Evidence map›Paper›PMID 40070869›Full record

ArticleMaterials today. Bio2025

Tβ4-exosome-loaded hemostatic and antibacterial hydrogel to improve vascular regeneration and modulate macrophage polarization for diabetic wound treatment.

Hua Yu, Bin Wang, Zihao Li, Kaibo Liu, Wanying Chen, Songyun Zhao, Yu Zhou, Gaoyi Wang, Yaqin Zhou, Yanming Chen and 9 more

Erratum issuedAbstract read
In one paragraph

Article in Materials today. Bio, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

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  5. Single-Cell Sequencing Reveals That CCL2+ Adipose-Derived Stem Cells Promote Diabetic Wound Healing Through the CCL2-ACKR1 Signaling Axis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Hua YuDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Bin WangZhejiang Key Laboratory of Intelligent Cancer Biomarker Discovery and Translation, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Zihao LiDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Kaibo LiuDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Wanying ChenDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Songyun ZhaoDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yu ZhouDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Gaoyi WangDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yaqin ZhouDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yanming ChenDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Housheng ChenDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yunning LaiDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Quan WangDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Jingping WangDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Binting NiDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Dupiao ZhangDepartment of Wound Healing, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Chuanmeng PanDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yucang HeDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Liqun LiDepartment of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic wounds often exhibit delayed healing due to compromised vascular function and intensified inflammation. In this study, we overexpressed Thymosin β4 (Tβ4) in Adipose-Derived Stem Cells (ADSCs) to produce Exosomes (Exos) rich in Tβ4. We then utilized a dual photopolymerizable hydrogel composed of Hyaluronic Acid Methacryloyl (HAMA) and Poly-L-lysine Methacryloyl (PLMA) for the sustained release of Tβ4-Exos on diabetic wounds. The results showed that Tβ4-Exos could stimulate angiogenesis and collagen synthesis, and mitigate inflammation in diabetic wounds by promoting the polarization of M1-type macrophages and inhibiting that of M2-type macrophages. Furthermore, Tβ4-Exos was found to activate the PI3K/AKT/mTOR/HIF-1a signaling pathway, thereby enhancing vascular proliferation. In summary, the sustained release of Tβ4-Exos in HAMA-PLMA (HP) hydrogel and the management of inflammation through the upregulation of the HIF-1a pathway and modulation of macrophage polarization in vascular proliferation significantly accelerated the healing process of diabetic wounds.

Indexed as

Adipose-derived stem cellsAngiogenesisExosomesMacrophage polarizationThymosin β4Wound healing

Identifiers

PMID40070869
PMCPMC11893380

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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.