Evidence map›Paper›PMID 25540804›Full record

ArticleAnnals of clinical and translational neurology2014

Analysis of graft survival in a trial of stem cell transplant in ALS.

Tezeta Tadesse, Marla Gearing, David Senitzer, Debra Saxe, Daniel J Brat, Robert Bray, Howard Gebel, Charles Hill, Nicholas Boulis, Jonathan Riley and 7 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.3field-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

27 citing papers in PubMed, 53 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

17 authors at 4 institutions in 1 country.

Tezeta TadesseDepartment of Neurology, Emory University School of Medicine Atlanta, Georgia.
Marla GearingDepartment of Neurology, Emory University School of Medicine Atlanta, Georgia ; Department of Pathology and Laboratory Medicine, Emory University School of Medicine Atlanta, Georgia.
David SenitzerHistocompatibility Laboratory, City of Hope Cancer Center Duarte, California.
Debra SaxeDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine Atlanta, Georgia.
Daniel J BratDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine Atlanta, Georgia.
Robert BrayDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine Atlanta, Georgia.
Howard GebelDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine Atlanta, Georgia.
Charles HillDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine Atlanta, Georgia ; Molecular Diagnostics Laboratory, Emory University Hospital Atlanta, Georgia.
Nicholas BoulisDepartment of Neurosurgery, Emory University School of Medicine Atlanta, Georgia.
Jonathan RileyDepartment of Neurosurgery, Emory University School of Medicine Atlanta, Georgia.
Eva FeldmanDepartment of Neurology, University of Michigan School of Medicine Ann Arbor, Michigan.
Karl JoheNeuralstem, Inc. Rockville, Maryland.
Thomas HazelNeuralstem, Inc. Rockville, Maryland.
Meraida PolakDepartment of Neurology, Emory University School of Medicine Atlanta, Georgia.
Jane BordeauDepartment of Neurology, Emory University School of Medicine Atlanta, Georgia.
Thais FedericiDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine Atlanta, Georgia.
Jonathan D GlassDepartment of Neurology, Emory University School of Medicine Atlanta, Georgia ; Department of Pathology and Laboratory Medicine, Emory University School of Medicine Atlanta, Georgia.
Emory University · USNeural Signals (United States) · USCity of Hope · USUniversity of Michigan–Ann Arbor · US

Funding

The Emory Alzheimer's Disease CenterP50AG025688 · NIA · EMORY UNIVERSITY · PI LEVEY, ALLAN I · 2005 to 2019
$25.7M
Graduate and Postdoctoral Training in ToxicologyT32ES012870 · NIEHS · EMORY UNIVERSITY · PI Carmen Joseph Marsit · 2004 to 2026
$9.1M
Phase 1b Trial of stem cells in ALSR01NS077982 · NINDS · EMORY UNIVERSITY · PI BOULIS, NICHOLAS M, FELDMAN, EVA LUCILLE · 2012 to 2015
$2.5M
NIA NIH HHS P50 AG025688NIEHS NIH HHS T32 ES012870NINDS NIH HHS R01 NS077982
6 · The paper itself

Abstract

objectiveThe first US Food and Drug Administration-approved clinical trial to treat amyotrophic lateral sclerosis (ALS) with neural stem cell-based therapy is in progress. The goal of the current study was to identify and assess the survival of human spinal cord-derived neural stem cells (HSSCs) transplanted into the spinal cord in patients with ALS.

methodsSpinal cords transplanted with HSSCs were examined from six autopsy cases. Homogenized tissues were interrogated for the presence of donor versus recipient DNA using real-time PCR methods (qPCR). Fluorescence in situ hybridization (FISH) was performed using DNA probes for XY chromosomes to identify male donor HSSCs in one female case, and immunohistochemistry (IHC) was used to characterize the identified donor cells.

resultsGenomic DNA from donor HSSCs was identified in all cases, comprising 0.67-5.4% of total tissue DNA in patients surviving 196 to 921 days after transplantation. In the one female patient a "nest" of cells identified on H&E staining were XY-positive by FISH, confirming donor origin. A subset of XY-positive cells labeled for the neuronal marker NeuN and stem cell marker SOX2.

interpretationThis is the first study to identify human neural stem cells transplanted into a human spinal cord. Transplanted HSSCs survived up to 2.5 years posttransplant. Some cells differentiated into neurons, while others maintained their stem cell phenotype. This work is a proof of concept of the survival and differentiation of human stems cell transplanted into the spinal cord of ALS patients.

Identifiers

PMID25540804
PMCPMC4265061
OpenAlexW2008618128

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.