Evidence mapPaperPMID 42052921Full record

ReviewInternational wound journal2024

Systematic review and network meta-analysis of mesenchymal stem cells in treating diabetic skin ulcers in animal models.

Xiaoyu Jin, Liehao Yang, Lingfeng Pan, Shuxin Shi, Mingxi Li, Wanying Chen, Peng Wang, Lianbo Zhang

Abstract readReview
In one paragraph

Review in International wound journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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

8 authors.

Xiaoyu JinDepartment of Plastic Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.
Liehao YangDepartment of Dermatology, China-Japan Union Hospital of Jilin University, Changchun, China.
Lingfeng PanKlinikum rechts der Isar, Department of Plastic and Hand Surgery, School of Medicine, Technical University of Munich, Munich, Germany.
Shuxin ShiDepartment of Plastic Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.
Mingxi LiDepartment of Plastic Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.
Wanying ChenDepartment of Plastic Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.
Peng WangDepartment of Plastic Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.
Lianbo ZhangDepartment of Plastic Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.ORCID https://orcid.org/0000-0003-2020-1355

Funding

National Natural Science Foundation of China 81971842
6 · The paper itself

Abstract

backgroundDiabetic cutaneous ulcers often pose considerable challenges in the healing process. These challenges stem from factors including inadequate perfusion of the ulcer's surrounding environment, persistent inflammation, tissue damage and microbial proliferation. The existing standard treatment modalities prove insufficient in fully addressing the complex pathogenesis of these ulcers. As a novel approach, researchers are exploring cellular therapies employing mesenchymal stem cells (MSCs) for the treatment of diabetic skin ulcers. MSCs are readily found in various tissues, including bone marrow, adipose tissue, placenta, amniotic membrane, amniotic fluid and umbilical cord. However, the optimal source of MSCs for effectively treating diabetic skin ulcers remains a topic of ongoing discussion.

methodsWe conducted a comprehensive search of Embase, PubMed and Web of Science databases, spanning from their inception to November 2022. Subsequently, we rigorously screened the literature following predetermined inclusion and exclusion criteria and evaluated the quality of the selected studies using the SYRCLE scale. Finally, the included literature underwent analysis, employing the Bayesian school of thought-based R language. To ensure transparency and accountability, we registered this study with PROSPERO's International Systematic Review Prospective Registry, with the Registration ID: CRD42023387421.

resultsWe included a total of 11 articles in our analysis, all of which were randomized controlled studies involving 218 animal models. Among these studies, two utilized adipose-derived MSCs, six employed bone marrow-derived MSCs, one utilized amniotic membrane-derived MSCs and three utilized umbilical cord-derived MSCs. Our network meta-analysis results revealed that there were no statistically significant differences in the healing rates of diabetic skin ulcers among MSCs derived from amniotic membrane, adipose tissue, umbilical cord and bone marrow on days 7-8, 10-12 and 12-14. Notably, according to the probability ranking table, the most effective treatment for diabetic wounds was found to be amniotic membrane-derived MSCs.

conclusionThere was no statistically significant difference in the efficacy of MSCs derived from amniotic membrane, adipose, umbilical cord and bone marrow in the treatment of diabetic skin ulcers during the short-term observation period, and the probability ranking graphs indicate that amniotic membrane-derived MSCs may be the best choice for the treatment of diabetic skin ulcers.

Indexed as

diabetic skin ulcermesenchymal stem cellsnetwork meta‐analysis

Identifiers

PMID42052921
PMCPMC10850439

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.