name>, <string-name><surname>Sikora</surname>, <given-names>E</given-names></string-name></person-group>., <year>2015</year>. <article-title>Polyploidy Formation in Doxorubicin-Treated Cancer Cells Can Favor Escape from Senescence</article-title>. <source>Neoplasia</source> <volume>17</volume>, <fpage>882</fpage>–<lpage>893</lpage>. <pub-id pub-id-type="doi">10.1016/j.neo.2015.11.008</pub-id> <pub-id pub-id-type="pmid">26696370</pub-id></mixed-citation></ref>
<ref id="c46"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Muramatsu</surname>, <given-names>Y</given-names></string-name>, <string-name><surname>Yamada</surname>, <given-names>T</given-names></string-name>, <string-name><surname>Moralejo</surname>, <given-names>DH</given-names></string-name>, <string-name><surname>Mochizuki</surname>, <given-names>H</given-names></string-name>, <string-name><surname>Sogawa</surname>, <given-names>K</given-names></string-name>, <string-name><surname>Matsumoto</surname>, <given-names>K</given-names></string-name></person-group>., <year>2000</year>. <article-title>Increased polyploid incidence is associated with abnormal copper accumulation in the liver of LEC mutant rat</article-title>. <source>Research Communications in Molecular Pathology and Pharmacology</source> <volume>107</volume>, <fpage>129</fpage>–<lpage>136</lpage>. <pub-id pub-id-type="pmid">11334362</pub-id></mixed-citation></ref>
<ref id="c47"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Nandakumar</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Grushko</surname>, <given-names>O</given-names></string-name>, <string-name><surname>Buttitta</surname>, <given-names>LA</given-names></string-name></person-group>., <year>2020</year>. <article-title>Polyploidy in the adult Drosophila brain</article-title>. <source>eLife</source> <volume>9</volume>. <pub-id pub-id-type="doi">10.7554/elife.54385</pub-id> <pub-id pub-id-type="pmid">32840209</pub-id></mixed-citation></ref>
<ref id="c48"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Noma</surname>, <given-names>K</given-names></string-name>, <string-name><surname>Goncharov</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Ellisman</surname>, <given-names>MH</given-names></string-name>, <string-name><surname>Jin</surname>, <given-names>Y</given-names></string-name></person-group>., <year>2017</year>. <article-title>Microtubule-dependent ribosome localization in C. elegans neurons</article-title>. <source>eLife</source> <volume>6</volume>, <elocation-id>e26376</elocation-id>. <pub-id pub-id-type="doi">10.7554/eLife.26376</pub-id> <pub-id pub-id-type="pmid">28767038</pub-id></mixed-citation></ref>
<ref id="c49"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Noubissi</surname>, <given-names>FK</given-names></string-name>, <string-name><surname>Harkness</surname>, <given-names>T</given-names></string-name>, <string-name><surname>Alexander</surname>, <given-names>CM</given-names></string-name>, <string-name><surname>Ogle</surname>, <given-names>BM</given-names></string-name></person-group>., <year>2015</year>. <article-title>Apoptosis-induced cancer cell fusion: a mechanism of breast cancer metastasis</article-title>. <source>The FASEB Journal</source> <volume>29</volume>, <fpage>4036</fpage>–<lpage>4045</lpage>. <pub-id pub-id-type="doi">10.1096/fj.15-271098</pub-id> <pub-id pub-id-type="pmid">26085132</pub-id></mixed-citation></ref>
<ref id="c50"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Nygren</surname>, <given-names>JM</given-names></string-name>, <string-name><surname>Jovinge</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Breitbach</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Säwén</surname>, <given-names>P</given-names></string-name>, <string-name><surname>Röll</surname>, <given-names>W</given-names></string-name>, <string-name><surname>Hescheler</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Taneera</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Fleischmann</surname>, <given-names>BK</given-names></string-name>, <string-name><surname>Jacobsen</surname>, <given-names>SE</given-names></string-name></person-group>., <year>2004</year>. <article-title>Bone marrow-derived hematopoietic cells generate cardiomyocytes at a low frequency through cell fusion, but not transdifferentiation</article-title>. <source>Nat Med</source> <volume>10</volume>, <fpage>494</fpage>–<lpage>501</lpage>. <pub-id pub-id-type="doi">10.1038/nm1040</pub-id> <pub-id pub-id-type="pmid">15107841</pub-id></mixed-citation></ref>
<ref id="c51"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>O’Connor</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Akbar</surname>, <given-names>FB</given-names></string-name>, <string-name><surname>Hutson</surname>, <given-names>MS</given-names></string-name>, <string-name><surname>Page-McCaw</surname>, <given-names>A</given-names></string-name></person-group>., <year>2021a</year>. <article-title>Zones of cellular damage around pulsed-laser wounds</article-title>. <source>PLoS One</source> <volume>16</volume>, <fpage>e0253032</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0253032</pub-id> <pub-id pub-id-type="pmid">34570791</pub-id></mixed-citation></ref>
<ref id="c52"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>O’Connor</surname>, <given-names>JT</given-names></string-name>, <string-name><surname>Shannon</surname>, <given-names>EK</given-names></string-name>, <string-name><surname>Hutson</surname>, <given-names>MS</given-names></string-name>, <string-name><surname>Page-McCaw</surname>, <given-names>A</given-names></string-name></person-group>., <year>2022</year>. <article-title>Mounting Drosophila pupae for laser ablation and live imaging of the dorsal thorax</article-title>. <source>STAR Protocols</source> <volume>3</volume>, <fpage>101396</fpage>. <pub-id pub-id-type="doi">10.1016/j.xpro.2022.101396</pub-id> <pub-id pub-id-type="pmid">35600923</pub-id></mixed-citation></ref>
<ref id="c53"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>O’Connor</surname>, <given-names>JT</given-names></string-name>, <string-name><surname>Stevens</surname>, <given-names>AC</given-names></string-name>, <string-name><surname>Shannon</surname>, <given-names>EK</given-names></string-name>, <string-name><surname>Akbar</surname>, <given-names>FB</given-names></string-name>, <string-name><surname>LaFever</surname>, <given-names>KS</given-names></string-name>, <string-name><surname>Narayanan</surname>, <given-names>NP</given-names></string-name>, <string-name><surname>Gailey</surname>, <given-names>CD</given-names></string-name>, <string-name><surname>Hutson</surname>, <given-names>MS</given-names></string-name>, <string-name><surname>Page-McCaw</surname>, <given-names>A</given-names></string-name></person-group>., <year>2021b</year>. <article-title>Proteolytic activation of Growth-blocking peptides triggers calcium responses through the GPCR Mthl10 during epithelial wound detection</article-title>. <source>Developmental Cell</source> <volume>56</volume>, <fpage>2160</fpage>–<lpage>2175.</lpage>  <pub-id pub-id-type="doi">10.1016/j.devcel.2021.06.020</pub-id> <pub-id pub-id-type="pmid">34273275</pub-id></mixed-citation></ref>
<ref id="c54"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Ogden</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Rida</surname>, <given-names>PCG</given-names></string-name>, <string-name><surname>Knudsen</surname>, <given-names>BS</given-names></string-name>, <string-name><surname>Kucuk</surname>, <given-names>O</given-names></string-name>, <string-name><surname>Aneja</surname>, <given-names>R</given-names></string-name></person-group>., <year>2015</year>. <article-title>Docetaxel-induced polyploidization may underlie chemoresistance and disease relapse</article-title>. <source>Cancer Letters</source> <volume>367</volume>, <fpage>89</fpage>–<lpage>92</lpage>. <pub-id pub-id-type="doi">10.1016/j.canlet.2015.06.025</pub-id> <pub-id pub-id-type="pmid">26185000</pub-id></mixed-citation></ref>
<ref id="c55"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Ogura</surname>, <given-names>Y</given-names></string-name>, <string-name><surname>Wen</surname>, <given-names>F.-L</given-names></string-name>, <string-name><surname>Sami</surname>, <given-names>MM</given-names></string-name>, <string-name><surname>Shibata</surname>, <given-names>T</given-names></string-name>, <string-name><surname>Hayashi</surname>, <given-names>S</given-names></string-name></person-group>., <year>2018</year>. <article-title>A Switch-like Activation Relay of EGFR-ERK Signaling Regulates a Wave of Cellular Contractility for Epithelial Invagination</article-title>. <source>Developmental Cell</source> <volume>46</volume>, <fpage>162</fpage>–<lpage>172.</lpage>  <pub-id pub-id-type="doi">10.1016/j.devcel.2018.06.004</pub-id> <pub-id pub-id-type="pmid">29983336</pub-id></mixed-citation></ref>
<ref id="c56"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Park</surname>, <given-names>JA</given-names></string-name>, <string-name><surname>Kim</surname>, <given-names>JH</given-names></string-name>, <string-name><surname>Bi</surname>, <given-names>D</given-names></string-name>, <string-name><surname>Mitchel</surname>, <given-names>JA</given-names></string-name>, <string-name><surname>Qazvini</surname>, <given-names>NT</given-names></string-name>, <string-name><surname>Tantisira</surname>, <given-names>K</given-names></string-name>, <string-name><surname>Park</surname>, <given-names>CY</given-names></string-name>, <string-name><surname>McGill</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Kim</surname>, <given-names>SH</given-names></string-name>, <string-name><surname>Gweon</surname>, <given-names>B</given-names></string-name>, <string-name><surname>Notbohm</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Steward</surname>, <given-names>R</given-names>, <suffix>Jr.</suffix></string-name>, <string-name><surname>Burger</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Randell</surname>, <given-names>SH</given-names></string-name>, <string-name><surname>Kho</surname>, <given-names>AT</given-names></string-name>, <string-name><surname>Tambe</surname>, <given-names>DT</given-names></string-name>, <string-name><surname>Hardin</surname>, <given-names>C</given-names></string-name>, <string-name><surname>Shore</surname>, <given-names>SA</given-names></string-name>, <string-name><surname>Israel</surname>, <given-names>E</given-names></string-name>, <string-name><surname>Weitz</surname>, <given-names>DA</given-names></string-name>, <string-name><surname>Tschumperlin</surname>, <given-names>DJ</given-names></string-name>, <string-name><surname>Henske</surname>, <given-names>EP</given-names></string-name>, <string-name><surname>Weiss</surname>, <given-names>ST</given-names></string-name>, <string-name><surname>Manning</surname>, <given-names>ML</given-names></string-name>, <string-name><surname>Butler</surname>, <given-names>JP</given-names></string-name>, <string-name><surname>Drazen</surname>, <given-names>JM</given-names></string-name>, <string-name><surname>Fredberg</surname>, <given-names>JJ</given-names></string-name></person-group>., <year>2015</year>. <article-title>Unjamming and cell shape in the asthmatic airway epithelium</article-title>. <source>Nat Mater</source> <volume>14</volume>, <fpage>1040</fpage>–<lpage>1048</lpage>. <pub-id pub-id-type="doi">10.1038/nmat4357</pub-id> <pub-id pub-id-type="pmid">26237129</pub-id></mixed-citation></ref>
