Evidence map›Paper›PMID 33413617›Full record

ArticleStem cell research & therapy2021

Combination of lyophilized adipose-derived stem cell concentrated conditioned medium and polysaccharide hydrogel in the inhibition of hypertrophic scarring.

Chaoyu Zhang, Ting Wang, Li Zhang, Penghong Chen, Shijie Tang, Aizhen Chen, Ming Li, Guohao Peng, Hangqi Gao, Haiyan Weng and 5 more

Open access · goldAbstract read
In one paragraph

Article in Stem cell research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
6.8field-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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  5. Single-Cell Sequencing Reveals That CCL2+ Adipose-Derived Stem Cells Promote Diabetic Wound Healing Through the CCL2-ACKR1 Signaling Axis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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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

15 authors at 2 institutions in 2 countries.

Chaoyu ZhangDepartment of Plastic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Ting WangDepartment of Plastic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Li ZhangDepartment of Central Sterile Supply, Fujian Medical University Union Hospital, Fuzhou, China.
Penghong ChenDepartment of Plastic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Shijie TangDepartment of Plastic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Aizhen ChenDepartment of Plastic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Ming LiDepartment of Plastic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Guohao PengDepartment of Plastic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Hangqi GaoDepartment of Plastic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Haiyan WengDepartment of Plastic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Haoruo ZhangDepartment of Plastic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Shirong LiDepartment of Plastic and Reconstructive Surgery, Southwestern Hospital, Army Military Medical University, Chongqing, China.
Jinghua ChenDepartment of Pharmaceutical Analysis, The School of Pharmacy, Fujian Medical University, Fuzhou, China.
Liangwan ChenDepartment of Cardiac Surgery, Fujian Medical University Union Hospital, Fuzhou, China. chenliangwan@fjmu.edu.cn.
Xiaosong ChenDepartment of Plastic Surgery, Fujian Medical University Union Hospital, Fuzhou, China. chenxiaosong74@163.com.ORCID 0000-0002-3780-5510
Fujian Medical University · CNSouthwest Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMesenchymal stem cell-based acellular therapies have been widely exploited in managing hypertrophic scars. However, low maintenance dose and transitory therapeutic effects during topical medication remain a thorny issue. Herein, this study aimed to optimize the curative effect of adipose-derived stem cell conditioned medium (ADSC-CM) in the prevention of hypertrophic scarring.

methodsIn the present study, ADSC-CM was concentrated via the freeze-drying procedure. The efficacy of different dose groups (CM, CM5, CM10) was conducted on the proliferation, apoptosis, and α-smooth muscle actin (α-SMA) expression of human keloid fibroblasts (HKFs) in vitro. Incorporation of adipose-derived stem cell concentrated conditioned medium (ADSCC-CM) into polysaccharide hydrogel was investigated in rabbit ear, in vivo. Haematoxylin-eosin (H&E) and Masson's trichrome staining were performed for the evaluation of scar hyperplasia.

resultsWe noted that ADSCC-CM could downregulate the α-SMA expression of HKFs in a dose-dependent manner. In the rabbit ear model, the scar hyperplasia in the medium-dose group (CM5) and high-dose group (CM10) was inhibited with reduced scar elevation index (SEI) under 4 months of observation. It is noteworthy that the union of CM5 and polysaccharide hydrogel (CM5+H) yielded the best preventive effect on scar hyperplasia. Briefly, melanin, height, vascularity, and pliability in the CM5+H group were better than those of the control group. Collagen was evenly distributed, and skin appendages could be regenerated.

conclusionsAltogether, ADSCC-CM can downregulate the expression of α-SMA due to its anti-fibrosis effect and promote the rearrangement of collagen fibres, which is integral to scar precaution. The in situ cross bonding of ADSCC-CM and polysaccharide hydrogel could remarkably enhance the therapeutic outcomes in inhibiting scar proliferation. Hence, the alliance of ADSCC-CM and hydrogel may become a potential alternative in hypertrophic scar prophylaxis.

Indexed as

Cicatrix, HypertrophicAnimalsCulture Media, ConditionedFibroblastsHydrogelsPolysaccharidesRabbitsStem CellsCulture Media, ConditionedHydrogelsPolysaccharidesAdipose-derived stem cellsConditioned mediumFreeze-dryingHydrogelScar hyperplasia

Identifiers

PMID33413617
PMCPMC7792059
OpenAlexW3108296162

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.