Evidence map›Paper›PMID 35336209›Full record

ArticleMicroorganisms2022

Topical Administration of

Julio Nicolás Argañaraz Aybar, Sonia Ortiz Mayor, Luis Olea, Juan José Garcia, Sebastian Nisoria, Yanina Kolling, Constanza Melian, Mirta Rachid, Rafael Torres Dimani, Cecilia Werenitzky and 5 more

Open access · goldAbstract read
In one paragraph

Article in Microorganisms, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
5.3field-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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. The dual role of the microbiome in chronic wound management.Cell communication and signaling : CCS · 2026
    Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Frontiers in cellular and infection microbiology · 2026
    Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Skin microbiota and diabetic foot ulcers.Frontiers in microbiology · 2025
    Review
  20. Review
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 1 country.

Julio Nicolás Argañaraz AybarCátedra de Inmunología, Instituto de Microbiología, Facultad de Bioquímica, Química y Farmacia, Universidad Nacional de Tucumán, San Miguel de Tucuman CP4000, Tucumán, Argentina.
Sonia Ortiz MayorLaboratorio de Anatomía Patológica, Hospital Ángel C. Padilla, Sistema Provincial de Salud, San Miguel de Tucuman CP4000, Tucumán, Argentina.
Luis OleaServicio de Traumatología, Hospital Ángel C. Padilla, Sistema Provincial de Salud, San Miguel de Tucuman CP4000, Tucumán, Argentina.
Juan José GarciaServicio de Traumatología, Hospital Ángel C. Padilla, Sistema Provincial de Salud, San Miguel de Tucuman CP4000, Tucumán, Argentina.
Sebastian NisoriaServicio de Traumatología, Hospital Ángel C. Padilla, Sistema Provincial de Salud, San Miguel de Tucuman CP4000, Tucumán, Argentina.
Yanina KollingCátedra de Inmunología, Instituto de Microbiología, Facultad de Bioquímica, Química y Farmacia, Universidad Nacional de Tucumán, San Miguel de Tucuman CP4000, Tucumán, Argentina.
Constanza MelianCátedra de Inmunología, Instituto de Microbiología, Facultad de Bioquímica, Química y Farmacia, Universidad Nacional de Tucumán, San Miguel de Tucuman CP4000, Tucumán, Argentina.
Mirta RachidCátedra de Inmunología, Instituto de Microbiología, Facultad de Bioquímica, Química y Farmacia, Universidad Nacional de Tucumán, San Miguel de Tucuman CP4000, Tucumán, Argentina.
Rafael Torres DimaniCátedra de Inmunología, Instituto de Microbiología, Facultad de Bioquímica, Química y Farmacia, Universidad Nacional de Tucumán, San Miguel de Tucuman CP4000, Tucumán, Argentina.
Cecilia WerenitzkyCátedra de Bacteriología, Instituto de Microbiología, Facultad de Bioquímica, Química y Farmacia, Universidad Nacional de Tucumán, San Miguel de Tucuman CP4000, Tucumán, Argentina.
Cecilia LorcaCátedra de Bacteriología, Instituto de Microbiología, Facultad de Bioquímica, Química y Farmacia, Universidad Nacional de Tucumán, San Miguel de Tucuman CP4000, Tucumán, Argentina.
Susana SalvaLaboratorio de Inmunobiotecnología, Centro de Referencia para Lactobacilos (CERELA-CONICET), San Miguel de Tucuman CP4000, Tucumán, Argentina.
Nadia GobbatoCátedra de Inmunología, Instituto de Microbiología, Facultad de Bioquímica, Química y Farmacia, Universidad Nacional de Tucumán, San Miguel de Tucuman CP4000, Tucumán, Argentina.
Julio VillenaLaboratorio de Inmunobiotecnología, Centro de Referencia para Lactobacilos (CERELA-CONICET), San Miguel de Tucuman CP4000, Tucumán, Argentina.ORCID 0000-0003-4941-4960
Juan C ValdezCátedra de Inmunología, Instituto de Microbiología, Facultad de Bioquímica, Química y Farmacia, Universidad Nacional de Tucumán, San Miguel de Tucuman CP4000, Tucumán, Argentina.
National University of Tucumán · ARCentro Científico Tecnológico - Tucumán · AR

Funding

Agencia Nacional de Promoción Científica y Tecnológica BID OC-AR PICT 2017 3701
6 · The paper itself

Abstract

This work aimed to evaluate the adjuvant treatment to surgical debridement using topical applications of Lactiplantibacillus plantarum ATCC 10241 cultures in complicated diabetic foot ulcers as compared to diabetic foot ulcers receiving surgical wound debridement. A randomised controlled trial was performed involving 22 outpatients with complicated diabetic foot ulcers that either received surgical debridement (SuDe, n = 12) or surgical debridement plus topical applications of L. plantarum cultures (SuDe + Lp, n = 10) every week during a 12 week treatment period. Compared to patients receiving SuDe, patients treated with SuDe + Lp exhibited significantly increased fibroplasia and angiogenesis, as determined by Masson’s trichrome staining and the study of CD34 cells, α-smooth muscle actin to semi-quantify vascular area, number of vessels and endothelial cells. In addition, a promotion of the polarisation of macrophages from M1 (CD68) to M2 (CD163) phenotype was observed in SuDe + Lp patients with remarkable differences in the tissue localisation. Bacterial counts were significantly diminished in the SuDe + Lp group compared to the SuDe group. Ex vivo assays, using polymorphonuclears isolated from peripheral blood of patients with diabetes and healthy individuals and challenged with Staphylococcus aureus demonstrated that the addition of L. plantarum supernatants significantly improved the phagocytosis of these cells. L. plantarum-secreted components increased the neutrophils bactericidal activity and regulated the netosis induced by S. aureus. At day 49, the average wound area reduction with SuDe + Lp was 73.5% compared with 45.8% for SuDe (p < 0.05). More patients progressed to closure with SuDe + Lp compared with SuDe treatment, indicating the ability of L. plantarum to accelerate the healing. At day 60, 60% of patients treated with SuDe + Lp achieved 100% of wound area reduction compared with 40% for SuDe. We propose that SuDe + Lp could be an effective adjuvant to surgical debridement when SuDe is not satisfactory for patients with complicated diabetic foot ulcers. The treatment is cheap and easy to apply and the product is easy to obtain.

Indexed as

angiogenesisdiabetic foot ulcershealing accelerationLactiplantibacillus plantarummacrophagesneutrophil responsetopical probiotic

Identifiers

PMID35336209
PMCPMC8955315
OpenAlexW4220856716

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.