Evidence map›Paper›PMID 25602294›Full record

ArticlePloS one2015

Acute cutaneous wounds treated with human decellularised dermis show enhanced angiogenesis during healing.

Nicholas S Greaves, Syed A Lqbal, Julie Morris, Brian Benatar, Teresa Alonso-Rasgado, Mohamed Baguneid, Ardeshir Bayat

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.8field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 45 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Nicholas S GreavesPlastic and Reconstructive Surgery Research, Manchester Institute of Biotechnology (MIB), The University of Manchester, Manchester, Lancashire, United Kingdom; University Hospital of South Manchester NHS Foundation Trust, Wythenshawe Hospital, Manchester, Lancashire, United Kingdom.
Syed A LqbalPlastic and Reconstructive Surgery Research, Manchester Institute of Biotechnology (MIB), The University of Manchester, Manchester, Lancashire, United Kingdom; University Hospital of South Manchester NHS Foundation Trust, Wythenshawe Hospital, Manchester, Lancashire, United Kingdom.
Julie MorrisUniversity Hospital of South Manchester NHS Foundation Trust, Wythenshawe Hospital, Manchester, Lancashire, United Kingdom.
Brian BenatarDepartment of Histopatholgy, Pennine Acute Hospitals NHS Trust, Royal Oldham Hospital, Rochdale Road, Oldham, Lancashire, United Kingdom.
Teresa Alonso-RasgadoSchool of Materials, University of Manchester, Manchester, Lancashire, United Kingdom.
Mohamed BaguneidUniversity Hospital of South Manchester NHS Foundation Trust, Wythenshawe Hospital, Manchester, Lancashire, United Kingdom.
Ardeshir BayatPlastic and Reconstructive Surgery Research, Manchester Institute of Biotechnology (MIB), The University of Manchester, Manchester, Lancashire, United Kingdom; Centre for Dermatology, Institute of Inflammation and Repair, Faculty of Medicine and Human Sciences, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom.
Wythenshawe Hospital · GBUniversity of Manchester · GBRoyal Oldham Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe influence of skin substitutes upon angiogenesis during wound healing is unclear.

objectivesTo compare the angiogenic response in acute cutaneous human wounds treated with autogenic, allogenic and xenogenic skin substitutes to those left to heal by secondary intention.

methodsOn day 0, four 5mm full-thickness punch biopsies were harvested from fifty healthy volunteers (sites 1-4). In all cases, site 1 healed by secondary intention (control), site 2 was treated with collagen-GAG scaffold (CG), cadaveric decellularised dermis (DCD) was applied to site 3, whilst excised tissue was re-inserted into site 4 (autograft). Depending on study group allocation, healing tissue from sites 1-4 was excised on day 7, 14, 21 or 28. All specimens were bisected, with half used in histological and immunohistochemical evaluation whilst extracted RNA from the remainder enabled whole genome microarrays and qRT-PCR of highlighted angiogenesis-related genes. All wounds were serially imaged over 6 weeks using laser-doppler imaging and spectrophotometric intracutaneous analysis.

resultsInherent structural differences between skin substitutes influenced the distribution and organisation of capillary networks within regenerating dermis. Haemoglobin flux (p = 0.0035), oxyhaemoglobin concentration (p = 0.0005), and vessel number derived from CD31-based immunohistochemistry (p = 0.046) were significantly greater in DCD wounds at later time points. This correlated with time-matched increases in mRNA expression of membrane-type 6 matrix metalloproteinase (MT6-MMP) (p = 0.021) and prokineticin 2 (PROK2) (p = 0.004).

conclusionCorroborating evidence from invasive and non-invasive modalities demonstrated that treatment with DCD resulted in increased angiogenesis after wounding. Significantly elevated mRNA expression of pro-angiogenic PROK2 and extracellular matrix protease MT6-MMP seen only in the DCD group may contribute to observed responses.

Indexed as

DermisNeovascularization, PhysiologicSkin, ArtificialApoptosis Regulatory ProteinsBasic Helix-Loop-Helix ProteinsEndothelial PAS Domain-Containing Protein 1Gastrointestinal HormonesGene ExpressionGene Expression ProfilingHumansImmunohistochemistryNeuropeptidesRepressor ProteinsWound HealingWounds and InjuriesApoptosis Regulatory ProteinsBasic Helix-Loop-Helix ProteinsEndothelial PAS Domain-Containing Protein 1Gastrointestinal HormonesHIF3A protein, humanNeuropeptidesPROK2 protein, humanRepressor Proteins

Identifiers

PMID25602294
PMCPMC4300088
OpenAlexW2077753916

What OpenQuestion 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 OpenQuestion graph.