<ref id="c57"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Pawelek</surname>, <given-names>JM</given-names></string-name>, <string-name><surname>Chakraborty</surname>, <given-names>AK</given-names></string-name></person-group>., <year>2008</year>. <article-title>Fusion of tumour cells with bone marrow-derived cells: a unifying explanation for metastasis</article-title>. <source>Nature Reviews Cancer</source> <volume>8</volume>, <fpage>377</fpage>–<lpage>386</lpage>. <pub-id pub-id-type="doi">10.1038/nrc2371</pub-id> <pub-id pub-id-type="pmid">18385683</pub-id></mixed-citation></ref>
<ref id="c58"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Petrany</surname>, <given-names>MJ</given-names></string-name>, <string-name><surname>Millay</surname>, <given-names>DP</given-names></string-name></person-group>., <year>2019</year>. <article-title>Cell Fusion: Merging Membranes and Making Muscle</article-title>. <source>Trends Cell Biol</source> <volume>29</volume>, <fpage>964</fpage>–<lpage>973</lpage>. <pub-id pub-id-type="doi">10.1016/j.tcb.2019.09.002</pub-id> <pub-id pub-id-type="pmid">31648852</pub-id></mixed-citation></ref>
<ref id="c59"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Pignoni</surname>, <given-names>F</given-names></string-name>, <string-name><surname>Zipursky</surname>, <given-names>SL</given-names></string-name></person-group>., <year>1997</year>. <article-title>Induction of Drosophila eye development by Decapentaplegic</article-title>. <source>Development</source> <volume>124</volume>, <fpage>271</fpage>–<lpage>278</lpage>. <pub-id pub-id-type="doi">10.1242/dev.124.2.271</pub-id> <pub-id pub-id-type="pmid">9053304</pub-id></mixed-citation></ref>
<ref id="c60"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Podbilewicz</surname>, <given-names>B</given-names></string-name>, <string-name><surname>Leikina</surname>, <given-names>E</given-names></string-name>, <string-name><surname>Sapir</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Valansi</surname>, <given-names>C</given-names></string-name>, <string-name><surname>Suissa</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Shemer</surname>, <given-names>G</given-names></string-name>, <string-name><surname>Chernomordik</surname>, <given-names>LV</given-names></string-name></person-group>., <year>2006</year>. <article-title>The C. elegans developmental fusogen EFF-1 mediates homotypic fusion in heterologous cells and in vivo</article-title>. <source>Developmental cell</source> <volume>11</volume>, <fpage>471</fpage>–<lpage>481</lpage>. <pub-id pub-id-type="doi">10.1016/j.devcel.2006.09.004</pub-id> <pub-id pub-id-type="pmid">17011487</pub-id></mixed-citation></ref>
<ref id="c61"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Podbilewicz</surname>, <given-names>B</given-names></string-name>, <string-name><surname>White</surname>, <given-names>JG</given-names></string-name></person-group>., <year>1994</year>. <article-title>Cell fusions in the developing epithelial of C. elegans</article-title>. <source>Dev Biol</source> <volume>161</volume>, <fpage>408</fpage>–<lpage>424</lpage>. <pub-id pub-id-type="doi">10.1006/dbio.1994.1041</pub-id> <pub-id pub-id-type="pmid">8313992</pub-id></mixed-citation></ref>
<ref id="c62"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Powell</surname>, <given-names>AE</given-names></string-name>, <string-name><surname>Anderson</surname>, <given-names>EC</given-names></string-name>, <string-name><surname>Davies</surname>, <given-names>PS</given-names></string-name>, <string-name><surname>Silk</surname>, <given-names>AD</given-names></string-name>, <string-name><surname>Pelz</surname>, <given-names>C</given-names></string-name>, <string-name><surname>Impey</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Wong</surname>, <given-names>MH</given-names></string-name></person-group>., <year>2011</year>. <article-title>Fusion between Intestinal epithelial cells and macrophages in a cancer context results in nuclear reprogramming</article-title>. <source>Cancer Res</source> <volume>71</volume>, <fpage>1497</fpage>–<lpage>1505</lpage>. <pub-id pub-id-type="doi">10.1158/0008-5472.can-10-3223</pub-id> <pub-id pub-id-type="pmid">21303980</pub-id></mixed-citation></ref>
<ref id="c63"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Qu</surname>, <given-names>Y</given-names></string-name>, <string-name><surname>Zhang</surname>, <given-names>L</given-names></string-name>, <string-name><surname>Rong</surname>, <given-names>Z</given-names></string-name>, <string-name><surname>He</surname>, <given-names>T</given-names></string-name>, <string-name><surname>Zhang</surname>, <given-names>S</given-names></string-name></person-group>., <year>2013</year>. <article-title>Number of glioma polyploid giant cancer cells (PGCCs) associated with vasculogenic mimicry formation and tumor grade in human glioma</article-title>. <source>J Exp Clin Cancer Res</source> <volume>32</volume>, <fpage>75</fpage>. <pub-id pub-id-type="doi">10.1186/1756-9966-32-75</pub-id> <pub-id pub-id-type="pmid">24422894</pub-id></mixed-citation></ref>
<ref id="c64"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Renaud</surname>, <given-names>SJ</given-names></string-name>, <string-name><surname>Jeyarajah</surname>, <given-names>MJ</given-names></string-name></person-group>., <year>2022</year>. <article-title>How trophoblasts fuse: an in-depth look into placental syncytiotrophoblast formation</article-title>. <source>Cellular and Molecular Life Sciences</source> <volume>79</volume>, <fpage>433</fpage>. <pub-id pub-id-type="doi">10.1007/s00018-022-04475-z</pub-id> <pub-id pub-id-type="pmid">35859055</pub-id></mixed-citation></ref>
<ref id="c65"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Rushton</surname>, <given-names>E</given-names></string-name>, <string-name><surname>Drysdale</surname>, <given-names>R</given-names></string-name>, <string-name><surname>Abmayr</surname>, <given-names>SM</given-names></string-name>, <string-name><surname>Michelson</surname>, <given-names>AM</given-names></string-name>, <string-name><surname>Bate</surname>, <given-names>M</given-names></string-name></person-group>., <year>1995</year>. <article-title>Mutations in a novel gene, myoblast city, provide evidence in support of the founder cell hypothesis for Drosophila muscle development</article-title>. <source>Development</source> <volume>121</volume>, <fpage>1979</fpage>–<lpage>1988</lpage>. <pub-id pub-id-type="doi">10.1242/dev.121.7.1979</pub-id> <pub-id pub-id-type="pmid">7635046</pub-id></mixed-citation></ref>
<ref id="c66"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Sapir</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Choi</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Leikina</surname>, <given-names>E</given-names></string-name>, <string-name><surname>Avinoam</surname>, <given-names>O</given-names></string-name>, <string-name><surname>Valansi</surname>, <given-names>C</given-names></string-name>, <string-name><surname>Chernomordik</surname>, <given-names>LV</given-names></string-name>, <string-name><surname>Newman</surname>, <given-names>AP</given-names></string-name>, <string-name><surname>Podbilewicz</surname>, <given-names>B</given-names></string-name></person-group>., <year>2007</year>. <article-title>AFF-1, a FOS-1-regulated fusogen, mediates fusion of the anchor cell in C. elegans</article-title>. <source>Developmental cell</source> <volume>12</volume>, <fpage>683</fpage>–<lpage>698</lpage>. <pub-id pub-id-type="doi">10.1016/j.devcel.2007.03.003</pub-id> <pub-id pub-id-type="pmid">17488621</pub-id></mixed-citation></ref>
<ref id="c67"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Scepanovic</surname>, <given-names>G</given-names></string-name>, <string-name><surname>Hunter</surname>, <given-names>MV</given-names></string-name>, <string-name><surname>Kafri</surname>, <given-names>R</given-names></string-name>, <string-name><surname>Fernandez-Gonzalez</surname>, <given-names>R</given-names></string-name></person-group>, <year>2021</year>. <article-title>p38-mediated cell growth and survival drive rapid embryonic wound repair</article-title>. <source>Cell Reports</source> <volume>37</volume>, <fpage>109874</fpage>. <pub-id pub-id-type="doi">10.1016/j.celrep.2021.109874</pub-id> <pub-id pub-id-type="pmid">34686334</pub-id></mixed-citation></ref>
<ref id="c68"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Sens</surname>, <given-names>KL</given-names></string-name>, <string-name><surname>Zhang</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Jin</surname>, <given-names>P</given-names></string-name>, <string-name><surname>Duan</surname>, <given-names>R</given-names></string-name>, <string-name><surname>Zhang</surname>, <given-names>G</given-names></string-name>, <string-name><surname>Luo</surname>, <given-names>F</given-names></string-name>, <string-name><surname>Parachini</surname>, <given-names>L</given-names></string-name>, <string-name><surname>Chen</surname>, <given-names>EH</given-names></string-name></person-group>., <year>2010</year>. <article-title>An invasive podosome-like structure promotes fusion pore formation during myoblast fusion</article-title>. <source>J Cell Biol</source> <volume>191</volume>, <fpage>1013</fpage>–<lpage>1027</lpage>. <pub-id pub-id-type="doi">10.1083/jcb.201006006</pub-id> <pub-id pub-id-type="pmid">21098115</pub-id></mixed-citation></ref>
