Evidence map›Paper›PMID 20930086›Full record

Trial reportClinical journal of the American Society of Nephrology : CJASN2011

Autologous mesenchymal stromal cells and kidney transplantation: a pilot study of safety and clinical feasibility.

Norberto Perico, Federica Casiraghi, Martino Introna, Eliana Gotti, Marta Todeschini, Regiane Aparecida Cavinato, Chiara Capelli, Alessandro Rambaldi, Paola Cassis, Paola Rizzo and 5 more

2 registry-linked trialsOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Clinical journal of the American Society of Nephrology : CJASN, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 150 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 2 pooled it
10.0field-weighted citation impact, top 1% of its field
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.

NCT00752479 phase1 / phase2terminatednot on this map

Mesenchymal Stem Cells Under Basiliximab/Low Dose RATG to Induce Renal Transplant Tolerance

TypeinterventionalSponsorMario Negri Institute for Pharmacological ResearchRan2008 to 2013Enrolled4ConditionsKidney TransplantArmsMesenchymal stem cells infusion, Basiliximab,Methylprednisolone,RATG ,Cyclosporine ,Mycophenolate mofetil, Basiliximab, Methylprednisolone,RATG,Cyclosporine,Mycophenolate mofetil
NCT01690247 phase1unknown statusnot on this mapstarted 2012, after this paper: background citation

Human Umbilical Cord Mesenchymal Stem Cell Induce Liver Allografts Tolerance

TypeinterventionalSponsorBeijing 302 HospitalRan2012 to 2015Enrolled50ConditionsEvidence of Liver TransplantationArmsConventional plus UC-MSC, Conventional plus placebo
3 · Its place in the literature

Who cites it

150 citing papers in PubMed, 2 syntheses or guidelines pooled it, 305 citations in OpenAlex.

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  5. Autologous bone marrow-derived mesenchymal stromal cell therapy with early tacrolimus withdrawal: The randomized prospective, single-center, open-label TRITON study.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
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90 more citing papers are in PubMed but not listed here.

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

15 authors at 3 institutions in 2 countries.

Norberto PericoTransplant Research Center Chiara Cucchi de Alessandri e Gilberto Crespi, Department of Immunology and Transplantation, Ospedali Riuniti di Bergamo, Mario Negri Institute for Pharmacological Research, Centro Anna Maria Astori, Parco Scientifico Tecnologico Kilometro Rosso, via Stezzano 87, 24126 Bergamo, Italy.
Federica Casiraghi
Martino Introna
Eliana Gotti
Marta Todeschini
Regiane Aparecida Cavinato
Chiara Capelli
Alessandro Rambaldi
Paola Cassis
Paola Rizzo
Monica Cortinovis
Maddalena Marasà
Josee Golay
Marina Noris
Giuseppe Remuzzi
University of Bergamo · ITMario Negri Institute for Pharmacological Research · ITGTx (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesMesenchymal stromal cells (MSCs) abrogate alloimmune response in vitro, suggesting a novel cell-based approach in transplantation. Moving this concept toward clinical application in organ transplantation should be critically assessed. DESIGN, SETTING, PARTICIPANTS & MEASUREMENTS: A safety and clinical feasibility study (ClinicalTrials.gov, NCT00752479) of autologous MSC infusion was conducted in two recipients of kidneys from living-related donors. Patients were given T cell-depleting induction therapy and maintenance immunosuppression with cyclosporine and mycophenolate mofetil. On day 7 posttransplant, MSCs were administered intravenously. Clinical and immunomonitoring of MSC-treated patients was performed up to day 360 postsurgery.

resultsSerum creatinine levels increased 7 to 14 days after cell infusion in both MSC-treated patients. A graft biopsy in patient 2 excluded acute graft rejection, but showed a focal inflammatory infiltrate, mostly granulocytes. In patient 1 protocol biopsy at 1-year posttransplant showed a normal graft. Both MSC-treated patients are in good health with stable graft function. A progressive increase of the percentage of CD4+CD25highFoxP3+CD127- Treg and a marked inhibition of memory CD45RO+RA-CD8+ T cell expansion were observed posttransplant. Patient T cells showed a profound reduction of CD8+ T cell activity.

conclusionsFindings from this study in the two patients show that MSC infusion in kidney transplant recipients is feasible, allows enlargement of Treg in the peripheral blood, and controls memory CD8+ T cell function. Future clinical trials with MSCs to look with the greatest care for unwanted side effects is advised.

Indexed as

Kidney TransplantationMesenchymal Stem Cell TransplantationAdultBiomarkersBiopsyCD8-Positive T-LymphocytesCells, CulturedCreatinineDrug Therapy, CombinationFeasibility StudiesHumansImmunohistochemistryImmunologic MemoryImmunophenotypingImmunosuppressive AgentsKidney Failure, ChronicBiomarkersCreatinineImmunosuppressive Agents

Identifiers

PMID20930086
PMCPMC3052234
OpenAlexW2136586552

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.