Evidence map›Paper›PMID 38513284›Full record

ArticleStem cells translational medicine2024

The Treatment of Refractory Vitiligo With Autologous Cultured Epithelium Grafting: A Real-World Retrospective Cohort Study.

Jian Li, Xuanhao Zeng, Shujun Chen, Luyan Tang, Qi Zhang, Minzi Lv, Weiling Lian, Jinqi Wang, Haozhen Lv, Yating Liu and 5 more

Open access · goldAbstract read
In one paragraph

Article in Stem cells translational medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Emerging Surgical Therapies for Vitiligo: Tissue vs Cell-Based Approaches.Clinical, cosmetic and investigational dermatology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. 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

15 authors at 2 institutions in 1 country.

Jian LiDepartment of Dermatology, Huashan Hospital of Fudan University, Shanghai, People's Republic of China.
Xuanhao ZengDepartment of Dermatology, Huashan Hospital of Fudan University, Shanghai, People's Republic of China.ORCID 0000-0003-2727-5795
Shujun ChenDepartment of Dermatology, Huashan Hospital of Fudan University, Shanghai, People's Republic of China.
Luyan TangDepartment of Dermatology, Huashan Hospital of Fudan University, Shanghai, People's Republic of China.
Qi ZhangDepartment of Dermatology, Huashan Hospital of Fudan University, Shanghai, People's Republic of China.
Minzi LvCentre of Evidence Medicine, Fudan University, Shanghai, People's Republic of China.
Weiling LianDepartment of Dermatology, Huashan Hospital of Fudan University, Shanghai, People's Republic of China.
Jinqi WangDepartment of Dermatology, Huashan Hospital of Fudan University, Shanghai, People's Republic of China.
Haozhen LvDepartment of Dermatology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
Yating LiuDepartment of Dermatology, Huashan Hospital of Fudan University, Shanghai, People's Republic of China.
Jiayi ShenDepartment of Dermatology, Huashan Hospital of Fudan University, Shanghai, People's Republic of China.
Taro UyamaReMed Regenerative Medicine Clinical Application Institute, Shanghai, People's Republic of China.
Fuyue WuReMed Regenerative Medicine Clinical Application Institute, Shanghai, People's Republic of China.
Jinfeng WuDepartment of Dermatology, Huashan Hospital of Fudan University, Shanghai, People's Republic of China.
Jinhua XuDepartment of Dermatology, Huashan Hospital of Fudan University, Shanghai, People's Republic of China.
Fudan University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

National Natural Science Foundation of China 82073465, 82273562, 81671550Shanghai Engineering Research Center of Hair Medicine 19DZ2250500
6 · The paper itself

Abstract

backgroundSurgical intervention is the main therapy for refractory vitiligo. We developed a modified autologous cultured epithelial grafting (ACEG) technique for vitiligo treatment. Between January 2015 and June 2019, a total of 726 patients with vitiligo underwent ACEG in China, with patient characteristics and clinical factors being meticulously documented. Using a generalized linear mixed model, we were able to assess the association between these characteristics and the repigmentation rate.

resultsACEG demonstrated a total efficacy rate of 82.81% (1754/2118) in treating 726 patients, with a higher repigmentation rate of 64.87% compared to conventional surgery at 52.69%. Notably, ACEG showed a better response in treating segmental vitiligo, lesions on lower limbs, age ≤ 18, and stable period > 3 years. A keratinocyte:melanocyte ratio below 25 was found to be advantageous too. Single-cell RNA sequencing analysis revealed an increase in melanocyte count and 2 subclusters of keratinocytes after ACEG, which remained higher in repigmented sites even after 1 year.

conclusionsACEG is a promising therapy for refractory vitiligo. Patient age, clinical type, lesion site, and stability before surgery influence repigmentation in ACEG. The mechanism of repigmentation after ACEG treatment is likely not confined to the restoration of melanocyte populations. It may also involve an increase in the number of keratinocytes that support melanocyte function within the affected area. These keratinocytes may aid the post-transplant survival and function of melanocytes by secreting cytokines and extracellular matrix components.

trial registrationregistered with Chictr.org.cn (ChiCTR2100051405).

Indexed as

Transplantation, AutologousVitiligoAdolescentAdultCells, CulturedChildEpitheliumFemaleHumansKeratinocytesMaleMelanocytesMiddle AgedRetrospective StudiesYoung Adultkeratinocytemelanocytesingle-cell sequencingtransplantationvitiligo

Identifiers

PMID38513284
PMCPMC11092269
OpenAlexW4393062349

What OpenQuestion holds

Textmetadata
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.