<ref id="c69"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Shannon</surname>, <given-names>EK</given-names></string-name>, <string-name><surname>Stevens</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Edrington</surname>, <given-names>W</given-names></string-name>, <string-name><surname>Zhao</surname>, <given-names>Y</given-names></string-name>, <string-name><surname>Jayasinghe</surname>, <given-names>AK</given-names></string-name>, <string-name><surname>Page-McCaw</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Hutson</surname>, <given-names>MS</given-names></string-name></person-group>., <year>2017</year>. <article-title>Multiple Mechanisms Drive Calcium Signal Dynamics around Laser-Induced Epithelial Wounds</article-title>. <source>Biophysical Journal</source> <volume>113</volume>, <fpage>1623</fpage>–<lpage>1635</lpage>. <pub-id pub-id-type="doi">10.1016/j.bpj.2017.07.022</pub-id> <pub-id pub-id-type="pmid">28978452</pub-id></mixed-citation></ref>
<ref id="c70"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Shemer</surname>, <given-names>G</given-names></string-name>, <string-name><surname>Suissa</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Kolotuev</surname>, <given-names>I</given-names></string-name>, <string-name><surname>Nguyen</surname>, <given-names>KC</given-names></string-name>, <string-name><surname>Hall</surname>, <given-names>DH</given-names></string-name>, <string-name><surname>Podbilewicz</surname>, <given-names>B</given-names></string-name></person-group>., <year>2004</year>. <article-title>EFF-1 is sufficient to initiate and execute tissue-specific cell fusion in C. elegans</article-title>. <source>Current Biology</source> <volume>14</volume>, <fpage>1587</fpage>–<lpage>1591</lpage>. <pub-id pub-id-type="doi">10.1016/j.cub.2004.07.059</pub-id> <pub-id pub-id-type="pmid">15341747</pub-id></mixed-citation></ref>
<ref id="c71"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Sigal</surname>, <given-names>SH</given-names></string-name>, <string-name><surname>Rajvanshi</surname>, <given-names>P</given-names></string-name>, <string-name><surname>Gorla</surname>, <given-names>GR</given-names></string-name>, <string-name><surname>Sokhi</surname>, <given-names>RP</given-names></string-name>, <string-name><surname>Saxena</surname>, <given-names>R</given-names></string-name>, <string-name><surname>Gebhard Jr</surname>, <given-names>DR</given-names></string-name>, <string-name><surname>Reid</surname>, <given-names>LM</given-names></string-name>, <string-name><surname>Gupta</surname>, <given-names>S</given-names></string-name></person-group>., <year>1999</year>. <article-title>Partial hepatectomy-induced polyploidy attenuates hepatocyte replication and activates cell aging events</article-title>. <source>American Journal of Physiology-Gastrointestinal and Liver Physiology</source> <volume>276</volume>, <fpage>G1260</fpage>–<lpage>G1272</lpage>. <pub-id pub-id-type="doi">10.1152/ajpgi.1999.276.5.g1260</pub-id> <pub-id pub-id-type="pmid">10330018</pub-id></mixed-citation></ref>
<ref id="c72"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Søe</surname>, <given-names>K</given-names></string-name></person-group>., <year>2020</year>. <article-title>Osteoclast Fusion: Physiological Regulation of Multinucleation through Heterogeneity-Potential Implications for Drug Sensitivity</article-title>. <source>Int J Mol Sci</source> <volume>21</volume>. <pub-id pub-id-type="doi">10.3390/ijms21207717</pub-id> <pub-id pub-id-type="pmid">33086479</pub-id></mixed-citation></ref>
<ref id="c73"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Song</surname>, <given-names>Y</given-names></string-name>, <string-name><surname>Zhao</surname>, <given-names>Y</given-names></string-name>, <string-name><surname>Deng</surname>, <given-names>Z</given-names></string-name>, <string-name><surname>Zhao</surname>, <given-names>R</given-names></string-name>, <string-name><surname>Huang</surname>, <given-names>Q</given-names></string-name></person-group>., <year>2021</year>. <article-title>Stress-Induced Polyploid Giant Cancer Cells: Unique Way of Formation and Non-Negligible Characteristics</article-title>. <source>Front Oncol</source> <volume>11</volume>, <fpage>724781</fpage>. <pub-id pub-id-type="doi">10.3389/fonc.2021.724781</pub-id> <pub-id pub-id-type="pmid">34527590</pub-id></mixed-citation></ref>
<ref id="c74"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Stringer</surname>, <given-names>C</given-names></string-name>, <string-name><surname>Wang</surname>, <given-names>T</given-names></string-name>, <string-name><surname>Michaelos</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Pachitariu</surname>, <given-names>M</given-names></string-name></person-group>., <year>2021</year>. <article-title>Cellpose: a generalist algorithm for cellular segmentation</article-title>. <source>Nat Methods</source> <volume>18</volume>, <fpage>100</fpage>–<lpage>106</lpage>. <pub-id pub-id-type="doi">10.1038/s41592-020-01018-x</pub-id> <pub-id pub-id-type="pmid">33318659</pub-id></mixed-citation></ref>
<ref id="c75"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Tamada</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Perez</surname>, <given-names>TD</given-names></string-name>, <string-name><surname>Nelson</surname>, <given-names>WJ</given-names></string-name>, <string-name><surname>Sheetz</surname>, <given-names>MP</given-names></string-name></person-group>., <year>2007</year>. <article-title>Two distinct modes of myosin assembly and dynamics during epithelial wound closure</article-title>. <source>J. Cell Biol</source>. <volume>176</volume>, <fpage>27</fpage>–<lpage>33</lpage>. <pub-id pub-id-type="doi">10.1083/jcb.200609116</pub-id> <pub-id pub-id-type="pmid">17200415</pub-id></mixed-citation></ref>
<ref id="c76"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Tamori</surname>, <given-names>Y</given-names></string-name>, <string-name><surname>Deng</surname>, <given-names>WM</given-names></string-name></person-group>., <year>2013</year>. <article-title>Tissue repair through cell competition and compensatory cellular hypertrophy in postmitotic epithelia</article-title>. <source>Dev Cell</source> <volume>25</volume>, <fpage>350</fpage>–<lpage>363</lpage>. <pub-id pub-id-type="doi">10.1016/j.devcel.2013.04.013</pub-id> <pub-id pub-id-type="pmid">23685249</pub-id></mixed-citation></ref>
<ref id="c77"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Tetley</surname>, <given-names>RJ</given-names></string-name>, <string-name><surname>Staddon</surname>, <given-names>MF</given-names></string-name>, <string-name><surname>Heller</surname>, <given-names>D</given-names></string-name>, <string-name><surname>Hoppe</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Banerjee</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Mao</surname>, <given-names>Y</given-names></string-name></person-group>., <year>2019</year>. <article-title>Tissue Fluidity Promotes Epithelial Wound Healing</article-title>. <source>Nat Phys</source> <volume>15</volume>, <fpage>1195</fpage>–<lpage>1203</lpage>. <pub-id pub-id-type="doi">10.1038/s41567-019-0618-1</pub-id> <pub-id pub-id-type="pmid">31700525</pub-id></mixed-citation></ref>
<ref id="c78"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Toyoda</surname>, <given-names>H</given-names></string-name>, <string-name><surname>Bregerie</surname>, <given-names>O</given-names></string-name>, <string-name><surname>Vallet</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Nalpas</surname>, <given-names>B</given-names></string-name>, <string-name><surname>Pivert</surname>, <given-names>G</given-names></string-name>, <string-name><surname>Brechot</surname>, <given-names>C</given-names></string-name>, <string-name><surname>Desdouets</surname>, <given-names>C</given-names></string-name></person-group>., <year>2005</year>. <article-title>Changes to hepatocyte ploidy and binuclearity profiles during human chronic viral hepatitis</article-title>. <source>Gut</source> <volume>54</volume>, <fpage>297</fpage>–<lpage>302</lpage>. <pub-id pub-id-type="doi">10.1136/gut.2004.043893</pub-id> <pub-id pub-id-type="pmid">15647198</pub-id></mixed-citation></ref>
<ref id="c79"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Wang</surname>, <given-names>X</given-names></string-name>, <string-name><surname>Merkel</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Sutter</surname>, <given-names>LB</given-names></string-name>, <string-name><surname>Erdemci-Tandogan</surname>, <given-names>G</given-names></string-name>, <string-name><surname>Manning</surname>, <given-names>ML</given-names></string-name>, <string-name><surname>Kasza</surname>, <given-names>KE</given-names></string-name></person-group>., <year>2020</year>. <article-title>Anisotropy links cell shapes to tissue flow during convergent extension</article-title>. <source>Proc Natl Acad Sci U S A</source> <volume>117</volume>, <fpage>13541</fpage>–<lpage>13551</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.1916418117</pub-id> <pub-id pub-id-type="pmid">32467168</pub-id></mixed-citation></ref>
<ref id="c80"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Wang</surname>, <given-names>Y</given-names></string-name>, <string-name><surname>Antunes</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Anderson</surname>, <given-names>AE</given-names></string-name>, <string-name><surname>Kadrmas</surname>, <given-names>JL</given-names></string-name>, <string-name><surname>Jacinto</surname>, <given-names>A</given-names></string-name>, <string-name><surname>Galko</surname>, <given-names>MJ</given-names></string-name></person-group>., <year>2015</year>. <article-title>Integrin Adhesions Suppress Syncytium Formation in the Drosophila Larval Epidermis</article-title>. <source>Current Biology</source> <volume>25</volume>, <fpage>2215</fpage>–<lpage>2227</lpage>. <pub-id pub-id-type="doi">10.1016/j.cub.2015.07.031</pub-id> <pub-id pub-id-type="pmid">26255846</pub-id></mixed-citation></ref>
<ref id="c81"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Wang</surname>, <given-names>Y</given-names></string-name>, <string-name><surname>Wang</surname>, <given-names>Y</given-names></string-name>, <string-name><surname>Zheng</surname>, <given-names>W</given-names></string-name></person-group>., <year>2013</year>. <article-title>Cytologic changes of ovarian epithelial cancer induced by neoadjuvant chemotherapy</article-title>. <source>Int J Clin Exp Pathol</source> <volume>6</volume>, <fpage>2121</fpage>–<lpage>2128</lpage>. <pub-id pub-id-type="pmid">24133590</pub-id></mixed-citation></ref>
