Evidence map›Paper›PMID 27738884›Full record

ArticleStem cell reviews and reports2017

A Regenerative Approach with Dermal Micrografts in the Treatment of Chronic Ulcers.

Francesco De Francesco, Antonio Graziano, Letizia Trovato, Gabriele Ceccarelli, Maurizio Romano, Marco Marcarelli, Gabriella Maria Cusella De Angelis, Umberto Cillo, Michele Riccio, Giuseppe Andrea Ferraro

Erratum issued Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Stem cell reviews and reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04030832 (Reconstruction of Skin Substance Loss With Method of "Micro-grafts" Obtained by Mechanical Disintegration), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 5% 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.

NCT04030832 completednot on this map

Reconstruction of Skin Substance Loss With Method of "Micro-grafts" Obtained by Mechanical Disintegration: Preliminary Study

TypeobservationalSponsorAzienda Ospedaliero, Universitaria Ospedali RiunitiRan2017 to 2019Enrolled70ConditionsCutaneous Ulcer, Trauma Injury
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Skin Micro-Fragments for the Management of Diabetic Foot Ulcers: A Case Series.The international journal of lower extremity wounds · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Novel Technologies in Chronic Wound Care.Seminars in plastic surgery · 2022
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Francesco De FrancescoMultidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Miraglia Square, 80122, Naples, Italy. fran.defr@libero.it.
Antonio GrazianoHuman Brain Wave srl, Corso Galileo Ferraris 63, 10128, Torino, Italy.
Letizia TrovatoHuman Brain Wave srl, Corso Galileo Ferraris 63, 10128, Torino, Italy.
Gabriele CeccarelliDepartment of Public Health, Experimental Medicine and Forensics, University of Pavia, Pavia, Italy.
Maurizio RomanoDepartment of Surgery, Oncology and Gastroenterology, Hepatobiliary Surgery and Liver Transplantation, Padua University Hospital, Padua, Italy.
Marco MarcarelliMoncalieri Hospital, ASL To5 - U.C.S. Orthopedics and Traumatology, Piazza A. Ferdinando, 3, 10024, Moncalieri TO, Italy.
Gabriella Maria Cusella De AngelisDepartment of Public Health, Experimental Medicine and Forensics, University of Pavia, Pavia, Italy.
Umberto CilloDepartment of Surgery, Oncology and Gastroenterology, Hepatobiliary Surgery and Liver Transplantation, Padua University Hospital, Padua, Italy.
Michele RiccioDepartment of Reconstructive Plastic Surgery-Hand Surgery, AOU "Ospedali Riuniti", Ancona, Italy.
Giuseppe Andrea FerraroMultidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Miraglia Square, 80122, Naples, Italy.
University of Naples Federico II · ITUniversity of Padua · ITUniversity of Pavia · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · ITSEQUOIA (Italy) · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe etiology of non-healing ulcers depends on both systemic and local factors. The introduction of advanced dressing, negative wound therapy and compression therapy have undoubtedly improved clinical outcomes. The principal aim of study was to demonstrate the efficacy of dermal micrografts in the treatment of ulcers with different etiologies. The second aim was to investigate in vitro the action of micrografts in the regenerative process.

methodsThe dermal micro-grafts were obtained from mechanical disaggregation of small pieces of skin tissue through a medical device called Rigeneracons.

resultsWe observed in vivo the ability of dermal autologous micrografts to improve the healing of venous, diabetic, pressure and post-traumatic ulcers after few week of treatment accomplished in general with a better quality of life for the patients. In vitro results showed that these micrografts express mesenchymal stem cells (MSCS) marker such as CD34, CD73, CD90 and CD105, and are able to form a viable and proliferative biocomplex with collagen sponge. Finally, the site of ulcers displayed a different expression of epidermal growth factors, insulin-like growth factors, platelet-derived growth factors and their receptors and tumor necrosis factor-β with respect to healthy skin samples.

conclusionWe reported a good outcome for the treatment of chronic ulcers using dermal autologous micrografts. Finally, we suggest that the positivity to MSCs markers and the ability to interact with a scaffold can play a key role in their regenerative properties.

Indexed as

Regeneration5'-NucleotidaseAgedAged, 80 and overAntigens, CD34AutograftsBiomarkersChronic DiseaseDermisEpidermal Growth FactorErbB ReceptorsGene ExpressionHumansMesenchymal Stem CellsMiddle AgedPlatelet-Derived Growth Factor5'-NucleotidaseAntigens, CD34BiomarkersEpidermal Growth FactorErbB ReceptorsPlatelet-Derived Growth FactorReceptors, Platelet-Derived Growth FactorGrowth factorsMesenchymal stem cellsMicrograftUlcersWound healing

Identifiers

PMID27738884
OpenAlexW2530507620

What OpenQuestion holds

Textmetadata
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.