Promotion of cutaneous diabetic wound healing by subcutaneous administration of Wharton's jelly mesenchymal stem cells derived from umbilical cord

Arch Dermatol Res. 2023 Mar;315(2):147-159. doi: 10.1007/s00403-022-02326-2. Epub 2022 Feb 7.

Abstract

Wound healing is a major problem in diabetic patients, and current treatments have been confronted with limited success. The present study examined the benefit of Wharton's jelly mesenchymal stem cells (WJ-MSCs) derived from the human umbilical cord (UC) in wound healing in diabetic rats. Thirty days after inducing diabetes, a circular excision was created in the skin of rats, and the treatments were performed for 21 days. Two groups were studied, which included the Control group and WJ-MSCs group. The studied groups were sampled on the 7th, 14th, and 21st days after wounding. Histological ultrasound imaging of dermis and epidermis in the wound area for thickness and density measurement and skin elasticity were evaluated. Our results on post-wounding days 7, 14, and 21 showed that the wound closure, thickness, and density of new epidermis and dermis, as well as skin elasticity in the healed wound, were significantly higher in the WJ-MSCs group compared to the Control group. Subcutaneous administration of WJ-MSCs in diabetic wounds can effectively accelerate healing. Based on this, these cells can be used along with other treatment methods in the healing of different types of chronic wounds.

Keywords: Cell therapy; Diabetic wound; Subcutaneous administration; Wharton jelly mesenchymal stem cells.

MeSH terms

  • Animals
  • Cell Differentiation
  • Diabetes Mellitus, Experimental* / therapy
  • Humans
  • Mesenchymal Stem Cells*
  • Rats
  • Umbilical Cord
  • Wharton Jelly*
  • Wound Healing