<ref id="c82"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Weihua</surname>, <given-names>Z</given-names></string-name>, <string-name><surname>Lin</surname>, <given-names>Q</given-names></string-name>, <string-name><surname>Ramoth</surname>, <given-names>AJ</given-names></string-name>, <string-name><surname>Fan</surname>, <given-names>D</given-names></string-name>, <string-name><surname>Fidler</surname>, <given-names>IJ</given-names></string-name></person-group>., <year>2011</year>. <article-title>Formation of solid tumors by a single multinucleated cancer cell</article-title>. <source>Cancer</source> <volume>117</volume>, <fpage>4092</fpage>–<lpage>4099</lpage>. <pub-id pub-id-type="doi">10.1002/cncr.26021</pub-id> <pub-id pub-id-type="pmid">21365635</pub-id></mixed-citation></ref>
<ref id="c83"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Wheatley</surname>, <given-names>D</given-names></string-name></person-group>., <year>2008</year>. <article-title>Growing evidence of the repopulation of regressed tumours by the division of giant cells</article-title>. <source>Cell Biology International</source> <volume>32</volume>, <fpage>1029</fpage>–<lpage>1030</lpage>. <pub-id pub-id-type="doi">10.1016/j.cellbi.2008.06.001</pub-id> <pub-id pub-id-type="pmid">18598775</pub-id></mixed-citation></ref>
<ref id="c84"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>White</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Hutson</surname>, <given-names>MS</given-names></string-name>, <string-name><surname>Page-McCaw</surname>, <given-names>A</given-names></string-name></person-group>., <year>2024</year>. <article-title>Wounding increases nuclear ploidy in wound-proximal epidermal cells of the Drosophila pupal notum</article-title>. <source>MicroPubl Biol</source> <volume>2024</volume>. <pub-id pub-id-type="doi">10.17912/micropub.biology.001067</pub-id> <pub-id pub-id-type="pmid">38495588</pub-id></mixed-citation></ref>
<ref id="c85"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Wilkinson</surname>, <given-names>PD</given-names></string-name>, <string-name><surname>Alencastro</surname>, <given-names>F</given-names></string-name>, <string-name><surname>Delgado</surname>, <given-names>ER</given-names></string-name>, <string-name><surname>Leek</surname>, <given-names>MP</given-names></string-name>, <string-name><surname>Weirich</surname>, <given-names>MP</given-names></string-name>, <string-name><surname>Otero</surname>, <given-names>PA</given-names></string-name>, <string-name><surname>Roy</surname>, <given-names>N</given-names></string-name>, <string-name><surname>Brown</surname>, <given-names>WK</given-names></string-name>, <string-name><surname>Oertel</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Duncan</surname>, <given-names>AW</given-names></string-name></person-group>., <year>2019</year>. <article-title>Polyploid Hepatocytes Facilitate Adaptation and Regeneration to Chronic Liver Injury</article-title>. <source>Am J Pathol</source> <volume>189</volume>, <fpage>1241</fpage>–<lpage>1255</lpage>. <pub-id pub-id-type="doi">10.1016/j.ajpath.2019.02.008</pub-id> <pub-id pub-id-type="pmid">30928253</pub-id></mixed-citation></ref>
<ref id="c86"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Zhang</surname>, <given-names>H</given-names></string-name>, <string-name><surname>Ma</surname>, <given-names>H</given-names></string-name>, <string-name><surname>Yang</surname>, <given-names>X</given-names></string-name>, <string-name><surname>Fan</surname>, <given-names>L</given-names></string-name>, <string-name><surname>Tian</surname>, <given-names>S</given-names></string-name>, <string-name><surname>Niu</surname>, <given-names>R</given-names></string-name>, <string-name><surname>Yan</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Zheng</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Zhang</surname>, <given-names>S</given-names></string-name></person-group>., <year>2021</year>. <article-title>Cell Fusion-Related Proteins and Signaling Pathways, and Their Roles in the Development and Progression of Cancer</article-title>. <source>Front Cell Dev Biol</source> <volume>9</volume>, <fpage>809668</fpage>. <pub-id pub-id-type="doi">10.3389/fcell.2021.809668</pub-id> <pub-id pub-id-type="pmid">35178400</pub-id></mixed-citation></ref>
<ref id="c87"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Zhao</surname>, <given-names>Q</given-names></string-name>, <string-name><surname>Zhang</surname>, <given-names>K</given-names></string-name>, <string-name><surname>Li</surname>, <given-names>Z</given-names></string-name>, <string-name><surname>Zhang</surname>, <given-names>H</given-names></string-name>, <string-name><surname>Fu</surname>, <given-names>F</given-names></string-name>, <string-name><surname>Fu</surname>, <given-names>J</given-names></string-name>, <string-name><surname>Zheng</surname>, <given-names>M</given-names></string-name>, <string-name><surname>Zhang</surname>, <given-names>S</given-names></string-name></person-group>., <year>2021</year>. <article-title>High Migration and Invasion Ability of PGCCs and Their Daughter Cells Associated With the Nuclear Localization of S100A10 Modified by SUMOylation</article-title>. <source>Front Cell Dev Biol</source> <volume>9</volume>, <fpage>696871</fpage>. <pub-id pub-id-type="doi">10.3389/fcell.2021.696871</pub-id> <pub-id pub-id-type="pmid">34336846</pub-id></mixed-citation></ref>
</ref-list>
</back>
<sub-article id="sa0" article-type="editor-report">
<front-stub>
<article-id pub-id-type="doi">10.7554/eLife.92593.2.sa4</article-id>
<title-group>
<article-title>eLife Assessment</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Araújo</surname>
<given-names>Sofia J</given-names>
</name>
<role specific-use="editor">Reviewing Editor</role>
<contrib-id authenticated="true" contrib-id-type="orcid">http://orcid.org/0000-0002-4749-8913</contrib-id>
<aff>
<institution-wrap>
<institution-id institution-id-type="ror">https://ror.org/021018s57</institution-id><institution>Universitat de Barcelona</institution>
</institution-wrap>
<city>Barcelona</city>
<country>Spain</country>
</aff>
</contrib>
</contrib-group>
<kwd-group kwd-group-type="evidence-strength">
<kwd>Convincing</kwd>
</kwd-group>
<kwd-group kwd-group-type="claim-importance">
<kwd>Important</kwd>
</kwd-group>
</front-stub>
<body>
<p>This <bold>important</bold> work addresses a very relevant biological question: what is the cellular basis of wound healing? Using the Drosophila pupal notum as a model, the paper provides an elegant, thorough, descriptive characterization of syncytia-driven wound closure using state-of-the-art confocal live imaging of the pupal notum. The authors meticulously characterize the cell-cell fusion events during wound healing and inhibit cell fusion to show to that it is necessary to speed wound closure. In addition, the study provides <bold>convincing</bold> evidence that cell fusion allows actin resources at be partitioned to the leading edge.</p>
</body>
</sub-article>
<sub-article id="sa1" article-type="referee-report">
<front-stub>
<article-id pub-id-type="doi">10.7554/eLife.92593.2.sa3</article-id>
<title-group>
<article-title>Reviewer #1 (Public Review):</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<anonymous/>
<role specific-use="referee">Reviewer</role>
</contrib>
</contrib-group>
</front-stub>
<body>
<p>Summary:</p>
<p>This study aims to understand how cell fusion contributes to wound healing using a laser-induced injury in the notum epithelium of a developing fruit fly. The authors meticulously characterize the epithelial fusion events using a live imaging approach and report that syncytia arise by 'border breakdown' and 'cell shrinking'. The syncytial epithelial cells also appear to outcompete mononucleated cells and preferentially dissolve their tangential borders, which correlates with the accumulation of actin at the leading edge.</p>
<p>Strengths:</p>
<p>The strength of this study is the authors' live imaging approach to capture these dynamic fusion events that are a fundamental yet poorly understood biological process.</p>
<p>Comments on revised version.</p>
<p>The manuscript overall is significantly improved and authors addressed majority of my concerns. The addition of the computational vertex model (Figure 7) as well as Atg1 RNAi (Figure 4) to inhibit cell fusion provide more mechanistic insight to their study. However, the analysis of Atg1 RNAi wound assay falls short as it does directly measure changes in syncytium frequency nor size to confirm that cell fusion is reduced. The authors should quantify the number of nuclei per syncytium over the 2hr wound healing period as performed for WT in Figure 1C. It would have been ideal if they could have also performed the Act-GFP spreading assay in WT and Atg1 RNAi strains to determine if Act-GFP movement is dependent on cell fusion as purposed. At the least, further quantification of Atg1 RNAi phenotype is warranted to support their conclusions.</p>
</body>
</sub-article>
<sub-article id="sa2" article-type="referee-report">
<front-stub>
<article-id pub-id-type="doi">10.7554/eLife.92593.2.sa2</article-id>
<title-group>
<article-title>Reviewer #2 (Public Review):</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<anonymous/>
<role specific-use="referee">Reviewer</role>
</contrib>
</contrib-group>
</front-stub>
<body>
<p>Summary:</p>
<p>Overall, this study provides a thorough description of the formation of syncytia following wounding of the proliferation-competent diploid epithelium of the pupal notum. While this phenomenon has already been described briefly for this particular tissue by the Galko lab in Wang et al 2015, the authors provide a much more detailed description and characterisation of the process providing some novel insights (radial versus tangential border breakdown, cell shrinkage, timings, syncytia outcompeting mononucleated cells, etc.).</p>
<p>Strengths:</p>
<p>This paper provides an elegant, thorough, descriptive characterisation of syncytia-driven wound closure using state-of-the-art confocal live imaging of the pupal notum. The authors show that laser-induced wounding of this diploid, proliferation-competent epithelium results in the formation of syncytia of various sizes in the first few cell rows around the wound edge, which progressively become bigger as healing proceeds. This results in ~50% of cells becoming part of these syncytia. The cell fusion events were convincingly demonstrated by showing the disappearance of p120ctnRFP and E-Cadherin-GFP from cell-cell borders as well as cytoplasmic GFP mixing of GFP-positive cells with a GFP-negative cell.</p>
