Evidence map›Paper›PMID 38139339›Full record

ArticleInternational journal of molecular sciences2023

Cell Therapy of Vascular and Neuropathic Complications of Diabetes: Can We Avoid Limb Amputation?

Bernat Soria, Natalia Escacena, Aitor Gonzaga, Barbara Soria-Juan, Etelvina Andreu, Abdelkrim Hmadcha, Ana Maria Gutierrez-Vilchez, Gladys Cahuana, Juan R Tejedo, Antonio De la Cuesta and 3 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

13 authors at 8 institutions in 3 countries.

Bernat SoriaInstitute of Biomedical Research ISABIAL of the University Miguel Hernández, Dr. Balmis General and University Hospital, 03010 Alicante, Spain.ORCID 0000-0002-2356-0380
Natalia EscacenaFresci Consultants, Human Health Innovation, 08025 Barcelona, Spain.ORCID 0000-0001-8011-2149
Aitor GonzagaInstitute of Biomedical Research ISABIAL of the University Miguel Hernández, Dr. Balmis General and University Hospital, 03010 Alicante, Spain.
Barbara Soria-JuanReseaux Hôpitalieres Neuchatelois et du Jura, 2000 Neuchâtel, Switzerland.
Etelvina AndreuInstitute of Biomedical Research ISABIAL of the University Miguel Hernández, Dr. Balmis General and University Hospital, 03010 Alicante, Spain.
Abdelkrim HmadchaBiosanitary Research Institute (IIB-VIU), Valencian International University (VIU), 46002 Valencia, Spain.ORCID 0000-0002-4105-3702
Ana Maria Gutierrez-VilchezInstitute of Bioengineering, University Miguel Hernández, 03202 Elche, Spain.ORCID 0000-0002-9310-4022
Gladys CahuanaDepartment of Molecular Biology, University Pablo de Olavide, 41013 Sevilla, Spain.
Juan R TejedoCIBERDEM Network Research Center for Diabetes and Associated Metabolic Diseases, Carlos III Health Institute, 28029 Madrid, Spain.ORCID 0000-0002-8434-7516
Antonio De la CuestaHospital Victoria Eugenia, Cruz Roja, 41009 Sevilla, Spain.
Manuel MirallesUniversity and Polytechnic Hospital La Fe, 46026 Valencia, Spain.
Susana García-GómezCell Therapy Centre, Nottingham Trent University, Nottingham NG1 4FQ, UK.
Luis Hernández-BlascoInstitute of Biomedical Research ISABIAL of the University Miguel Hernández, Dr. Balmis General and University Hospital, 03010 Alicante, Spain.
Universitat de Miguel Hernández d'Elx · ESHospital Central de la Cruz Roja San José y Santa Adela · ESHospital Neuchâtel · CHHospital Universitari i Politècnic La Fe · ESInstituto de Salud Carlos III · ESNottingham Trent University · GBUniversidad Pablo de Olavide · ESValencian International University · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Globally, a leg is amputated approximately every 30 seconds, with an estimated 85 percent of these amputations being attributed to complications arising from diabetic foot ulcers (DFU), as stated by the American Diabetes Association. Peripheral arterial disease (PAD) is a risk factor resulting in DFU and can, either independently or in conjunction with diabetes, lead to recurring, slow-healing ulcers and amputations. According to guidelines amputation is the recommended treatment for patients with no-option critical ischemia of the limb (CTLI). In this article we propose cell therapy as an alternative strategy for those patients. We also suggest the optimal time-frame for an effective therapy, such as implanting autologous mononuclear cells (MNCs), autologous and allogeneic mesenchymal stromal cells (MSC) as these treatments induce neuropathy relief, regeneration of the blood vessels and tissues, with accelerated ulcer healing, with no serious side effects, proving that advanced therapy medicinal product (ATMPs) application is safe and effective and, hence, can significantly prevent limb amputation.

Indexed as

Diabetes MellitusDiabetic FootPeripheral Arterial DiseasePeripheral Nervous System DiseasesAmputation, SurgicalCell- and Tissue-Based TherapyHumansIschemiaRisk Factorsamputationcharcot footCritical Threatening Limb Ischemiadiabetic footfoot ulcermesenchymal stromal cellsMSC

Identifiers

PMID38139339
PMCPMC10743405
OpenAlexW4389785424

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.