Evidence map›Paper›PMID 24454787›Full record

ArticlePloS one2014

Do ABO blood group antigens hamper the therapeutic efficacy of mesenchymal stromal cells?

Guido Moll, Annika Hult, Lena von Bahr, Jessica J Alm, Nina Heldring, Osama A Hamad, Lillemor Stenbeck-Funke, Stella Larsson, Yuji Teramura, Helene Roelofs and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
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  8. Cell-based Therapies for Acute Respiratory Distress Syndrome: Where Are We Now?American journal of respiratory and critical care medicine · 2024
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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

14 authors at 5 institutions in 2 countries.

Guido MollDivision of Clinical Immunology and Transfusion Medicine, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Annika HultDivision of Hematology and Transfusion Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Lena von BahrDivision of Clinical Immunology and Transfusion Medicine, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden ; Hematology Center, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Jessica J AlmDivision of Clinical Immunology and Transfusion Medicine, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Nina HeldringDivision of Clinical Immunology and Transfusion Medicine, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Osama A HamadRudbeck Laboratory, Department of Immunology, Genetics and Pathology, Uppsala University, Sweden.
Lillemor Stenbeck-FunkeRudbeck Laboratory, Department of Immunology, Genetics and Pathology, Uppsala University, Sweden.
Stella LarssonDivision of Clinical Immunology and Transfusion Medicine, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Yuji TeramuraRudbeck Laboratory, Department of Immunology, Genetics and Pathology, Uppsala University, Sweden.
Helene RoelofsDepartment of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands.
Bo NilssonRudbeck Laboratory, Department of Immunology, Genetics and Pathology, Uppsala University, Sweden.
Willem E FibbeDepartment of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands.
Martin L OlssonDivision of Hematology and Transfusion Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Katarina Le BlancDivision of Clinical Immunology and Transfusion Medicine, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden ; Hematology Center, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Karolinska Institutet · SEUppsala University · SELeiden University Medical Center · NLLund University · SEKarolinska University Hospital · SE

Funding

Innate immunity in clinical islet transplantation: a clinical study (CIT0-01) in U01AI065192 · NIAID · UPPSALA UNIVERSITY · PI KORSGREN, OLLE · 2004 to 2012
$11.1M
NIAID NIH HHS 2U01AI065192-06NIAID NIH HHS U01 AI065192
6 · The paper itself

Abstract

Investigation into predictors for treatment outcome is essential to improve the clinical efficacy of therapeutic multipotent mesenchymal stromal cells (MSCs). We therefore studied the possible harmful impact of immunogenic ABO blood groups antigens - genetically governed antigenic determinants - at all given steps of MSC-therapy, from cell isolation and preparation for clinical use, to final recipient outcome. We found that clinical MSCs do not inherently express or upregulate ABO blood group antigens after inflammatory challenge or in vitro differentiation. Although antigen adsorption from standard culture supplements was minimal, MSCs adsorbed small quantities of ABO antigen from fresh human AB plasma (ABP), dependent on antigen concentration and adsorption time. Compared to cells washed in non-immunogenic human serum albumin (HSA), MSCs washed with ABP elicited stronger blood responses after exposure to blood from healthy O donors in vitro, containing high titers of ABO antibodies. Clinical evaluation of hematopoietic stem cell transplant (HSCT) recipients found only very low titers of anti-A/B agglutination in these strongly immunocompromised patients at the time of MSC treatment. Patient analysis revealed a trend for lower clinical response in blood group O recipients treated with ABP-exposed MSC products, but not with HSA-exposed products. We conclude, that clinical grade MSCs are ABO-neutral, but the ABP used for washing and infusion of MSCs can contaminate the cells with immunogenic ABO substance and should therefore be substituted by non-immunogenic HSA, particularly when cells are given to immunocompentent individuals.

Indexed as

Mesenchymal Stem Cell TransplantationABO Blood-Group SystemAdolescentAdsorptionAdultAgedAntibodiesCells, CulturedChildDNA MethylationGenotypeHumansMesenchymal Stem CellsMiddle AgedPromoter Regions, GeneticRNA, MessengerABO Blood-Group SystemAntibodiesRNA, Messenger

Identifiers

PMID24454787
PMCPMC3890285
OpenAlexW1969421891

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.