Evidence map›Paper›PMID 40933395›Full record

ArticleClinical, cosmetic and investigational dermatology2025

Integrative Analysis Reveals a Key Role for CDKN1A in Impaired Wound Healing in Diabetic Patients.

Sis Aghayants, Shengzhi Zhou, Keyu Zhu, Zhixiang Tan, Bomin Cheng, Song Gong, Zhanyong Zhu

Abstract read
In one paragraph

Article in Clinical, cosmetic and investigational dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Sis Aghayants *Department of Plastic Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, People's Republic of China.ORCID 0009-0002-1173-271X
Shengzhi Zhou *Department of Plastic Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, People's Republic of China.
Keyu Zhu *Department of Plastic Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, People's Republic of China.ORCID 0009-0000-2971-0741
Zhixiang TanDepartment of Plastic Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, People's Republic of China.
Bomin ChengChinese Medicine Health Management Center, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, People's Republic of China.
Song GongDivision of Endocrinology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei 430030, People's Republic of China.
Zhanyong ZhuDepartment of Plastic Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei, 430060, People's Republic of China.ORCID 0000-0003-4323-4862

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetic foot ulcers (DFUs) are a common and severe complication of diabetes, often resulting in chronic non-healing wounds. This study aims to investigate the role of cyclin-dependent kinase inhibitor 1A (CDKN1A) in diabetic wound healing, focusing on its impact on cell proliferation and differentiation in DFUs. Methods: We utilized single-cell RNA sequencing (scRNA-seq) to analyze gene expression profiles from DFUs tissues, comparing healing and non-healing groups. Differential gene expression analysis was performed to identify key regulators of wound healing. Mendelian randomization (MR) was employed to explore the causal relationship between CDKN1A expression and metabolic dysfunction in DFUs. Transcription factor analysis was also conducted to identify potential upstream regulators of CDKN1A. Results: Our study confirmed that CDKN1A played a pivotal role in inhibiting cell proliferation and promoting premature differentiation in DFUs, which contributed to impaired wound healing. FOS was identified as a key transcription factor that upregulates CDKN1A in non-healing DFUs. MR analysis identified CDKN1A as being associated with metabolic changes, including the α-ketobutyrate/pyruvate ratio, leading to the impaired healing process in non-healing DFUs. Conclusion: These findings shed light on the molecular mechanisms underlying DFU healing, suggesting that targeting FOS and CDKN1A could offer novel therapeutic strategies for enhancing wound healing in diabetic patients.

Indexed as

CDKN1Adiabetic foot ulcersFOSgene expressionmendelian randomizationsingle-cell RNA sequencing

Identifiers

PMID40933395
PMCPMC12417700

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.