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The Combination of Chitosan-Based Biomaterial and Cellular Therapy for Successful Treatment of Diabetic Foot—Pilot Study
by
Lengyel, Peter
, Krešáková, Lenka
, Babík, Ján
, Humenik, Filip
, Giretová, Mária
, Vdoviaková, Katarína
, Medvecký, Ľubomír
, Danko, Ján
in
Adult
/ Amputation
/ Biocompatible Materials
/ Biological products
/ Biomedical materials
/ Biopolymers
/ Bone marrow
/ Cell Differentiation - drug effects
/ Cell- and Tissue-Based Therapy - methods
/ Chitosan - chemistry
/ Collagen
/ Cytochemistry
/ Diabetes
/ Diabetes therapy
/ Diabetic foot
/ Diabetic Foot - pathology
/ Diabetic Foot - therapy
/ Ethylenediaminetetraacetic acid
/ Fibroblasts
/ Fibroblasts - drug effects
/ Fibroblasts - metabolism
/ Foot diseases
/ Growth factors
/ Humans
/ Male
/ Mesenchymal Stem Cell Transplantation - methods
/ Mesenchymal Stem Cells - cytology
/ Mesenchymal Stem Cells - metabolism
/ Molecular weight
/ Patients
/ Pilot Projects
/ Pore size
/ Skin
/ Stem cell research
/ Stem cells
/ Wound healing
2024
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The Combination of Chitosan-Based Biomaterial and Cellular Therapy for Successful Treatment of Diabetic Foot—Pilot Study
by
Lengyel, Peter
, Krešáková, Lenka
, Babík, Ján
, Humenik, Filip
, Giretová, Mária
, Vdoviaková, Katarína
, Medvecký, Ľubomír
, Danko, Ján
in
Adult
/ Amputation
/ Biocompatible Materials
/ Biological products
/ Biomedical materials
/ Biopolymers
/ Bone marrow
/ Cell Differentiation - drug effects
/ Cell- and Tissue-Based Therapy - methods
/ Chitosan - chemistry
/ Collagen
/ Cytochemistry
/ Diabetes
/ Diabetes therapy
/ Diabetic foot
/ Diabetic Foot - pathology
/ Diabetic Foot - therapy
/ Ethylenediaminetetraacetic acid
/ Fibroblasts
/ Fibroblasts - drug effects
/ Fibroblasts - metabolism
/ Foot diseases
/ Growth factors
/ Humans
/ Male
/ Mesenchymal Stem Cell Transplantation - methods
/ Mesenchymal Stem Cells - cytology
/ Mesenchymal Stem Cells - metabolism
/ Molecular weight
/ Patients
/ Pilot Projects
/ Pore size
/ Skin
/ Stem cell research
/ Stem cells
/ Wound healing
2024
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The Combination of Chitosan-Based Biomaterial and Cellular Therapy for Successful Treatment of Diabetic Foot—Pilot Study
by
Lengyel, Peter
, Krešáková, Lenka
, Babík, Ján
, Humenik, Filip
, Giretová, Mária
, Vdoviaková, Katarína
, Medvecký, Ľubomír
, Danko, Ján
in
Adult
/ Amputation
/ Biocompatible Materials
/ Biological products
/ Biomedical materials
/ Biopolymers
/ Bone marrow
/ Cell Differentiation - drug effects
/ Cell- and Tissue-Based Therapy - methods
/ Chitosan - chemistry
/ Collagen
/ Cytochemistry
/ Diabetes
/ Diabetes therapy
/ Diabetic foot
/ Diabetic Foot - pathology
/ Diabetic Foot - therapy
/ Ethylenediaminetetraacetic acid
/ Fibroblasts
/ Fibroblasts - drug effects
/ Fibroblasts - metabolism
/ Foot diseases
/ Growth factors
/ Humans
/ Male
/ Mesenchymal Stem Cell Transplantation - methods
/ Mesenchymal Stem Cells - cytology
/ Mesenchymal Stem Cells - metabolism
/ Molecular weight
/ Patients
/ Pilot Projects
/ Pore size
/ Skin
/ Stem cell research
/ Stem cells
/ Wound healing
2024
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The Combination of Chitosan-Based Biomaterial and Cellular Therapy for Successful Treatment of Diabetic Foot—Pilot Study
Journal Article
The Combination of Chitosan-Based Biomaterial and Cellular Therapy for Successful Treatment of Diabetic Foot—Pilot Study
2024
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Overview
Diabetic foot ulceration is one of the most common complications in patients treated for diabetes mellitus. The presented pilot study describes the successful treatment of diabetic ulceration of the heel with ongoing osteomyelitis in a 39-year-old patient after using a combination of modified chitosan-based biomaterial in combination with autologous mesenchymal stem cells isolated from bone marrow and dermal fibroblasts. The isolated population of bone marrow mesenchymal stem cells fulfilled all of the attributes given by the International Society for Stem Cell Research, such as fibroblast-like morphology, the high expression of positive surface markers (CD29: 99.1 ± 0.4%; CD44: 99.8 ± 0.2% and CD90: 98.0 ± 0.6%) and the ability to undergo multilineage differentiation. Likewise, the population of dermal fibroblasts showed high positivity for the widely accepted markers collagen I, collagen III and vimentin, which was confirmed by immunocytochemical staining. Moreover, we were able to describe newly formed blood vessels shown by angio CT and almost complete closure of the skin defect after 8 months of the treatment.
Publisher
MDPI AG
Subject
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