Evidence map›Paper›PMID 20209061›Full record

ArticlePloS one2010

Macrophage dysfunction impairs resolution of inflammation in the wounds of diabetic mice.

Savita Khanna, Sabyasachi Biswas, Yingli Shang, Eric Collard, Ali Azad, Courtney Kauh, Vineet Bhasker, Gayle M Gordillo, Chandan K Sen, Sashwati Roy

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02332993 (Nutritional Regulation of Wound Inflammation), which is not on this map. Cited by 339 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
339citing papers in PubMed, 1 pooled it
8.4field-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.

NCT02332993 completednot on this mapstarted 2014, after this paper: background citation

Nutritional Regulation of Wound Inflammation: Part III

TypeobservationalSponsorOhio State UniversityRan2014 to 2018Enrolled22ConditionsNegative Pressure Therapy, Wound, Open Wound, Type II Obese DiabeticArmsFPP
3 · Its place in the literature

Who cites it

339 citing papers in PubMed, 1 synthesis or guideline pooled it, 678 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Defective efferocytosis in diabetes: molecular mechanisms and emerging therapeutic strategies.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. PGEThe Journal of investigative dermatology · 2026
    Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Review

279 more citing papers are in PubMed but not listed here.

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

10 authors at 1 institution in 1 country.

Savita KhannaComprehensive Wound Center, Department of Surgery, Davis Heart and Lung Research Institute, The Ohio State University Medical Center, Columbus, Ohio, United States of America.
Sabyasachi Biswas
Yingli Shang
Eric Collard
Ali Azad
Courtney Kauh
Vineet Bhasker
Gayle M Gordillo
Chandan K Sen
Sashwati Roy
The Ohio State University Wexner Medical Center · US

Funding

University of Iowa Clinical and Translational Science Program (TL1)UL1RR025755 · NCRR · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2008 to 2011
$26.3M
Tissue Oxygenation and Wound HealingR01GM077185 · NIGMS · OHIO STATE UNIVERSITY · PI SEN, CHANDAN K · 2007 to 2016
$2.3M
Mechanisms underlying impaired diabetic wound healingR01DK076566 · NIDDK · OHIO STATE UNIVERSITY · PI ROY, SASHWATI · 2008 to 2011
$1.2M
Mechanisms underlying impaired diabetic wound healingR56DK076566 · NIDDK · OHIO STATE UNIVERSITY · PI ROY, SASHWATI · 2016 to 2016
$347k
NCRR NIH HHS UL1 RR025755NIDDK NIH HHS R01 DK076566NIDDK NIH HHS R01 DK076566NIDDK NIH HHS R56 DK076566NIGMS NIH HHS GM077185NIGMS NIH HHS R01 GM077185
6 · The paper itself

Abstract

backgroundChronic inflammation is a characteristic feature of diabetic cutaneous wounds. We sought to delineate novel mechanisms involved in the impairment of resolution of inflammation in diabetic cutaneous wounds. At the wound-site, efficient dead cell clearance (efferocytosis) is a pre-requisite for the timely resolution of inflammation and successful healing. METHODOLOGY/PRINCIPAL

findingsMacrophages isolated from wounds of diabetic mice showed significant impairment in efferocytosis. Impaired efferocytosis was associated with significantly higher burden of apoptotic cells in wound tissue as well as higher expression of pro-inflammatory and lower expression of anti-inflammatory cytokines. Observations related to apoptotic cell load at the wound site in mice were validated in the wound tissue of diabetic and non-diabetic patients. Forced Fas ligand driven elevation of apoptotic cell burden at the wound site augmented pro-inflammatory and attenuated anti-inflammatory cytokine response. Furthermore, successful efferocytosis switched wound macrophages from pro-inflammatory to an anti-inflammatory mode. CONCLUSIONS/SIGNIFICANCE: Taken together, this study presents first evidence demonstrating that diabetic wounds suffer from dysfunctional macrophage efferocytosis resulting in increased apoptotic cell burden at the wound site. This burden, in turn, prolongs the inflammatory phase and complicates wound healing.

Indexed as

InflammationAdultAnimalsApoptosisCytokinesDiabetes Mellitus, ExperimentalFas Ligand ProteinFemaleHomozygoteHumansMacrophagesMaleMiceMiddle AgedOxidative StressSkinCytokinesFas Ligand Protein

Identifiers

PMID20209061
PMCPMC2832020
OpenAlexW2056914993

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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 OpenQuestion graph.