<p>Apart from cell-cell fusion by border breakdown that mostly happens in the first 2h following wounding, the authors also found that at later stages of wound healing cell shrinkage following cytoplasmic mixing contributed to syncytia formation.</p>
<p>Next, the authors provided some convincing evidence that syncytia outcompete mononuclear cells for being positioned in the first cell row around the wound.</p>
<p>The authors then show that radial border breakdown occurs much less frequently than tangential border breakdown. They suggest that radial border breakdown reduces the requirement for cell-cell intercalations. They also hypothesise that tangential border breakdown might allow fused cells to share resources and provide more resources to be used near the wound edge, e.g. for actomyosin cable formation. To test this, the authors generate single-cell clones that overexpress Actin-GFP. They then show convincingly how a single Actin-GFP-positive cell in the second cell row fuses with one GFP-negative cell in the first cell row. The Actin-GFP signal then spreads in the fused cell and labels some previously unlabelled actin-rich structure near the wound edge which most likely is the actomyosin cable. This provides some evidence for resource sharing by cytoplasmic mixing following fusion.</p>
<p>Comments on revised version:</p>
<p>The authors have extended their original manuscript by adding two key parts. First, they show a role of Atg1 in mediating cell fusion (Figure 4). Second, they provide additional evidence for a contribution of radial border fusions to wound closure through its effect on tissue fluidity and through computational modelling (Figure 7).</p>
<p>This new version of the manuscript is greatly improved and provides significant new insights into the role of syncytia in aiding wound repair. There are just a few minor, yet important, additions needed to back up Figure 4 which should not require new experiments.</p>
<p>Minor but important points:</p>
<p>The authors show a role of Atg1 in mediating syncytia formation in Figure 4. However, since the Pnr&gt;+ side of the wound closes slower than the non-Pnr side (control side), a few additions to this figure would be important and should not require additional experiments.</p>
<p>(1) The authors should show, similar to the data shown in Figure 4D of the wound radius over time for control versus Pnr&gt;Atg1RNAi, also the same type of data for control versus Pnr&gt;+.</p>
<p>(2) Since Pnr&gt;+ also slows down wound healing, albeit to a lesser extent than Pnr&gt;Atg1, the authors should also show an extra graph that provides evidence that Pnr&gt;Atg1RNAi reduces syncytia formation more than Pnr&gt;+ does. E.g. Two graphs could be added that show individual cell size at 4 or 5h post wounding for control versus Pnr&gt;Atg1RNAi as well as for control versus Pnr&gt;+ and also another graph with the same data but comparing cell size between Pnr&gt;+ and Pnr&gt;Atg1RNAi. Otherwise, if the expected minimum cell size for a syncytium is easy to estimate, a graph could be added that shows the percentage of cells that are above this threshold (e.g. above 100 square micron) for control versus Pnr&gt;Atg1RNAi and control versus Pnr&gt;+ and Pnr&gt;+ versus Pnr&gt;Atg1RNAi.</p>
</body>
</sub-article>
<sub-article id="sa3" article-type="referee-report">
<front-stub>
<article-id pub-id-type="doi">10.7554/eLife.92593.2.sa1</article-id>
<title-group>
<article-title>Reviewer #3 (Public Review):</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<anonymous/>
<role specific-use="referee">Reviewer</role>
</contrib>
</contrib-group>
</front-stub>
<body>
<p>In this revised manuscript, White et al. aimed to understand the wound-induced syncytia formation behavior in wound repair of Drosophila melanogaster pupal notum. For this purpose, the authors characterized two different types of adherens junctions' outcomes during syncytia formation around the wound region - border breakdown versus apical shrinking which appear to happen in different time points and for different time durations. The authors characterized cell-cell fusion events using cytoplasmic, junctional and nuclear markers. They determined that about half of the cells within 70 um radii from the wound undergo cell-cell fusion. They studied wound induction on the border between control epithelia and pnr domain suggesting that Atg1 is required for post-wound syncytia formation and wound closure. They showed that during wound closure syncytia gradually invade the wound leading edge mostly by radial fusion events. The data suggests that intercalation of cells from the leading edge slows down the wound closure process. They propose that cell fluidity of syncytial cells plays a role in wound closure speed. Finally, the authors showed that actin is concentrated to the front edge of syncytia located in the wound leading edge. The authors described some aspects of syncytia formation during wound closure using different approaches. Some clarifications are needed as described below.</p>
<p>Major suggestions:</p>
<p>(1) Introduction, page 4. The examples of developmental syncytia formation of invertebrates and vertebrates are confusing. The authors may want to make the examples clear and add additional examples. Currently, readers may assume that C. elegans cell fusions occur only in the hypodermis - other structures can be mentioned like the vulva, pharyngeal muscles, glia, tail. In addition, the authors may want to add injury-induced fusions like the C. elegans' PLM and PVD neurons (Ghosh-Roy et al., 2010; Newman et al., 2015; Oren-Suissa et al., 2017).</p>
<p>(2) In cases where it is not clear whether fusion has occurred or whether mononucleated cells were ejected from the leading edge, membrane markers can be used. Page 6. Lines 96-99. The authors may want to use a membrane marker like RFP-PH driven by the epithelial cell promoter.</p>
<p>(3) Pages 8-10. The authors may want to clearly explain that apical junctions shrinking is a post fusion event. That the apical shrinking is caused by the expansion of fusion pores and the migration of apical junctions towards the basolateral domain. This is something that was clearly shown during physiological epidermal cell-cell fusion in C. elegans by Mohler et al., 1998 and 2002. A cartoon showing the process of cell-cell fusion, pore expansion and apical junction dynamics would make the manuscript much clearer.</p>
<p>(4) Page 9. Line 170. &quot;...as these cells represent fusion initiation events (fusion pore) but were unable to productively stabilize and expand the site of fusion and so returned to the diploid state.&quot; The authors may want to make clear that this is an assumption that needs to be tested. Live imaging using a membrane marker may resolve whether a reversible fusion pore was generated.</p>
<p>(5) Page 11. It is not clear whether Atg1 is directly required for cell fusion, or that autophagy is required for efficient cell fusion or both Atg1 and autophagy participate in the fusion process.</p>
<p>(6) Page 12. Line 235. &quot;Indeed, we observed that several hours after wounding, the entire leading edge was occupied by syncytia.&quot; This observation is based only on the adherens junction marker. Can they test basal cell membrane marker? Is it possible that the mononucleate cell in the leading edge is under the two syncytia?</p>
</body>
</sub-article>
<sub-article id="sa4" article-type="author-comment">
<front-stub>
<article-id pub-id-type="doi">10.7554/eLife.92593.2.sa0</article-id>
<title-group>
<article-title>Author response:</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>White</surname>
<given-names>James S</given-names>
</name>
<role specific-use="author">Author</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hua</surname>
<given-names>Junmin</given-names>
</name>
<role specific-use="author">Author</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Su</surname>
<given-names>Jasmine J</given-names>
</name>
<role specific-use="author">Author</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tro</surname>
<given-names>Kaden J</given-names>
</name>
<role specific-use="author">Author</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ruark</surname>
<given-names>Elizabeth M</given-names>
</name>
<role specific-use="author">Author</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hutson</surname>
<given-names>M Shane</given-names>
</name>
<role specific-use="author">Author</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Page-McCaw</surname>
<given-names>Andrea</given-names>
</name>
<role specific-use="author">Author</role>
</contrib>
</contrib-group>
</front-stub>
<body>
<p>The following is the authors’ response to the original reviews.</p>
<disp-quote content-type="editor-comment">
<p><bold>Public Reviews:</bold></p>
<p><bold>Reviewer #1 (Public Review):</bold></p>
<p>Summary:</p>
<p>This study aims to understand how cell fusion contributes to wound healing using a laser-induced injury in the notum epithelium of a developing fruit fly. The authors meticulously characterize the epithelial fusion events using a live imaging approach and report that syncytia arise by 'border breakdown' and 'cell shrinking'. The syncytial epithelial cells also appear to outcompete mononucleated cells and preferentially dissolve their tangential borders, which correlates with the accumulation of actin at the leading edge.</p>
<p>Strengths:</p>
<p>The strength of this study is the authors' live imaging approach to capture these dynamic fusion events that are a fundamental, yet poorly understood biological process.</p>
<p>Weaknesses:</p>
<p>A major weakness is that all the authors' conclusions are based on descriptive studies, in which the role of cell fusion is not directly tested. This is particularly important because other models of wound induced polyploidization have demonstrated that another cytoskeletal protein, myosin, was upregulated and dependent on endoreplication, and not cell fusion. Therefore it remains unclear to what extent cell fusion, endoreplication, or both are required to outcompete mononucleated cells as well as pool actin as described in this study.</p>
</disp-quote>
