Evidence map›Paper›PMID 24594618›Full record

ArticlePloS one2014

Reduced intensity conditioning, combined transplantation of haploidentical hematopoietic stem cells and mesenchymal stem cells in patients with severe aplastic anemia.

Xiao-Hong Li, Chun-Ji Gao, Wan-Ming Da, Yong-Bin Cao, Zhi-Hong Wang, Li-Xin Xu, Ya-Mei Wu, Bei Liu, Zhou-Yang Liu, Bei Yan and 4 more

Erratum issuedOpen 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. An erratum has been issued. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Trial
  5. Article
  6. Review
  7. Review
  8. Article
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  10. Article
  11. Review
  12. Treatment of Steroid-Refractory Acute Graft-Frontiers in immunology · 2021
    Review
  13. Review
  14. Review
  15. Article
  16. Alternative donor transplants for severe aplastic anemia.Hematology. American Society of Hematology. Education Program · 2018
    Review
  17. Review
  18. Article
  19. Article
  20. The complex pathophysiology of acquired aplastic anaemia.Clinical and experimental immunology · 2015
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Xiao-Hong LiDepartment of Hematology, The First Affiliated Hospital, Chinese PLA General Hospital, Beijing, China.
Chun-Ji GaoDepartment of Hematology, Chinese PLA General Hospital, Beijing, China.
Wan-Ming DaDepartment of Hematology, Chinese PLA General Hospital, Beijing, China.
Yong-Bin CaoDepartment of Hematology, The First Affiliated Hospital, Chinese PLA General Hospital, Beijing, China.
Zhi-Hong WangDepartment of Hematology, The First Affiliated Hospital, Chinese PLA General Hospital, Beijing, China.
Li-Xin XuDepartment of Hematology, The First Affiliated Hospital, Chinese PLA General Hospital, Beijing, China.
Ya-Mei WuDepartment of Hematology, The First Affiliated Hospital, Chinese PLA General Hospital, Beijing, China.
Bei LiuDepartment of Hematology, The First Affiliated Hospital, Chinese PLA General Hospital, Beijing, China.
Zhou-Yang LiuDepartment of Hematology, The First Affiliated Hospital, Chinese PLA General Hospital, Beijing, China.
Bei YanDepartment of Hematology, The First Affiliated Hospital, Chinese PLA General Hospital, Beijing, China.
Song-Wei LiDepartment of Hematology, The First Affiliated Hospital, Chinese PLA General Hospital, Beijing, China.
Xue-Liang YangDepartment of Hematology, The First Affiliated Hospital, Chinese PLA General Hospital, Beijing, China.
Xiao-Xiong WuDepartment of Hematology, The First Affiliated Hospital, Chinese PLA General Hospital, Beijing, China.
Zhong-Chao HanTEDA Research Center of Life Science and Technology, State Key Laboratory of Experimental Hematology, Institute of Hematology, Tianjin, China.
First Affiliated Hospital of Chinese PLA General Hospital · CNChinese PLA General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We examined if transplantation of combined haploidentical hematopoietic stem cells (HSC) and mesenchymal stem cells (MSC) affected graft failure and graft-versus-host disease (GVHD) in patients with severe aplastic anemia (SAA). Patients with SAA-I (N = 17) received haploidentical HSCT plus MSC infusion. Stem cell grafts used a combination of granulocyte colony-stimulating factor (G-CSF)-primed bone marrow and G-CSF-mobilized peripheral blood stem cells of haploidentical donors and the culture-expanded third-party donor-derived umbilical cord MSCs (UC-MSCs), respectively. Reduced intensity conditioning consisted of fludarabine (30 mg/m2·d)+cyclosphamide (500 mg/m2·d)+anti-human thymocyte IgG. Transplant recipients also received cyclosporin A, mycophenolatemofetil, and CD25 monoclonal antibody. A total of 16 patients achieved hematopoietic reconstitution. The median mononuclear cell and CD34 count was 9.3×10(8)/kg and 4.5×10(6)/kg. Median time to ANC was >0.5×10(9)/L and PLT count >20×10(9)/L were 12 and 14 days, respectively. Grade III-IV acute GVHD was seen in 23.5% of the cases, while moderate and severe chronic GVHD were seen in 14.2% of the cases. The 3-month and 6-month survival rates for all patients were 88.2% and 76.5%, respectively; mean survival time was 56.5 months. Combined transplantation of haploidentical HSCs and MSCs on SAA without an HLA-identical sibling donor was safe, effectively reduced the incidence of severe GVHD, and improved patient survival.

Indexed as

Hematopoietic Stem Cell TransplantationMesenchymal Stem Cell TransplantationTransplantation ConditioningAdolescentAdultAnemia, AplasticChildChild, PreschoolFemaleGraft vs Host DiseaseGranulocyte Colony-Stimulating FactorHaploinsufficiencyHumansMaleSeverity of Illness IndexYoung AdultGranulocyte Colony-Stimulating Factor

Identifiers

PMID24594618
PMCPMC3940616
OpenAlexW2134000139

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.