Unveiling the therapeutic role of 3D-cultured mesenchymal stem cells in diabetic foot ulcers through transcriptomic integration and fibroblast modulation.
Öztürk E., Bicer M.
Animal Study on Diabetic Foot, Chronic Wound, Chronic Inflammation, published in Mol Biol Rep (2026) — summary generated from the PubMed abstract.
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- Study type
- Animal Study
- Journal
- Mol Biol Rep (2026)
- Country
- Netherlands
- Reported sample size
- —
- PMID
- 41915247
- DOI
- 10.1007/s11033-026-11741-x
Abstract (original English)
BACKGROUND: Diabetic foot ulcers (DFUs) are among the most severe complications of diabetes mellitus and remain difficult to manage due to chronic inflammation, defective angiogenesis, delayed tissue repair, which increase the risk of recurrence and limb amputation. Standard treatments, such as debridement, infection management, pressure off-loading and revascularization, are commonly used, however; these interventions often inadequate to fully restore effective wound repair. Mesenchymal stem cells (MSCs) have attracted remarkable interest due to their potential regenerative ability and paracrine activity. Nevertheless, the molecular interaction between MSCs and fibroblasts under hyperglycemic conditions has not been fully elucidated. OBJECTIVE: This study aimed to examine differentially expressed genes (DEGs) associated with DFUs and MSC-related regenerative mechanisms using transcriptomic datasets (such as GSE143735, GSE199939, and GSE217709). METHODS AND RESULTS: Differentially expressed genes and protein-protein interaction (PPI) network analysis were performed to determine central regulatory genes. Four key genes including CXCL1, MMP9, THBS1, and POSTN were recognized as hub genes related to inflammatory response, extracellular matrix reorganization, and angiogenesis. For experimental validation, L929 murine fibroblasts were exposed to high-glucose conditions to set-up an
What this study does not prove
- • This study does not prove SVF is an approved treatment or a replacement for standard care.
- • This is preclinical work; animal or laboratory results cannot be applied to humans.
Evidence level
Evidence comes from animal or laboratory studies and has not been confirmed in humans.
How we grade evidenceRelated research
- Level AMeta-analysis
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Meta-analysis on Ankle Injury, Diabetic Foot, Chronic Wound, published in Int J Low Extrem Wounds (2026) — summary generated from the PubMed abstract.
- 2026
Int J Low Extrem Wounds - Level AMeta-analysis
Efficacy of Stem Cell-Derived Exosomes in Promoting Diabetic Foot Ulcer Healing: A Meta-Analysis of Preclinical Animal Studies.
Meta-analysis on Diabetic Foot, Chronic Wound, published in J Diabetes Res (2026) — summary generated from the PubMed abstract.
- 2026
J Diabetes Res - Level AMeta-analysis
Role of Adipose Derived Stem Cells in Patients with Diabetic Foot Ulcers: Systematic Review and Meta-Analysis of Randomised Controlled Trials.
Meta-analysis with a reported sample of 81 on Diabetic Foot, Chronic Wound, published in Int J Low Extrem Wounds (2025) — summary generated from the PubMed abstract.
- 2025
- n = 81
Int J Low Extrem Wounds - Level ASystematic Review
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Systematic Review on Diabetic Foot, Chronic Wound, published in Diabetol Metab Syndr (2025) — summary generated from the PubMed abstract.
- 2025
Diabetol Metab Syndr - Level AMeta-analysis
A meta-analysis on application and prospect of cell therapy in the treatment of diabetes mellitus.
Meta-analysis on Diabetic Foot, Autoimmune Research, published in Stem Cell Res Ther (2025) — summary generated from the PubMed abstract.
- 2025
Stem Cell Res Ther - Level ASystematic Review
Effects of Nanofat in Plastic and Reconstructive Surgery: A Systematic Review.
Systematic Review with a reported sample of 253 on Diabetic Foot, Chronic Wound, Scar, Skin Aging, published in Plast Reconstr Surg (2024) — summary generated from the PubMed abstract.
- 2024
- n = 253
Plast Reconstr Surg