Diabetes complications

Effect of Recombinant Human Granulocyte Macrophage-colony Stimulating Factor (rhGM-CSF) in Promoting Wound Healing via Macrophage Immunomodulation

J Clin Endocrinol MetabPublished Mechanistic study and randomised controlled trial

Authors' conclusion

Our study suggested that topical administration of rhGM-CSF can promote the healing of both diabetic and nondiabetic wounds, which is partly attributable to promoting the transformation of macrophages to M2 subtype.

Study context

Population
Patients with diabetic lower extremity ulcers; C57BL/6J mice with full-thickness wounds
Participants
48 patients
Comparison
Topical rhGM-CSF vs saline / control
  • rhGM-CSFn = 27
  • Controln = 21reference
Primary endpoint
Overall percentage area reduction
Follow-up
1 month

Primary result

As reported in the abstract

rhGM-CSF

97.7

± 8.9 · %

P < 0.05

Further findings

Wound healing rate in mice (topical rhGM-CSF)
2.53 · average · ± 0.25 · mm²/day

Wound healing rate in mice (topical rhGM-CSF)

Significantly accelerated wound healing in mice

Angiogenesis markers (mice)

Increase in CD31 and VEGFA expression after rhGM-CSF

Macrophage subtypes · day 5 and day 10 post-injury

Significant reduction in M1 and increase in M2 macrophages with rhGM-CSF; M2a predominant at day 5, M2d at day 10

Original publication

Effect of rhGM-CSF in Promoting Wound Healing via Macrophage Immunomodulation. J Clin Endocrinol Metab. Published 25 August 2025. doi:10.1210/clinem/dgaf480

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