<p>We thank the reviewer for appreciating our live imaging and meticulous approach. In this revision we have identified that the gene <italic>Atg1</italic> is required for wound-induced fusion in the pupal notum: when <italic>Atg1</italic> is knocked down, there is a reduction in wound-induced cell fusions, both border breakdown and cell shrinking. Analysis of <italic>Atg1</italic> knockdown shows that the wounds close more slowly. This is a direct test of the role of cell fusion in speeding wound closure, presented in new Fig. 4.</p>
<disp-quote content-type="editor-comment">
<p><bold>Reviewer #2 (Public Review):</bold></p>
<p>Summary:</p>
<p>Overall, this study provides a thorough description of the formation of syncytia following wounding of the proliferation-competent diploid epithelium of the pupal notum. While this phenomenon has already been described briefly for this particular tissue by the Galko lab in Wang et al 2015, the authors provide a much more detailed description and characterisation of the process providing some novel insights (radial versus tangential border breakdown, cell shrinkage, timings, syncytia outcompeting mononucleated cells, etc.).</p>
<p>Strengths:</p>
<p>This paper provides an elegant, thorough, descriptive characterisation of syncytia-driven wound closure using state-of-the-art confocal live imaging of the pupal notum. The authors show that laserinduced wounding of this diploid, proliferation-competent epithelium results in the formation of syncytia of various sizes in the first few cell rows around the wound edge, which progressively become bigger as healing proceeds. This results in ~50% of cells becoming part of these syncytia. The cell fusion events were convincingly demonstrated by showing the disappearance of p120ctnRFP and E-Cadherin-GFP from cell-cell borders as well as cytoplasmic GFP mixing of GFPpositive cells with a GFP-negative cell.</p>
<p>Apart from cell-cell fusion by border breakdown that mostly happens in the first 2h following wounding, the authors also found that at later stages of wound healing cell shrinkage following cytoplasmic mixing contributed to sycytia formation.</p>
<p>Next, the authors provided some convincing evidence that syncytia outcompete mononuclear cells for being positioned in the first cell row around the wound.</p>
<p>The authors then show that radial border breakdown occurs much less frequently than tangential border breakdown. They suggest that radial border breakdown reduces the requirement for cell-cell intercalations. They also hypothesise that tangential border breakdown might allow fused cells to share resources and provide more resources to be used near the wound edge, e.g. for actomyosin cable formation. To test this, the authors generate single-cell clones that overexpress Actin-GFP. They then show convincingly how a single Actin-GFP-positive cell in the second cell row fuses with one GFP-negative cell in the first cell row. The Actin-GFP signal then spreads in the fused cell and labels some previously unlabelled actin-rich structure near the wound edge which most likely is the actomyosin cable. This provides some evidence for resource sharing by cytoplasmic mixing following fusion.</p>
<p>Weaknesses:</p>
<p>The authors provide some convincing evidence that syncytia outcompete mononuclear cells for being positioned in the first cell row around the wound. The authors suggest that the syncytial cells might be better able to close the wound. However, some genetic studies would need to be done to establish this more convincingly. E.g. Could the authors genetically block syncytia formation and then show that these wounds now heal slower?</p>
</disp-quote>
<p>We now present such data in new Fig. 4, which describes knocking down <italic>Atg1</italic>, previously shown by the Leptin lab to promote wound-induced fusions in larval epidermis. We quantify the resulting reduction in fusion in the pupal notum and show that the leading edge advances more slowly to heal the wound.</p>
<disp-quote content-type="editor-comment">
<p>The authors suggest that radial border breakdown reduces the requirement for cell intercalation. While this might be true it also raises the question of how the various syncytia facing the wound border change shape to allow the shrinkage of the first cell row over time to allow wound closure. None of the four movies included in the study shows the whole wound healing process until the later stages, making it hard to assess this. It would be good to include one such movie showing the syncytia in the whole wound and comment on this point.</p>
</disp-quote>
<p>In response to the reviewer's request, we now extend Supplemental Video S1 out through 8 hours after wounding (same video as included previously but extended longer). In this video, as in many of the wounds, it is hard to determine the exact moment of closure because a syncytium extends across the wound whereas the nuclei do not. However, during the process of closure, one can clearly observe the large syncytia becoming more wedge-shaped – drastically reducing the section of their perimeter remaining in contact with the wound’s leading edge.</p>
<p>In addition, we now explore how syncytia reduce the need for intercalation in a computational model, presented in new Fig. 7 and Supplemental Videos S5 and S6. One can observe the modeled syncytia becoming similarly wedge-shaped. The modeling shows that the presence of syncytia and their ability to reshape can speed closure by about 1/3 even if the syncytia have no special properties aside from their relative size.</p>
<p>In both the experiments and models, some syncytia are also removed from the leading edge by intercalation, but the presence of syncytia reduces the total number of intercalations needed.</p>
<disp-quote content-type="editor-comment">
<p>The authors hypothesise that tangential border breakdown might allow fused cells to share resources and provide more resources to be used near the wound edge, e.g. for actomyosin cable formation. They show convincingly through the fusion of a single Actin-GFP-positive cell in the second cell row with a GFP-negative cell in the first cell row that Actin-GFP spreads in the fused cell and labels the previously unlabelled actomyosin cable. While the hypothesis of resource sharing to improve healing is intriguing and makes sense, this experiment doesn't necessarily prove the benefit of resource sharing. It does show cytoplasmic mixing following fusion, now allowing the GFPlabelled actin to diffuse and be incorporated into the actomyosin cable. In a wild-type condition, fusion would not increase the total concentration of resources, although it would increase the total amount of resources within this bigger fused cell. The question is whether resource sharing without increasing the protein concentration is beneficial and increases the efficiency of certain wound healing mechanisms. There might be a benefit of cell fusion, if for example certain resources were only present in limited amounts or if protein transport could increase the concentration locally. To provide better evidence for the hypothesis that resource sharing improves wound healing, maybe the authors could look at the actomyosin cable in a wounded epithelium (such as in Figure 4E, F), in which all cells express MyoII-GFP. The authors could compare the average intensity of the actomyosin cable at the wound edge in mononucleated cells versus in syncytia. If resource sharing is indeed beneficial, it might be that the actomyosin cable is stronger/brighter in syncytia or it forms quicker.</p>
</disp-quote>
<p>We agree with the reviewer that we have not &quot;proved the benefit of resource sharing&quot;. Because we cannot inhibit resource sharing while still allowing cell fusion, we can think of no rigorous way to test this hypothesis. We appreciate the reviewer's suggestion of quantifying the myosin at the leading edge cable, but we can imagine too many caveats to the interpretation to make it worthwhile. Rather, we accept the limitation that this is an untested, perhaps untestable, hypothesis -- but nevertheless intriguing.</p>
<p>We do want to clarify ideas about the concentration of resources after fusion. We agree that the overall concentration of a given resource (mass/volume) throughout a syncytium would be the same as the overall concentration in the unfused progenitor cells; however, a syncytium would have a larger total resource mass to direct subcellularly, allowing for local subcellular concentration to be greater in a syncytium vs. an unfused cell. We demonstrate this subcellular localization of actin in a syncytium twice, in Fig. 7C and E (previously Fig. 6C,E), which we think is evidence for increased local concentration.</p>
<disp-quote content-type="editor-comment">
<p>The biggest limitation of this study is that the authors don't address how the formation of these syncytia is regulated. While the manuscript in its current form provides some valuable new insights into syncytial-driven wound closure, it would be much more informative if it also provided some mechanistic details. The authors could test if some of the mechanisms shown to regulate syncytial formation in other types of syncytia-driven wound healing are also involved here. E.g. Yorkie was shown to negatively regulate cell fusion in adult syncytial-driven wound closure (Losick et al 2013). The authors could test for the effect of Yorkie-RNAi in the epithelium on wound closure and syncytia formation. Expression of the dominant negative RacN17 also blocked cell fusion in adult syncytial-driven wound closure (Losick et al 2013).</p>
<p>Moreover, JNK activation was shown to be needed in larval syncytial-driven wound closure (Galko and Krasnow 2004). The authors could test JNK pathway reporters to assess pathway activation or test if the JNK pathway is needed for syncytial-driven wound closure by expressing a dominantnegative form of Basket JNK in the epithelium.</p>
<p>Or could syncytia formation be regulated by changes in Integrin-mediated adhesion as shown by the Galko lab in Wang et al 2015? They show that wounding provoked a striking relocalization of PINCH and ILK, indicating the disassembly of functional FA complexes concomitant with syncytium formation. Maybe the authors could investigate some of these.</p>
</disp-quote>
