Evidence map›Paper›PMID 41290997›Full record

ArticleCommunications biology2025

Injury to tissue caused by device penetration of the skin triggers formation of extracellular traps.

Kenneth A Wood, Priscila S Cunegundes, Jean G de Souza, Joseph Cavataio, Tejas Kakunje, Don L Kreutzer, Ulrike Klueh

Abstract read
In one paragraph

Article in Communications biology, 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. 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

7 authors.

Kenneth A WoodWayne State University, Integrative Biosciences Center (IBio), Detroit, MI, USA.
Priscila S CunegundesWayne State University, Integrative Biosciences Center (IBio), Detroit, MI, USA.
Jean G de SouzaWayne State University, Integrative Biosciences Center (IBio), Detroit, MI, USA.ORCID http://orcid.org/0000-0003-0618-7219
Joseph CavataioWayne State University, Integrative Biosciences Center (IBio), Detroit, MI, USA.ORCID http://orcid.org/0000-0003-2622-1904
Tejas KakunjeWayne State University, Integrative Biosciences Center (IBio), Detroit, MI, USA.
Don L KreutzerUniversity of Connecticut School of Medicine, Department of Surgery, Farmington, CT, USA.
Ulrike KluehWayne State University, Integrative Biosciences Center (IBio), Detroit, MI, USA. Menkes@wayne.edu.ORCID http://orcid.org/0000-0003-1104-7704

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI PAUL M STEMMER · 1985 to 2026
$68.4M
Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DAVID P OLSON · 2013 to 2026
$24.3M
Infusion device optimization by addressing root causes of the inflammatory responseR01DK129681 · NIDDK · WAYNE STATE UNIVERSITY · PI Ulrike Klueh · 2022 to 2026
$2.6M
A novel inline platform provides an advanced drug delivery device foroptimized diabetes therapyR01DK133789 · NIDDK · WAYNE STATE UNIVERSITY · PI Ulrike Klueh, Roshanak Sharafieh · 2023 to 2026
$2.6M
NCI NIH HHS P30 CA022453NIDDK NIH HHS P30 DK020572NIDDK NIH HHS R01 DK129681NIDDK NIH HHS R01 DK133789U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) R01DK129681U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) R01DK133789
6 · The paper itself

Abstract

Continuous glucose monitoring (CGM) systems are vital for diabetes management, but sensor performance is often compromised by host immune responses following insertion. This study investigates early tissue and immune reactions, focusing on neutrophil extracellular trap (NET) formation, or NETosis. In porcine models, insertion trauma rapidly induced NETosis, preceding vascular regression and fibrotic encapsulation-processes that may hinder glucose diffusion and impair sensor accuracy. In a murine air pouch model, sensor implantation elevated inflammatory cytokines (IL-6, KC/GRO) and neutrophil infiltration within 24 hours. Scanning electron microscopy revealed NETs exclusively in traumatized tissue. Notably, neutrophils from type 2 diabetes patients failed to undergo NETosis on polyurethane surfaces in vitro, suggesting impaired immune responses due to metabolic dysfunction. These findings identify NETosis as a key driver of early sensor-tissue interactions. Strategies to reduce insertion trauma and modulate NET formation may enhance CGM reliability and longevity, informing future improvements in sensor design and deployment.

Indexed as

Blood Glucose Self-MonitoringExtracellular TrapsSkinAnimalsDiabetes Mellitus, Type 2FemaleHumansMaleMiceNeutrophilsSwine

Identifiers

PMID41290997
PMCPMC12647913

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.