Evidence map›Paper›PMID 34256844›Full record

ArticleStem cell research & therapy2021

Adipose mesenchymal stem cells combined with platelet-rich plasma accelerate diabetic wound healing by modulating the Notch pathway.

Nesrine Ebrahim, Arigue A Dessouky, Ola Mostafa, Amira Hassouna, Mohamed M Yousef, Yasmin Seleem, Eman Abd El Aziz M El Gebaly, Mona M Allam, Ayman Samir Farid, Bayan A Saffaf and 8 more

Open access · goldAbstract read
In one paragraph

Article in Stem cell research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 95 citations in OpenAlex.

  1. The Role of the Notch1 Signaling Pathway in the Pathogenesis and Treatment of Diabetic Foot: A Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
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  15. Wound healing and signaling pathways.Open life sciences · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 7 institutions in 3 countries.

Nesrine EbrahimDepartment of Histology and Cell Biology Faculty of Medicine, Benha University, Benha, Egypt.
Arigue A DessoukyDepartment of Histology and Cell Biology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ola MostafaDepartment of Histology and Cell Biology Faculty of Medicine, Benha University, Benha, Egypt.
Amira HassounaSchool of Interprofessional Health Studies, Faculty of Health and Environmental Sciences, AUT University, Auckland, New Zealand.
Mohamed M YousefDepartment of Histology and Cell Biology Faculty of Medicine, Benha University, Benha, Egypt.
Yasmin SeleemDepartment of Clinical Pharmacology, Faculty of Medicine, Benha University, Benha, Egypt.
Eman Abd El Aziz M El GebalyDepartment of Clinical Pharmacology, Faculty of Medicine, Benha University, Benha, Egypt.
Mona M AllamDepartment of Medical Physiology, Faculty of Medicine, Benha University, Benha, Egypt.
Ayman Samir FaridDepartment of Clinical Pathology, Faculty of Veterinary Medicine, Benha University, Moshtohor, Toukh, Qalyubia, 13736, Egypt.
Bayan A SaffafDepartment of Pharmacology, Faculty of Pharmacy, Future University, New Cairo, Egypt.
Dina SabryDepartment of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Ahmed NawarDepartment of General Surgery, Faculty of Medicine, Benha University, Benha, Egypt.
Ahmed A ShoulahDepartment of General Surgery, Faculty of Medicine, Benha University, Benha, Egypt.
Ahmed H KhalilDepartment of Surgery, & Radiology Faculty of Veterinary Medicine, Benha University, Benha, Egypt.
Sami F AbdallaClinical Department, College of Medicine, AlMaarefa University, Riyadh, Saudi Arabia.
Mohamed El-SherbinyDepartment of Basic Medical Sciences, College of Medicine, AlMaarefa University, Riyadh, Saudi Arabia.
Nehal M ElsherbinyDepartment of Biochemistry, Faculty of Pharmacy, Mansoura University, Mansoura, 35516, Egypt. drnehal@hotmail.com.ORCID 0000-0001-5167-3377
Rabab F SalimDepartment of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Benha University, Benha, Egypt. rabab.bio@yahoo.com.
Benha University · EGAlfaisal University · SAAuckland University of Technology · NZCairo University · EGFuture University in Egypt · EGMansoura University · EGZagazig University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic foot ulceration is a serious chronic complication of diabetes mellitus characterized by high disability, mortality, and morbidity. Platelet-rich plasma (PRP) has been widely used for diabetic wound healing due to its high content of growth factors. However, its application is limited due to the rapid degradation of growth factors. The present study aimed to evaluate the efficacy of combined adipose-derived mesenchymal stem cells (ADSCs) and PRP therapy in promoting diabetic wound healing in relation to the Notch signaling pathway.

methodsAlbino rats were allocated into 6 groups [control (unwounded), sham (wounded but non-diabetic), diabetic, PRP-treated, ADSC-treated, and PRP+ADSCs-treated groups]. The effect of individual and combined therapy was evaluated by assessing wound closure rate, epidermal thickness, dermal collagen, and angiogenesis. Moreover, gene and protein expression of key elements of the Notch signaling pathway (Notch1, Delta-like canonical Notch ligand 4 (DLL4), Hairy Enhancer of Split-1 (Hes1), Hey1, Jagged-1), gene expression of angiogenic marker (vascular endothelial growth factor and stromal cell-derived factor 1) and epidermal stem cells (EPSCs) related gene (ß1 Integrin) were assessed.

resultsOur data showed better wound healing of PRP+ADSCs compared to their individual use after 7 and 14 days as the combined therapy caused reepithelialization and granulation tissue formation with a marked increase in area percentage of collagen, epidermal thickness, and angiogenesis. Moreover, Notch signaling was significantly downregulated, and EPSC proliferation and recruitment were enhanced compared to other treated groups and diabetic groups.

conclusionsThese data demonstrated that PRP and ADSCs combined therapy significantly accelerated healing of diabetic wounds induced experimentally in rats via modulating the Notch pathway, promoting angiogenesis and EPSC proliferation.

Indexed as

Diabetes Mellitus, ExperimentalMesenchymal Stem CellsPlatelet-Rich PlasmaAnimalsRatsVascular Endothelial Growth Factor AWound HealingVascular Endothelial Growth Factor AAdipose mesenchymal stem cellsDiabetic woundNotch pathwayPRP

Identifiers

PMID34256844
PMCPMC8276220
OpenAlexW3142422413

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.