Evidence map›Paper›PMID 23755976›Full record

ArticleJournal of vascular surgery2013

Expression of neuropeptides and cytokines in a rabbit model of diabetic neuroischemic wound healing.

Leena Pradhan Nabzdyk, Sarada Kuchibhotla, Patrick Guthrie, Maggie Chun, Michael E Auster, Christoph Nabzdyk, Steven Deso, Nicholas Andersen, Charalambos Gnardellis, Frank W LoGerfo and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of vascular surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
7.3field-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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Topical Neuropeptide Y for Ischemic Skin Wounds.International journal of molecular sciences · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Cutaneous innervation in impaired diabetic wound healing.Translational research : the journal of laboratory and clinical medicine · 2021
    Review
  18. Article
  19. Article
  20. 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

11 authors at 3 institutions in 3 countries.

Leena Pradhan NabzdykDepartment of Surgery, Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Sarada Kuchibhotla
Patrick Guthrie
Maggie Chun
Michael E Auster
Christoph Nabzdyk
Steven Deso
Nicholas Andersen
Charalambos Gnardellis
Frank W LoGerfo
Aristidis Veves
Hadassah Medical Center · ILBeth Israel Deaconess Medical Center · USTechnological Educational Institute of Western Greece · GR

Funding

Role of Neuropeptides in Diabetic Foot ProblemsR01NS066205 · NINDS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI PRADHAN-NABZDYK, LEENA, VEVES, ARISTIDIS · 2010 to 2014
$1.9M
NINDS NIH HHS R01 1R01NS066205-01NINDS NIH HHS R01 NS066205
6 · The paper itself

Abstract

objectiveThe present study is designed to understand the contribution of peripheral vascular disease and peripheral neuropathy to the wound-healing impairment associated with diabetes. Using a rabbit model of diabetic neuroischemic wound healing, we investigated rate of healing, leukocyte infiltration, and expression of cytokines, interleukin-8 and interleukin-6, and neuropeptides, substance P, and neuropeptide Y.

methodsDiabetes was induced in New Zealand White rabbits by administering alloxan while control rabbits received saline. Ten days later, animals in both groups underwent surgery. One ear served as a sham, and the other was made ischemic (ligation of central+rostral arteries) or neuroischemic (ischemia+ resection of central+rostral nerves). Four 6-mm punch biopsy wounds were created in both ears and wound healing was followed for 10 days using computerized planimetry.

resultsNondiabetic sham and ischemic wounds healed significantly more rapidly than diabetic sham and ischemic wounds. Healing was slowest in neuroischemic wounds, irrespective of diabetic status. A high M1/M2 macrophage ratio and a high proinflammatory cytokine expression, both indicators of chronic proinflammatory state, and low neuropeptide expression were seen in preinjury diabetic skin. Postinjury, in diabetic wounds, the M1/M2 ratio remained high, the reactive increase in cytokine expression was low, and neuropeptide expression was further decreased in neuroischemic wounds.

conclusionsThis rabbit model illustrates how a combination of a high M1/M2 ratio, a failure to mount postinjury cytokine response as well as a diminished neuropeptide expression, contribute to wound-healing impairment in diabetes. The addition of neuropathy to ischemia leads to equivalently severe impaired wound-healing irrespective of diabetes status, suggesting that in the presence of ischemia, loss of neuropeptide function contributes to the impaired healing associated with diabetes.

Indexed as

SkinWound HealingAnimalsCytokinesDiabetes Mellitus, ExperimentalDiabetic AngiopathiesDiabetic NeuropathiesDown-RegulationInflammation MediatorsIschemiaMacrophagesNeuropeptidesRabbitsSkin UlcerTime FactorsUp-RegulationCytokinesInflammation MediatorsNeuropeptides

Identifiers

PMID23755976
PMCPMC3755034
OpenAlexW2079941575

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.