Evidence map›Paper›PMID 21906573›Full record

ArticleExperimental hematology2011

Phenotypic correction of hemophilia A in sheep by postnatal intraperitoneal transplantation of FVIII-expressing MSC.

Christopher D Porada, Chad Sanada, Chung-Jung Kuo, Evan Colletti, Walter Mandeville, John Hasenau, Esmail D Zanjani, Robert Moot, Christopher Doering, H Trent Spencer and 1 more

Abstract read
In one paragraph

Article in Experimental hematology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.8field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 60 citations in OpenAlex.

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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

11 authors at 5 institutions in 1 country.

Christopher D PoradaWake Forest Institute for Regenerative Medicine, Winston-Salem, NC., USA. cporada@wfubmc.edu
Chad Sanada
Chung-Jung Kuo
Evan Colletti
Walter Mandeville
John Hasenau
Esmail D Zanjani
Robert Moot
Christopher Doering
H Trent Spencer
Graça Almeida-Porada
University of Nevada, Reno · USEmory University · USForest Institute · USCenter for Cancer and Blood Disorders · USWake Forest University · US

Funding

IMMUNOHEMATOLOGY/TRANSFUSION MEDICINE RESEARCH TRAININGT32HL007974 · NHLBI · YALE UNIVERSITY · PI JEANNE E HENDRICKSON, Diane S Krause · 2001 to 2026
$8.1M
In Utero Stem Cell Transplantation for Hemophilia AR01HL073737 · NHLBI · UNIVERSITY OF NEVADA RENO · PI ALMEIDA-PORADA, GRACA DUARTE · 2003 to 2006
$1.8M
NHLBI NIH HHS HL073737NHLBI NIH HHS R01 HL073737NHLBI NIH HHS T32 HL007974
6 · The paper itself

Abstract

We recently re-established a line of sheep that accurately mimics the clinical symptoms and genetics of severe hemophilia A (HA). Here, we tested a novel, nonablative transplantation therapy in two pediatric HA animals. Paternal mesenchymal stem cells (MSC) were transduced with a porcine FVIII-encoding lentivector and transplanted via the intraperitoneal route without preconditioning. At the time of transplantation, these animals had received multiple human FVIII treatments for various spontaneous bleeds and had developed debilitating hemarthroses, which produced severe defects in posture and gait. Transplantation of transduced MSC resolved all existent hemarthroses, and spontaneous bleeds ceased. Damaged joints recovered fully; the animals regained normal posture and gait and resumed normal activity. Despite achieving factor-independence, a sharp rise in pre-existent Bethesda titers occurred following transplantation, decreasing the effectiveness and duration of therapy. Postmortem examination revealed widespread engraftment, with MSC present within the lung, liver, intestine, and thymus, but particularly within joints affected at the time of transplantation, suggesting MSC homed to sites of ongoing injury/inflammation to release FVIII, explaining the dramatic improvement in hemarthrotic joints. In summary, this novel, nonablative MSC transplantation was straightforward, safe, and converted life-threatening, debilitating HA to a moderate phenotype in a large animal model.

Indexed as

Disease Models, AnimalMesenchymal Stem Cell TransplantationAnimalsCell LineageCell MovementFactor VIIIFemaleGenetic VectorsGraft SurvivalHemarthrosisHemophilia AHemorrhageHumansInjections, IntraperitonealIsoantibodiesMaleFactor VIIIIsoantibodiesRecombinant Proteins

Identifiers

PMID21906573
PMCPMC3220800
OpenAlexW1978668313

What OpenQuestion holds

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Registered trials

None linked

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.