Evidence map›Paper›PMID 36297499›Full record

ReviewPharmaceutics2022

New Horizons of Macrophage Immunomodulation in the Healing of Diabetic Foot Ulcers.

Ching-Wen Lin, Chien-Min Hung, Wan-Jiun Chen, Jui-Ching Chen, Wen-Yen Huang, Chia-Sing Lu, Ming-Liang Kuo, Shyi-Gen Chen

Open access · goldAbstract readReview
In one paragraph

Review in Pharmaceutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Immunomodulatory Tissue-Engineering Strategies for Diabetic Foot Ulcer Management: A Systematic Review.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Pooled it
  2. Article
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  12. EGF-loaded, bioactive-richFrontiers in cell and developmental biology · 2026
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  18. Pharmaceuticals (Basel, Switzerland) · 2025
    Review
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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

8 authors at 1 institution in 1 country.

Ching-Wen LinOneness Biotech Co., Ltd., Taipei 106, Taiwan.
Chien-Min HungMicrobio Co., Ltd., Taipei 115, Taiwan.
Wan-Jiun ChenMicrobio Co., Ltd., Taipei 115, Taiwan.
Jui-Ching ChenOneness Biotech Co., Ltd., Taipei 106, Taiwan.ORCID 0000-0002-5474-2371
Wen-Yen HuangMicrobio Co., Ltd., Taipei 115, Taiwan.
Chia-Sing LuOneness Biotech Co., Ltd., Taipei 106, Taiwan.
Ming-Liang KuoMicrobio Co., Ltd., Taipei 115, Taiwan.
Shyi-Gen ChenOneness Biotech Co., Ltd., Taipei 106, Taiwan.ORCID 0000-0001-6796-8188
Tri-Service General Hospital · TW

Funding

Microbio Co., Ltd. Taiwan Employee
6 · The paper itself

Abstract

Diabetic foot ulcers (DFUs) are one of the most costly and troublesome complications of diabetes mellitus. The wound chronicity of DFUs remains the main challenge in the current and future treatment of this condition. Persistent inflammation results in chronic wounds characterized by dysregulation of immune cells, such as M1 macrophages, and impairs the polarization of M2 macrophages and the subsequent healing process of DFUs. The interactive regulation of M1 and M2 macrophages during DFU healing is critical and seems manageable. This review details how cytokines and signalling pathways are co-ordinately regulated to control the functions of M1 and M2 macrophages in normal wound repair. DFUs are defective in the M1-to-M2 transition, which halts the whole wound-healing machinery. Many pre-clinical and clinical innovative approaches, including the application of topical insulin, CCL chemokines, micro RNAs, stem cells, stem-cell-derived exosomes, skin substitutes, antioxidants, and the most recent Phase III-approved ON101 topical cream, have been shown to modulate the activity of M1 and M2 macrophages in DFUs. ON101, the newest clinically approved product in this setting, is designed specifically to down-regulate M1 macrophages and further modulate the wound microenvironment to favour M2 emergence and expansion. Finally, the recent evolution of macrophage modulation therapies and techniques will improve the effectiveness of the treatment of diverse DFUs.

Indexed as

adipocyte-derived stem celldiabetic foot ulcerexosomeM1/M2 macrophagemicroRNAPlectranthus amboinicusreactive oxygen species (ROS)wound healing

Identifiers

PMID36297499
PMCPMC9606988
OpenAlexW4297547935

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.