Evidence map›Paper›PMID 36142551›Full record

ArticleInternational journal of molecular sciences2022

Circulating Biomarkers of Endothelial Dysfunction and Inflammation in Predicting Clinical Outcomes in Diabetic Patients with Critical Limb Ischemia.

Francesco Vieceli Dalla Sega, Paolo Cimaglia, Marco Manfrini, Francesca Fortini, Luisa Marracino, Davide Bernucci, Graziella Pompei, Antonella Scala, Michele Trichilo, Beatrice De Carolis and 4 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.2field-weighted citation impact, top 4% 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, 25 citations in OpenAlex.

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  18. [Bioinformatics Analysis of Hub Genes of Diabetic Foot Ulcer and Their Biofunctions].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2022
    Article
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

14 authors at 3 institutions in 1 country.

Francesco Vieceli Dalla SegaMaria Cecilia Hospital, GVM Care and Research, 48033 Cotignola, Italy.
Paolo CimagliaMaria Cecilia Hospital, GVM Care and Research, 48033 Cotignola, Italy.ORCID 0000-0002-3326-7663
Marco ManfriniMaria Cecilia Hospital, GVM Care and Research, 48033 Cotignola, Italy.ORCID 0000-0003-3154-9269
Francesca FortiniMaria Cecilia Hospital, GVM Care and Research, 48033 Cotignola, Italy.
Luisa MarracinoDepartment of Translational Medicine, Laboratory for Technologies of Advanced Therapies (LTTA), University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0001-8738-1114
Davide BernucciCardiology Unit, Ospedale M. Bufalini, 47521 Cesena, Italy.
Graziella PompeiCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, University of Ferrara, 44124 Ferrara, Italy.ORCID 0000-0003-1901-0703
Antonella ScalaCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, University of Ferrara, 44124 Ferrara, Italy.
Michele TrichiloCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, University of Ferrara, 44124 Ferrara, Italy.
Beatrice De CarolisCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, University of Ferrara, 44124 Ferrara, Italy.
Luca Dalla PaolaMaria Cecilia Hospital, GVM Care and Research, 48033 Cotignola, Italy.
Roberto FerrariMaria Cecilia Hospital, GVM Care and Research, 48033 Cotignola, Italy.ORCID 0000-0003-2046-9175
Paola RizzoMaria Cecilia Hospital, GVM Care and Research, 48033 Cotignola, Italy.ORCID 0000-0001-7174-9674
Gianluca CampoCardiology Unit, Azienda Ospedaliero-Universitaria di Ferrara, University of Ferrara, 44124 Ferrara, Italy.ORCID 0000-0002-5150-188X
University of Ferrara · ITMaria Cecilia Hospital · ITOspedale “M. Bufalini” di Cesena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Critical limb ischemia (CLI) is a severe manifestation of peripheral artery disease characterized by ischemic pain, which is frequently associated with diabetes and non-healing lesions to inferior limbs. The clinical management of diabetic patients with CLI typically includes percutaneous transluminal angioplasty (PTA) to restore limb circulation and surgical treatment of diabetic foot ulcers (DFU). However, even after successful treatment, CLI patients are prone to post-procedure complications, which may lead to unplanned revascularization or foot surgery. Unfortunately, the factors predicting adverse events in treated CLI patients are only partially known. This study aimed to identify potential biomarkers that predict the disease course in diabetic patients with CLI. For this purpose, we measured the circulating levels of a panel of 23 molecules related to inflammation, endothelial dysfunction, platelet activation, and thrombophilia in 92 patients with CLI and DFU requiring PTA and foot surgery. We investigated whether these putative biomarkers were associated with the following clinical endpoints: (1) healing of the treated DFUs; (2) need for new revascularization of the limb; (3) appearance of new lesions or relapses after successful healing. We found that sICAM-1 and endothelin-1 are inversely associated with DFU healing and that PAI-1 and endothelin-1 are associated with the need for new revascularization. Moreover, we found that the levels of thrombomodulin and sCD40L are associated with new lesions or recurrence, and we show that the levels of these biomarkers could be used in a decision tree to assign patients to clusters with different risks of developing new lesions or recurrences.

Indexed as

Diabetes MellitusDiabetic FootAmputation, SurgicalBiomarkersChronic Limb-Threatening IschemiaEndothelin-1HumansInflammationIschemiaPlasminogen Activator Inhibitor 1Retrospective StudiesThrombomodulinTreatment OutcomeBiomarkersEndothelin-1Plasminogen Activator Inhibitor 1Thrombomodulincritical limb ischemiadiabetesdiabetic foot ulcerendothelial dysfunctionperipheral artery diseasewound healing

Identifiers

PMID36142551
PMCPMC9506462
OpenAlexW4296002895

What OpenQuestion holds

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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.