Evidence map›Paper›PMID 25535360›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2015

Transdermal deferoxamine prevents pressure-induced diabetic ulcers.

Dominik Duscher, Evgenios Neofytou, Victor W Wong, Zeshaan N Maan, Robert C Rennert, Mohammed Inayathullah, Michael Januszyk, Melanie Rodrigues, Andrey V Malkovskiy, Arnetha J Whitmore and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 1 pooled it
6.7field-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

96 citing papers in PubMed, 1 synthesis or guideline pooled it, 217 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Deferoxamine Improves Radiation-Induced Peripheral Neuropathy.Journal of cellular and molecular medicine · 2026
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36 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

16 authors at 3 institutions in 1 country.

Dominik DuscherHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305;
Evgenios NeofytouHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305;
Victor W WongDepartment of Plastic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21201;
Zeshaan N MaanHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305;
Robert C RennertHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305;
Mohammed InayathullahBiomaterials and Advanced Drug Delivery Center, Stanford University School of Medicine, Stanford, CA 94305; and.ORCID http://orcid.org/0000-0001-7646-1709
Michael JanuszykHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305;
Melanie RodriguesHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305;
Andrey V MalkovskiyBiomaterials and Advanced Drug Delivery Center, Stanford University School of Medicine, Stanford, CA 94305; and.
Arnetha J WhitmoreHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305;
Graham G WalmsleyHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305;ORCID http://orcid.org/0000-0002-9706-8356
Michael G GalvezHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305;
Alexander J WhittamHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305;
Michael BrownleeDiabetes Research Center, Albert Einstein College of Medicine, New York, NY 10461.
Jayakumar RajadasBiomaterials and Advanced Drug Delivery Center, Stanford University School of Medicine, Stanford, CA 94305; and ggurtner@stanford.edu jayraja@stanford.edu.
Geoffrey C GurtnerHagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305; ggurtner@stanford.edu jayraja@stanford.edu.
Stanford University · USAlbert Einstein College of Medicine · USJohns Hopkins University · US

Funding

Stable Isotope and Metabolomics CoreP60DK020541 · NIDDK · YESHIVA UNIVERSITY · PI FLEISCHER, NORMAN S. · 1986 to 2014
$29.8M
Translational Research CoreP30DK020541 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STREAMSON C CHUA · 2015 to 2026
$27.7M
POSTDOCTORAL TRAINING IN MEDICAL INFORMATION SCIENCEST15LM007033 · NLM · STANFORD UNIVERSITY · PI SYLVIA KATINA PLEVRITIS · 1985 to 2026
$25.5M
Reversal of Progenitor Cell Deficits in DiabetesR01DK074095 · NIDDK · UNIVERSITY OF ARIZONA · PI GURTNER, GEOFFREY C · 2005 to 2025
$6.4M
Targeting HIF-1 alpha Dysfunction in Complications of AgingR01AG025016 · NIA · STANFORD UNIVERSITY · PI GURTNER, GEOFFREY C · 2004 to 2015
$3.5M
Transdermal Delivery of Deferoxamine to Prevent and Treat Diabetic WoundsR03DK094521 · NIDDK · STANFORD UNIVERSITY · PI GURTNER, GEOFFREY C · 2011 to 2011
$79k
NIA NIH HHS R01 AG025016NIA NIH HHS R01-AG025016NIDDK NIH HHS R01 DK074095NIDDK NIH HHS R01-DK074095NIDDK NIH HHS R03 DK094521NIDDK NIH HHS R03-DK094521
6 · The paper itself

Abstract

There is a high mortality in patients with diabetes and severe pressure ulcers. For example, chronic pressure sores of the heels often lead to limb loss in diabetic patients. A major factor underlying this is reduced neovascularization caused by impaired activity of the transcription factor hypoxia inducible factor-1 alpha (HIF-1α). In diabetes, HIF-1α function is compromised by a high glucose-induced and reactive oxygen species-mediated modification of its coactivator p300, leading to impaired HIF-1α transactivation. We examined whether local enhancement of HIF-1α activity would improve diabetic wound healing and minimize the severity of diabetic ulcers. To improve HIF-1α activity we designed a transdermal drug delivery system (TDDS) containing the FDA-approved small molecule deferoxamine (DFO), an iron chelator that increases HIF-1α transactivation in diabetes by preventing iron-catalyzed reactive oxygen stress. Applying this TDDS to a pressure-induced ulcer model in diabetic mice, we found that transdermal delivery of DFO significantly improved wound healing. Unexpectedly, prophylactic application of this transdermal delivery system also prevented diabetic ulcer formation. DFO-treated wounds demonstrated increased collagen density, improved neovascularization, and reduction of free radical formation, leading to decreased cell death. These findings suggest that transdermal delivery of DFO provides a targeted means to both prevent ulcer formation and accelerate diabetic wound healing with the potential for rapid clinical translation.

Indexed as

Administration, CutaneousAnimalsApoptosisDeferoxamineDermisDiabetes ComplicationsDiabetes Mellitus, ExperimentalDrug Delivery SystemsMice, Inbred C57BLNecrosisNeovascularization, PhysiologicPressureReactive Oxygen SpeciesStress, PhysiologicalUlcerVascular Endothelial Growth Factor ADeferoxamineReactive Oxygen SpeciesVascular Endothelial Growth Factor Aangiogenesisdiabetesdrug deliverysmall moleculewound healing

Identifiers

PMID25535360
PMCPMC4291638
OpenAlexW2006016787

What OpenQuestion holds

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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.