Evidence map›Paper›PMID 41027406›Full record

ArticleAdvances in wound care2026

Identification of Skin Multicellular Reprogramming Factors as Potential Treatment for Nonhealing Diabetic Foot Ulcers.

Ahmed S Abouhashem, Sherine K Saber, Sara Abouzekry, Mohammed Elkholy, Ahmed Moustafa, Ahmed Abdellatif, Hassan M E Azzazy, Ahmed A Elbaz, Kanhaiya Singh, Chandan K Sen and 1 more

Abstract read
In one paragraph

Article in Advances in wound care, 2026. 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. Article
  2. 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

11 authors.

Ahmed S AbouhashemDepartment of Surgery, School of Medicine, McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Sherine K SaberGraduate Biotechnology Program, School of Sciences and Engineering, The American University in Cairo, New Cairo, Egypt.
Sara AbouzekryGraduate Biotechnology Program, School of Sciences and Engineering, The American University in Cairo, New Cairo, Egypt.
Mohammed ElkholyDepartment of Computer Science and Engineering, School of Sciences and Engineering, The American University in Cairo, New Cairo, Egypt.
Ahmed MoustafaGraduate Biotechnology Program, School of Sciences and Engineering, The American University in Cairo, New Cairo, Egypt.
Ahmed AbdellatifGraduate Biotechnology Program, School of Sciences and Engineering, The American University in Cairo, New Cairo, Egypt.ORCID 0000-0003-0486-348X
Hassan M E AzzazyDepartment of Chemistry, School of Sciences and Engineering, The American University in Cairo, New Cairo, Egypt.ORCID 0000-0003-1331-0123
Ahmed A ElbazDepartment of Chemistry, School of Sciences and Engineering, The American University in Cairo, New Cairo, Egypt.
Kanhaiya SinghDepartment of Surgery, School of Medicine, McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-4126-9618
Chandan K SenDepartment of Surgery, School of Medicine, McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0003-3151-5202
Hossam ShararaDepartment of Computer Science and Engineering, School of Sciences and Engineering, The American University in Cairo, New Cairo, Egypt.

Funding

Cell Specific Gene Editing to Close Diabetic WoundsR01DK135447 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Chandan K Sen · 2023 to 2026
$2.2M
Regulatory Mechanisms Addressing Diabetic VasculopathyR01DK136814 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Kanhaiya Singh · 2023 to 2026
$1.9M
Vasculogenic Regenerative Medicine TechnologyR01DK141513 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Chandan K Sen · 2025 to 2026
$1.1M
NIDDK NIH HHS R01 DK135447NIDDK NIH HHS R01 DK136814NIDDK NIH HHS R01 DK141513
6 · The paper itself

Abstract

objectiveIn a complex environment such as that in a diabetic foot ulcer (DFU), multiple factors, including cross talk between distinct cell types of the affected tissue, play a significant role. We identified a transcription factor (TF) cocktail that induces a transition from nonhealing to healing states across multiple cell types. APPROACH: Thirty-three skin and wound single-cell RNA-sequencing samples (85,928 cells) from patients with diabetes with healing or nonhealing DFU were analyzed (GSE165816). The relative activity of cell type-specific TF in healing versus nonhealing DFU was compared, and the cumulative additive effect of different TF cocktails was assessed.

resultsWe used a cumulative additive-effect approach to identify five transcription factors, FOS Like 2, AP-1 Transcription Factor Subunit ( INNOVATION: This work recognizes a TF panel that is likely to have therapeutic value in promoting healing in nonhealing DFU.

conclusionIn this work, we identified a set of candidate TFs with the potential to induce a cell state transition favoring a switch from nonhealing to healing outcomes in patients with nonhealing DFU. Overall, our gene regulatory network-driven TF cocktail provides a rational blueprint for reprogramming DFU cell states and paves the way toward targeted regenerative therapies.

Indexed as

Cellular ReprogrammingDiabetic FootSkinTranscription FactorsWound HealingFibroblastsFos-Related Antigen-2HumansProto-Oncogene MasProto-Oncogene Protein c-ets-1FOSL2 protein, humanFos-Related Antigen-2MAS1 protein, humanProto-Oncogene MasProto-Oncogene Protein c-ets-1Transcription Factorscell reprogrammingcell state transitiondiabetic foot ulcerwound closure

Identifiers

PMID41027406
PMCPMC13126601

What OpenQuestion holds

Textmetadata
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.