<p>We investigated the role of JNK in fusion by expressing <italic>bsk<sup>DN</sup></italic> on one side of the wound. Comparing the numbers of border-loss fusion on each side, we did not find a significant difference in our seven-sample cohort (see Author response image 1). If we had increased the sample size, we may have found a significant difference with a small effect size, but because of the small difference in fusions on each side we did not think this was worth pursuing. Instead, we include data that the autophagy gene <italic>Atg1</italic> is required for cell fusion in new Fig. 4, which begins to address mechanism, and relates the wound-induced fusion described here in pupae to wound-induced fusion shown in larvae. A complete mechanism for wound-induced fusion is outside the scope of this paper, as we focus on the function of syncytia in healing wounds.</p>
<fig id="sa4fig1">
<label>Author response image 1.</label>
<graphic xlink:href="elife-92593-sa4-fig1.jpg" mimetype="image/jpg"/>
</fig>
<disp-quote content-type="editor-comment">
<p>Another general question that the authors raise but don't address enough is whether syncytia-driven wound closure in proliferation-competent epithelia is any different from the one in post-mitotic, polyploid epithelia. Since the mechanism regulating the former is not known, this remains unclear.</p>
</disp-quote>
<p>We now include a paragraph on this question in the discussion.</p>
<disp-quote content-type="editor-comment">
<p>Finally, it is not clear, whether syncytia in these proliferation-competent epithelia get resolved after wound healing. Do they get removed and replaced by mononucleated proliferation-competent cells or do the syncytia stay in the epithelium like a scar? The authors should provide some images of wound areas a few hours after wound closure is complete and comment on this.</p>
</disp-quote>
<p>To answer the reviewer’s question: some but not all syncytia do get removed during wound closure by remarkable apoptotic/extrusion events. This will be the subject of a future manuscript, as it is outside the scope of this paper focusing on the function of syncytia in promoting wound healing.</p>
<disp-quote content-type="editor-comment">
<p>Minor points:</p>
<p>Figure 3: It would be better to have the microcopy images alongside the quantifications.</p>
</disp-quote>
<p>The images in Figs. 1 and 2 show the border breakdown and shrinking cells, and we do not see benefit in adding them in Fig. 3.</p>
<disp-quote content-type="editor-comment">
<p>Figure 4A: The syncytium at the wound edge here doesn't look straight but wavy. Does it not form an actomyosin cable that straightens the front? Or are there lamellipodia/filopodia?</p>
</disp-quote>
<p>We assume the reviewer is asking about the wavy edge outlined at 400 min after wounding (now Fig. 5A). As shown by Jacinto and colleagues in the first pupal wounding paper (JCB 2013), the actin cable forms quickly, within 15 minutes; much later actin protrusions extend from the leading edge to close the wound. This result is consistent with the wavy edge 400 min after wounding.</p>
<disp-quote content-type="editor-comment">
<p>248: The authors suggest an interesting hypothesis that mitochondria or ER could be pooled in fused cells. It would be nice to see some evidence: e.g. by labeling mitochondria and assessing where they are in syncytia versus mononucleated cells and whether they are concentrated around the wound edge.</p>
</disp-quote>
<p>Although we don't think that exploring mitochondria or ER is central to this manuscript, we agree it would be an interesting question for the future.</p>
<disp-quote content-type="editor-comment">
<p>141-145 (Figure 4B and C) This example is not completely convincing. First, it is hard to see where the wound edge is. Second, it would be good to include an even later time point when the cell is clearly no longer at the wound edge.</p>
</disp-quote>
<p>We have revised this figure, now Fig. 5B,C, to include a later image at 360 min after wounding healing, and this additional panel clarifies that the smaller cell leaves the wound edge. As noted in the text, the wound edge is indicated by the cell borders lacking p120ctn.</p>
<disp-quote content-type="editor-comment">
<p><bold>Reviewer #3 (Public Review):</bold></p>
<p>Summary:</p>
<p>White et al. described laser-induced wound healing of the Drosophila pupal notum. They found that the epithelial monolayer is dynamically induced to form syncytia by cell-cell fusion as an important part of repair. They reveal two processes: cell shrinking and border breakage that occur as part of syncytia formation. Expression of GFP in the cytoplasms of some epithelial cells reveals that cytoplasmic contents mix following injury and the GFP rapidly diffuses between cells. Using live imaging they observe that syncytia expand towards the wound, maintain their positions close to the leading edge, and apparently displace smaller cells. They propose that syncytia redistribute cellular components towards the wound facilitating repair and show that labelled actin becomes concentrated at the leading edge.</p>
<p>Strengths:</p>
<p>The manuscript is interesting and on an important and emerging topic of wound healing in a genetically tractable organism. The manuscript is very well written.</p>
<p>Weaknesses:</p>
<p>There are three major issues that the authors must address: 1. Is cell-cell fusion sufficient to enhance/facilitate wound healing? 2. Characterization of &quot;border breakdown&quot;; Is this phenomenon disassembly of apical junctions following membrane fusion? 3. Are cells really shrinking or is it only the apical domains that &quot;shrink&quot; as the cells join the syncytium.</p>
</disp-quote>
<p>We thank the reviewer for recognizing the importance of this topic. Our responses to the specific weaknesses are below.</p>
<disp-quote content-type="editor-comment">
<p><bold>Recommendations for the authors:</bold></p>
<p><bold>Reviewer #1 (Recommendations For The Authors):</bold></p>
<p>Major Components:</p>
<p>(1) For syncytia measurements the nuclei are labeled with histone-GFP which is expressed in all cell types. How do you know the nuclei within the cell junctions are epithelial and not another cell type, such as immune cells recruited to the injury site? It would be helpful to verify the number of nuclei per cell using an epithelial-specific nuclear marker as well. This could be via epithelial Gal4-specific expression of a UAS-nls-GFP.</p>
</disp-quote>
<p>This is an interesting point. In response to the reviewer's question, we investigated by doing the converse experiment, labeling immune cells with <italic>hml-Gal4</italic>, <italic>UAS-GFP</italic>, and observing what they do after wounding (analyzing six wounded pupae). They do get recruited to the wound, but they remain either in the wound center or at the basal side of the leading edge. Because they are labeled with cytoplasmic GFP, we would be able to ascertain whether they fused with epithelial cells because they would share their GFP with epithelial cells in the epithelial plane, and they did not. Thus we are confident that the many syncytial nuclei are not derived from immune cells. Our live tracking throughout the manuscript, and specifically of GFP-labeled clones, also supports our interpretation that syncytial nuclei derive from epithelial cells.</p>
<disp-quote content-type="editor-comment">
<p>(2) The manuscript focuses on cell fusion, but other mechanisms of cell enlargement have been observed to occur during wound healing via endoreplication. To what extent do epithelial cells in pupae notum endocycle or endomitosis post injury? It is unclear if the increase in syncytia size during a 1-2hr period could also be due to endomitosis, which would also increase nuclear number.</p>
</disp-quote>
<p>Since the first submission of this manuscript, we published our results demonstrating limited wound-induced endoreplication after this type of explosive laser injury to the pupal notum (White et al, 2024, PMID: 38495588). We chose to publish this work separately because we could not offer the same degree of depth for endoreplication as we could for fusion: our pupal notum injury model is extremely well-suited to analyzing cell fusion and wound closure by live imaging; however, it is not particularly well-suited for analyzing endoreplication in fixed tissue. With respect to reviewer's question about endomitosis -- i.e. nuclear divisions that are not accompanied by cell divisions -- even after many years we have not observed an endomitosis event, which would be visible by live imaging, whereas we frequently and easily observe mitosis of diploid cells.</p>
<disp-quote content-type="editor-comment">
<p>(3) One of the major conclusions of this study is that cell fusion is necessary to pool resources at the leading edge. Therefore it is critical that authors identify a mechanism to inhibit cell fusion to test this assumption.</p>
</disp-quote>
<p>We now include new Fig. 4, an analysis of the role of <italic><italic>Atg1</italic></italic> in promoting wound-induced fusion and wound closure. These results build on the finding of the Leptin lab (Kakanj et al, 2022) that autophagy genes are required for fusion. Our results are consistent with the model that syncytia speed wound closure.</p>
<disp-quote content-type="editor-comment">
<p>(4) There is evidence that myosin increases in endoreplicating cells during wound healing hence it is, maybe equally - if not more - probable that the increase in resources (here actin-GFP) at the leading edge is dependent on endoreplication instead of cell fusion.</p>
</disp-quote>
<p>Some of the new data we provide for this manuscript is a correlation between cell size and distance traveled, showing that larger cells travel more within the wound (Fig. 4F,G). Endoreplication would certainly be expected to contribute to increasing cell size, and our published 2024 data indicates that there can be one extra S-phase induced by these types of wounds. Doubling the genome is not a significant contribution to cell size compared to the 10s of nuclei we observe in syncytia from fusion. Nevertheless, we do not claim that actin is the only important resource that can be pooled subcelluarly for the benefit of the cell; we use it only as a proof-of-principle. Finally, we discuss the work on myosin in wound-induced endoreplicating cells (Losick and Duhaime, 2021).</p>
<disp-quote content-type="editor-comment">
<p><bold>Reviewer #3 (Recommendations For The Authors):</bold></p>
<p>Major comments</p>
<p>(1) Can induction of epithelial fusion enhance wound healing?</p>
