Evidence map›Paper›PMID 25675525›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2015

Transplantation of bovine adrenocortical cells encapsulated in alginate.

Mariya Balyura, Evgeny Gelfgat, Monika Ehrhart-Bornstein, Barbara Ludwig, Zohar Gendler, Uriel Barkai, Baruch Zimerman, Avi Rotem, Norman L Block, Andrew V Schally and 1 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Adrenocortical stem cells in health and disease.Nature reviews. Endocrinology · 2025
    Review
  4. Approach to the Child and Adolescent With Adrenal Insufficiency.The Journal of clinical endocrinology and metabolism · 2025
    Review
  5. Review
  6. Models of Congenital Adrenal Hyperplasia for Gene Therapies Testing.International journal of molecular sciences · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Novel treatments for congenital adrenal hyperplasia.Reviews in endocrine & metabolic disorders · 2022
    Review
  11. Review
  12. Review
  13. Review
  14. Adrenal insufficiency.Nature reviews. Disease primers · 2021
    Review
  15. Article
  16. Article
  17. New Horizons: Novel Adrenal Regenerative Therapies.The Journal of clinical endocrinology and metabolism · 2020
    Article
  18. Glucocorticoid replacement therapies: past, present and future.Current opinion in endocrine and metabolic research · 2019
    Article
  19. Isolation and characterization of adrenocortical progenitors involved in the adaptation to stress.Proceedings of the National Academy of Sciences of the United States of America · 2018
    Article
  20. Article
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.

Mariya BalyuraUniversity Hospital Carl Gustav Carus, Department of Medicine III and.
Evgeny GelfgatUniversity Hospital Carl Gustav Carus, Department of Medicine III and.
Monika Ehrhart-BornsteinUniversity Hospital Carl Gustav Carus, Department of Medicine III and Center for Regenerative Therapies Dresden, Technische Universität Dresden, 01307 Dresden, Germany;
Barbara LudwigUniversity Hospital Carl Gustav Carus, Department of Medicine III and Center for Regenerative Therapies Dresden, Technische Universität Dresden, 01307 Dresden, Germany;
Zohar GendlerBeta-O2 Technologies, Rosh HaAyin 4809900, Israel;
Uriel BarkaiBeta-O2 Technologies, Rosh HaAyin 4809900, Israel;
Baruch ZimermanBeta-O2 Technologies, Rosh HaAyin 4809900, Israel;
Avi RotemBeta-O2 Technologies, Rosh HaAyin 4809900, Israel;
Norman L BlockDivisions of Endocrinology and Hematology-Oncology, Department of Medicine and Department of Pathology, University of Miami, Miller School of Medicine, Miami, FL 33136; Veterans Affairs Medical Center, Miami, FL 33125; and.
Andrew V SchallyDivisions of Endocrinology and Hematology-Oncology, Department of Medicine and Department of Pathology, University of Miami, Miller School of Medicine, Miami, FL 33136; Veterans Affairs Medical Center, Miami, FL 33125; and andrew.schally@va.gov.
Stefan R BornsteinUniversity Hospital Carl Gustav Carus, Department of Medicine III and Center for Regenerative Therapies Dresden, Technische Universität Dresden, 01307 Dresden, Germany; Diabetes and Nutritional Sciences Division, King's College London, London SE5 9NU, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current treatment options for adrenal insufficiency are limited to corticosteroid replacement therapies. However, hormone therapy does not replicate circadian rhythms and has unpleasant side effects especially due to the failure to restore normal function of the hypothalamic-pituitary-adrenal (HPA) axis. Adrenal cell transplantation and the restoration of HPA axis function would be a feasible and useful therapeutic strategy for patients with adrenal insufficiency. We created a bioartificial adrenal with 3D cell culture conditions by encapsulation of bovine adrenocortical cells (BACs) in alginate (enBACs). We found that, compared with BACs in monolayer culture, encapsulation in alginate significantly increased the life span of BACs. Encapsulation also improved significantly both the capacity of adrenal cells for stable, long-term basal hormone release as well as the response to pituitary adrenocorticotropic hormone (ACTH) and hypothalamic luteinizing hormone-releasing hormone (LHRH) agonist, [D-Trp6]LHRH. The enBACs were transplanted into adrenalectomized, immunodeficient, and immunocompetent rats. Animals received enBACs intraperitoneally, under the kidney capsule (free cells or cells encapsulated in alginate slabs) or s.c. enclosed in oxygenating and immunoisolating βAir devices. Graft function was confirmed by the presence of cortisol in the plasma of rats. Both types of grafted encapsulated cells, explanted after 21-25 d, preserved their morphology and functional response to ACTH stimulation. In conclusion, transplantation of a bioartificial adrenal with xenogeneic cells may be a treatment option for patients with adrenocortical insufficiency and other stress-related disorders. Furthermore, this model provides a microenvironment that ensures 3D cell-cell interactions as a unique tool to investigate new insights into cell biology, differentiation, tissue organization, and homeostasis.

Indexed as

Adrenal CortexAlginatesAnimalsBioartificial OrgansCattleCells, CulturedCells, ImmobilizedCell SurvivalFemaleGlucocorticoidsGlucuronic AcidHexuronic AcidsHormone Replacement TherapyRats, NudeRats, WistarReproducibility of ResultsAlginatesGlucocorticoidsGlucuronic AcidHexuronic AcidsTretinoinTriptorelin Pamoateadrenalalginate encapsulationcell transplantationLHRH

Identifiers

PMID25675525
PMCPMC4345555

What OpenQuestion holds

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Registered trials

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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.