Evidence map›Paper›PMID 34452918›Full record

ArticleScience advances2021

Sustained oxygenation accelerates diabetic wound healing by promoting epithelialization and angiogenesis and decreasing inflammation.

Ya Guan, Hong Niu, Zhongting Liu, Yu Dang, Jie Shen, Mohamed Zayed, Liang Ma, Jianjun Guan

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 228 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
228citing papers in PubMed, 2 pooled it
38.2field-weighted citation impact, top 1% 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

228 citing papers in PubMed, 2 syntheses or guidelines pooled it, 546 citations in OpenAlex.

  1. Pooled it
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  16. International journal of molecular sciences · 2026
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168 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

8 authors at 1 institution in 1 country.

Ya GuanDepartment of Mechanical Engineering and Materials Science, Washington University in St. Louis, St. Louis, MO 63130, USA.ORCID 0000-0002-6889-4966
Hong NiuDepartment of Mechanical Engineering and Materials Science, Washington University in St. Louis, St. Louis, MO 63130, USA.ORCID 0000-0002-3249-0492
Zhongting LiuDepartment of Mechanical Engineering and Materials Science, Washington University in St. Louis, St. Louis, MO 63130, USA.ORCID 0000-0003-4541-3864
Yu DangDepartment of Mechanical Engineering and Materials Science, Washington University in St. Louis, St. Louis, MO 63130, USA.
Jie ShenDepartment of Orthopedic Surgery, Washington University in St. Louis, St. Louis, MO 63110, USA.
Mohamed ZayedDepartment of Surgery, Section of Vascular Surgery, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0001-6443-4527
Liang MaDepartment of Internal Medicine, Division of Dermatology, Washington University in St. Louis, St. Louis, MO 63110, USA.
Jianjun GuanDepartment of Mechanical Engineering and Materials Science, Washington University in St. Louis, St. Louis, MO 63130, USA. jguan22@wustl.edu.ORCID 0000-0002-1040-3386
Washington University in St. Louis · US

Funding

WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Clay F. Semenkovich · 2013 to 2026
$27.1M
Resource Based Center for Musculoskeletal Biology and Medicine (Overall Application)P30AR074992 · NIAMS · WASHINGTON UNIVERSITY · PI MATTHEW J SILVA · 2019 to 2026
$6.8M
Targeting angiogenesis for fracture nonunion treatment under inflammatory diseasesR01AR077616 · NIAMS · WASHINGTON UNIVERSITY · PI GUAN, JIANJUN, SHEN, JIE · 2020 to 2025
$2.7M
Epigenetic Regulation of Bone Regeneration in Inflammatory DiseaseR01AR075860 · NIAMS · WASHINGTON UNIVERSITY · PI SHEN, JIE · 2019 to 2024
$2.6M
Hydrogel encapsulation of a tissue repair protein to treat chronic woundsR01AG056919 · NIA · OHIO STATE UNIVERSITY · PI GUAN, JIANJUN, LI, HAICHANG · 2017 to 2021
$2.4M
Regulation of Endothelial Lipid Metabolism in the Setting of Diabetes and Critical Limb Ischemia to Prevent Surgical ComplicationsR01HL153262 · NHLBI · WASHINGTON UNIVERSITY · PI ZAYED, MOHAMED A. · 2021 to 2024
$2.1M
Preservation and Vascularization of Cardiac Extracellular Matrix after Myocardial InfarctionR01HL138175 · NHLBI · WASHINGTON UNIVERSITY · PI GUAN, JIANJUN · 2019 to 2022
$1.8M
GENITALIA OUTGROWTH AND HYPOSPADIASR01DK113642 · NIDDK · WASHINGTON UNIVERSITY · PI MA, LIANG · 2017 to 2021
$1.7M
Retinoic acid signaling in decidualizationR01HD106120 · NICHD · WASHINGTON UNIVERSITY · PI MA, LIANG · 2021 to 2025
$1.7M
Stem Cell Oxygenation and Ischemic Tissue RegenerationR01HL138353 · NHLBI · WASHINGTON UNIVERSITY · PI GUAN, JIANJUN · 2017 to 2020
$1.5M
CONTROL OF CARDIAC FIBROSIS TO PREVENT CARDIAC FUNCTION DETERIORATIONR01EB022018 · NIBIB · WASHINGTON UNIVERSITY · PI GUAN, JIANJUN · 2016 to 2018
$1.1M
Stem cell therapy for fracture nonunion under inflammatory diseasesR21AR077226 · NIAMS · WASHINGTON UNIVERSITY · PI GUILAK, FARSHID, SHEN, JIE · 2020 to 2021
$376k
NHLBI NIH HHS R01 HL138175NHLBI NIH HHS R01 HL138353NHLBI NIH HHS R01 HL153262NIAMS NIH HHS P30 AR074992NIAMS NIH HHS R01 AR075860NIAMS NIH HHS R01 AR077616NIAMS NIH HHS R21 AR077226NIA NIH HHS R01 AG056919NIBIB NIH HHS R01 EB022018NICHD NIH HHS R01 HD106120NIDDK NIH HHS P30 DK020579NIDDK NIH HHS R01 DK113642
6 · The paper itself

Abstract

Nonhealing diabetic wounds are common complications for diabetic patients. Because chronic hypoxia prominently delays wound healing, sustained oxygenation to alleviate hypoxia is hypothesized to promote diabetic wound healing. However, sustained oxygenation cannot be achieved by current clinical approaches, including hyperbaric oxygen therapy. Here, we present a sustained oxygenation system consisting of oxygen-release microspheres and a reactive oxygen species (ROS)-scavenging hydrogel. The hydrogel captures the naturally elevated ROS in diabetic wounds, which may be further elevated by the oxygen released from the administered microspheres. The sustained release of oxygen augmented the survival and migration of keratinocytes and dermal fibroblasts, promoted angiogenic growth factor expression and angiogenesis in diabetic wounds, and decreased the proinflammatory cytokine expression. These effects significantly increased the wound closure rate. Our findings demonstrate that sustained oxygenation alone, without using drugs, can heal diabetic wounds.

Indexed as

Diabetes MellitusWound HealingHumansHydrogelsHypoxiaInflammationNeovascularization, PathologicOxygenReactive Oxygen SpeciesHydrogelsOxygenReactive Oxygen Species

Identifiers

PMID34452918
PMCPMC8397271
OpenAlexW3195672774

What OpenQuestion holds

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LicenceCC BY-NC
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.