<p>Different epithelial cell-cell fusion processes have been well-characterized: i) Trophoblast fusion in the placenta mediated by Syncytins. ii) Viral induced cell-cell fusion mediated by diverse viral glycoproteins (e.g. gp41 from HIV, Hemaglutinin from Influenza, GP from Ebola, and G glycoprotein from VSV). iii) Epidermal, myoepithelial, and other epithelial cell-cell fusion in C. elegans mediated by EFF-1 and AFF-1. iv) Cell-cell fusion in the eye lens (unknown fusogens). The authors may want to compare and discuss the temporal dynamics and intermediates observed in the diverse processes of epithelial cell-cell fusion with the characterization of syncytia formation during wound healing of the Drosophila pupal notum. Since some of these characterized cell-cell fusogens can fuse heterologous cells, including Drosophila S2 cells (Shilagardi et al., 2013; <ext-link ext-link-type="uri" xlink:href="https://pubmed.ncbi.nlm.nih.gov/23470732/">https://pubmed.ncbi.nlm.nih.gov/23470732/</ext-link>), the authors may consider expressing these fusogens in Drosophila pupal notum before, during and after injury. This could determine whether syncytia formation is sufficient to stimulate efficient wound healing.</p>
</disp-quote>
<p>We thank the reviewer for the suggestion of comparing and discussing temporal dynamics and intermediates observed in the many types of epithelial fusion that are well understood. Regretfully, we do not think this article is the right venue for such a complex discussion, especially since we have little by way of comparison in our own wound-induced fusion data. As for overexpression of fusogens, it is an intriguing idea to force cell fusion with a heterologous fusogen such as EFF-1 and then investigate any resulting changes in wound healing. However, since half the cells within 70 µm of the wound already fuse even without a heterologous fusogen, it seems unlikely we could meaningfully increase the level of cell fusion unless we expressed the fusogen universally, forcing the fusion of nearly all the epithelial cells as well as other cells throughout the body that express <italic>pnr-Gal4</italic>. Because the overexpression of EFF-1 in <italic>C .elegans</italic> results in lethality (PMID: 26854231), a widespread induction of fusion would be expected to cause other types of physiological problems that would interfere with the interpretation of wound closure rates. Further, the conditional expression tools in <italic>Drosophila</italic> allow excellent spatial control, but temporal control is still somewhat low-resolution, so that we would have difficulty expressing EFF-1 before, during, and after wounding at times that would be relevant to understanding wound healing.</p>
<disp-quote content-type="editor-comment">
<p>(2) The phenomenon of &quot;border breakdowns&quot; described here is not clear. The authors are probably studying the disassembly of the apical junctions following the initiation of membrane fusion and pore expansion. This should be clarified by using membrane labels to directly observe membrane fusion. Researchers have used electron microscopy and membrane fluorescent probes to follow cell-cell fusion. For example, GPI-mCherry, FM4-64, lipid-modified-GFPs (e.g. PH-domain fluorescently labeled proteins) DiO, DiI, and many others. See for example: Markosyan et al., 2016; <ext-link ext-link-type="uri" xlink:href="https://pubmed.ncbi.nlm.nih.gov/26730950/;">https://pubmed.ncbi.nlm.nih.gov/26730950/;</ext-link> Mohler et al., 1998; <ext-link ext-link-type="uri" xlink:href="https://pubmed.ncbi.nlm.nih.gov/9768364/;">https://pubmed.ncbi.nlm.nih.gov/9768364/;</ext-link> Meng et al., 2020; <ext-link ext-link-type="uri" xlink:href="https://pubmed.ncbi.nlm.nih.gov/32668210/">https://pubmed.ncbi.nlm.nih.gov/32668210/</ext-link>.</p>
</disp-quote>
<p>We agree completely with the reviewer, that border breakdowns represent the disassembly of apical junctions following initiation of membrane fusion and pore expansion. Direct evidence for this order of events is found in the video stills of Figure 1 panel I and video S2, which show that cytoplasmic GFP is transferred to the fusion partner 14 minutes before there is a visible decrease in the apical adherens junction marker p120ctn. The reproducibility of this order of events is documented in Fig. 3: among 107 GFP-labeled cells, 30 of them first visibly shared GFP with a fusion partner, and then 11/30 displayed border breakdown, 16/30 displayed cell shrinking, and 3/30 did not fuse. This last category is consistent with a fusion pore that closed rather than expanded productively. Although we have obtained TEM images of wound-induced fusion pores, these are included in another manuscript currently in revision and so cannot be included here, and further these EM images do not shed light on border breakdown <italic>per se</italic>, as only live imaging can establish the relationship between border breakdown and pore formation (GFP-sharing).</p>
<disp-quote content-type="editor-comment">
<p>(3) The observation of cell shrinking may be misleading. The process the authors describe as &quot;cell shrinking&quot; may involve shrinking of the apical domain, maintaining the cell volume. To clarify this process, the authors may simultaneously label the apical and basolateral domains. It is possible that fusion pore formation occurs in the basolateral, apical, or both domains. The apical shrinking could reflect the migration of the apical junctions following fusion. A similar process has been described in epidermal and vulval cells of C. elegans and other nematodes (Mohler et al., 1998; <ext-link ext-link-type="uri" xlink:href="https://pubmed.ncbi.nlm.nih.gov/9768364/;">https://pubmed.ncbi.nlm.nih.gov/9768364/;</ext-link> Sharma-Kishore et al., 1999; <ext-link ext-link-type="uri" xlink:href="https://pubmed.ncbi.nlm.nih.gov/9895317/;">https://pubmed.ncbi.nlm.nih.gov/9895317/;</ext-link> Kolotuev and Podbilewicz 2008; <ext-link ext-link-type="uri" xlink:href="https://pubmed.ncbi.nlm.nih.gov/18031720/">https://pubmed.ncbi.nlm.nih.gov/18031720/</ext-link>).</p>
</disp-quote>
<p>We thank the reviewer for pointing out these examples of cell fusion in nematodes, and we now compare our findings to Mohler et al, 1998. In Fig. 2D, we specifically investigated what happened to the cell volume of these shrinking cells, and we hope we have now clarified both the text and the annotations on the figure to make our findings more clear. In the X-Z plane, the entire cell volume of two shrinking cells is visible from cytoplasmic GFP labeling. For both cells, the cytoplasmic volume moves laterally into the neighboring syncytia, appearing to initiate the movement from the basal-most area of the cell so that 150 minutes after wounding, both cells have a reduced apical footprint and only a whisp of apically-oriented cytoplasm, with the remainder of the cytoplasm having moved into the syncytia. These images make it clear that fusion is occuring, and that when the apical area disappears the corresponding cytoplasm has also moved into the territory of the neighboring syncytium. In response to the reviewer's suggestion, we did try labeling basolateral domains, but the fluorescent proteins we examined are not restricted to the basolateral domain and are difficult to interpret.</p>
<disp-quote content-type="editor-comment">
<p>Minor comments</p>
<p>(1) Lines 40-43. Repair of injuries has also been observed in non-proliferative syncytial epidermal cells and involves cell-cell fusogens. The authors may want to include this reference: Meng et al., 2020; <ext-link ext-link-type="uri" xlink:href="https://pubmed.ncbi.nlm.nih.gov/32668210/">https://pubmed.ncbi.nlm.nih.gov/32668210/</ext-link>.</p>
</disp-quote>
<p>We thank the reviewer for the suggestion, and we have included this reference in the Discussion paragraph about fusogens.</p>
<disp-quote content-type="editor-comment">
<p>(2) Lines 128-130. Is &quot;Shrinking fusion&quot; an &quot;artefact&quot;?</p>
<p>The apical junction shrinks not the cell. I suggest following basolateral membranes to see whether the cell is indeed shrinking as it fuses. The authors may want to share whether the cell volume is maintained but spills into an existing syncytium; the apical junction shrinks because it disappears/disassembles (see also Major comment 3).</p>
</disp-quote>
<p>As discussed in Major comment 3, we do provide evidence that the cell cytoplasm spills into an existing syncytium. Perhaps the reviewer finds the term &quot;shrinking cell&quot; to be misleading, as we all agree that the cell contents do not disappear. We have updated the manuscript to use the term &quot;apical shrinking&quot; throughout.</p>
<disp-quote content-type="editor-comment">
<p>(3) Lines 157-159. Are these small cells or instead they are small apical junctions? The interpretation should include basolateral domains of the small cells to determine their size! It is also possible that some small cells have fused with the syncytia but on the basolateral domain without apical junction disassembly.</p>
</disp-quote>
<p>We appreciate the reviewer's rigor. As noted above, we were not able to analyze the basolateral domains of these cells. Because our all analyses are live-imaging videos, we are able to identify the cells are undergoing apical shrinking and clearly delineate those from stable diploid cells. We now realize that the term &quot;small cells&quot; is confusing and can be mixed up with apical shrinking. These cells are not &quot;small&quot; but normal sized, small only in comparison with the gigantic syncytia around them. We have removed the term &quot;small&quot; from this description.</p>
<disp-quote content-type="editor-comment">
<p>(4) Lines 204-206. Many genes required for myoblast fusion in Drosophila have been shown to play a role in different stages of cell-cell fusion. Do they play roles in epithelia fusion during wound closure in the pupal notum?. For example, actin polymerization? Dynamin? Ig-domain and integrin cell adhesion machineries?</p>
</disp-quote>
<p>We now provide a new Fig. 4 that shows that the autophagy gene <italic><italic>Atg1</italic></italic> reduces wound-induced cell fusion, as it does in larvae (Kakanj et al, 2022), and importantly these wounds close more slowly. We have not analyzed mutants in actin polymerization because we are confident they would interrupt many aspects of wound healing. The Galko lab has identified that integrins suppress wound-induced cell fusion in larval epidermis, but we have not tested these. We have a manuscript in revision demonstrating a requirement for Dynamin and other endocytosis genes in wound-induced fusion, and without dynamin-mediated fusion, these wounds close more slowly.</p>
</body>
</sub-article>
</article>