Evidence mapPaperPMID 36674989Full record

ArticleInternational journal of molecular sciences2023

Allogenic Adipose-Derived Stem Cells in Diabetic Foot Ulcer Treatment: Clinical Effectiveness, Safety, Survival in the Wound Site, and Proteomic Impact.

Beata Mrozikiewicz-Rakowska, Ilona Szabłowska-Gadomska, Dominik Cysewski, Stefan Rudziński, Rafał Płoski, Piotr Gasperowicz, Magdalena Konarzewska, Jakub Zieliński, Mateusz Mieczkowski, Damian Sieńko and 5 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
6.6field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  5. Markers for the angiogenic potential of fat grafts.Wiener klinische Wochenschrift · 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

15 authors at 4 institutions in 1 country.

Beata Mrozikiewicz-RakowskaDepartment of Endocrinology, Centre of Postgraduate Medical Education, Bielanski Hospital, 01-809 Warsaw, Poland.ORCID 0000-0002-1160-9204
Ilona Szabłowska-GadomskaLaboratory for Cell Research and Application, Medical University of Warsaw, 02-097 Warsaw, Poland.ORCID 0000-0002-8649-1503
Dominik CysewskiClinical Research Centre, Medical University of Bialystok, 15-276 Bialystok, Poland.ORCID 0000-0001-6206-0672
Stefan RudzińskiLaboratory for Cell Research and Application, Medical University of Warsaw, 02-097 Warsaw, Poland.ORCID 0000-0002-1122-5796
Rafał PłoskiDepartment of Medical Genetics, Warsaw Medical University, 02-106 Warsaw, Poland.ORCID 0000-0001-6286-5526
Piotr GasperowiczDepartment of Medical Genetics, Warsaw Medical University, 02-106 Warsaw, Poland.ORCID 0000-0002-1037-7974
Magdalena KonarzewskaDepartment of Forensic Medicine, Warsaw Medical University, 02-007 Warsaw, Poland.ORCID 0000-0003-0124-0535
Jakub ZielińskiInterdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw, 02-106 Warsaw, Poland.ORCID 0000-0001-8935-8137
Mateusz MieczkowskiDepartment of Diabetology and Internal Diseases, Medical University of Warsaw, 02-097 Warsaw, Poland.ORCID 0000-0002-1489-3407
Damian SieńkoDepartment of Diabetology and Internal Diseases, Medical University of Warsaw, 02-097 Warsaw, Poland.ORCID 0000-0003-4762-8738
Tomasz GrzelaDepartment of Histology and Embryology, Medical University of Warsaw, 02-004 Warsaw, Poland.
Maria NoszczykMelitus Aesthetic Medicine and Anti-Aging Clinic, 01-627 Warsaw, Poland.
Barbara PaleskaLaboratory for Cell Research and Application, Medical University of Warsaw, 02-097 Warsaw, Poland.ORCID 0000-0003-1334-0496
Leszek CzupryniakDepartment of Diabetology and Internal Diseases, Medical University of Warsaw, 02-097 Warsaw, Poland.ORCID 0000-0003-2396-8885
Malgorzata Lewandowska-SzumielLaboratory for Cell Research and Application, Medical University of Warsaw, 02-097 Warsaw, Poland.ORCID 0000-0002-7140-0541
Medical University of Warsaw · PLGrochowski Hospital · PLMedical University of Białystok · PLUniversity of Warsaw · PL

Funding

National Center for Research and Development STRATEGMED2/267976/13/NCBR/2015
6 · The paper itself

Abstract

Although encouraging results of adipose-derived stem cell (ADSC) use in wound healing are available, the mechanism of action has been studied mainly in vitro and in animals. This work aimed to examine the safety and efficacy of allogenic ADSCs in human diabetic foot ulcer treatment, in combination with the analyses of the wound. Equal groups of 23 participants each received fibrin gel with ADSCs or fibrin gel alone. The clinical effects were assessed at four time points: days 7, 14, 21 and 49. Material collected during debridement from a subset of each group was analyzed for the presence of ADSC donor DNA and proteomic changes. The reduction in wound size was greater at all subsequent visits, significantly on day 21 and 49, and the time to 50% reduction in the wound size was significantly shorter in patients who received ADSCs. Complete healing was achieved at the end of the study in seven patients treated with ADSCs vs. one treated without ADSCs. One week after ADSC application, 34 proteins significantly differentiated the material from both groups, seven of which, i.e., GAPDH, CAT, ACTN1, KRT1, KRT9, SCL4A1, and TPI, positively correlated with the healing rate. We detected ADSC donor DNA up to 21 days after administration. We confirmed ADSC-related improvement in wound healing that correlated with the molecular background, which provides insights into the role of ADSCs in wound healing-a step toward the development of cell-based therapies.

Indexed as

Diabetes MellitusDiabetic FootAdipocytesAdipose TissueAnimalsHumansProteomicsStem CellsTreatment Outcomeadipose-derived stem cellsADSCallogenic cell therapyATMPcell therapyclinical trialdiabetic foot ulcerproteomics

Identifiers

PMID36674989
PMCPMC9864558
OpenAlexW4315640600

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.