Evidence map›Paper›PMID 26474552›Full record

ArticleStem cell research & therapy2015

Combination therapy of menstrual derived mesenchymal stem cells and antibiotics ameliorates survival in sepsis.

Francisca Alcayaga-Miranda, Jimena Cuenca, Aldo Martin, Luis Contreras, Fernando E Figueroa, Maroun Khoury

Open access · goldAbstract read
In one paragraph

Article in Stem cell research & therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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

93 citing papers in PubMed, 1 synthesis or guideline pooled it, 165 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Review
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  7. Immunomodulatory and cardio-protective effects of differentially originated multipotent mesenchymal stroma cells during polymicrobial sepsis in mice.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  8. Review
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  16. Article
  17. The Effect of Mesenchymal Stem Cells on the Wound Infection.Current stem cell research & therapy · 2024
    Review
  18. Article
  19. Mesenchymal stem cells from different sources for sepsis treatment: prospects and limitations.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2024
    Review
  20. The efficacy of mesenchymal stem cell treatment and colistin-fosfomycin combination on colistin-resistant Acinetobacter baumannii sepsis model.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article

33 more citing papers are in PubMed but not listed here.

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

6 authors at 1 institution in 1 country.

Francisca Alcayaga-MirandaLaboratory of Nano-Regenerative Medicine, Faculty of Medicine, Universidad de Los Andes, Santiago, 7620001, Chile. falcayaga@uandes.cl.
Jimena CuencaLaboratory of Nano-Regenerative Medicine, Faculty of Medicine, Universidad de Los Andes, Santiago, 7620001, Chile. jcuenca@uandes.cl.
Aldo MartinLaboratory of Nano-Regenerative Medicine, Faculty of Medicine, Universidad de Los Andes, Santiago, 7620001, Chile. amartin@c4c.cl.
Luis ContrerasClínica Universidad de Los Andes, Santiago, 7620001, Chile. lcontreras.036@gmail.com.
Fernando E FigueroaLaboratory of Nano-Regenerative Medicine, Faculty of Medicine, Universidad de Los Andes, Santiago, 7620001, Chile. ffigueroa@uandes.cl.
Maroun KhouryLaboratory of Nano-Regenerative Medicine, Faculty of Medicine, Universidad de Los Andes, Santiago, 7620001, Chile. mkhoury@uandes.cl.
Universidad de Los Andes, Chile · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSepsis is a clinical syndrome associated with a severe systemic inflammation induced by infection. Although different anti-microbial drugs have been used as treatments, morbidity and mortality rates remain high. Mesenchymal stem cells (MSCs) derived from the bone marrow have demonstrated a partial protective effect in sepsis. Menstrual derived MSCs (MenSCs) emerge as an attractive candidate because they present important advantages over other sources, including improved proliferation rates and paracrine response under specific stress conditions. Here, we evaluate their therapeutic effect in a polymicrobial severe sepsis model.

methodsThe antimicrobial activity of MenSCs was determined in vitro through direct and indirect bacterial growth assays and the measurement of the expression levels of different antimicrobial peptides (AMPs) by quantitative reverse transcription-polymerase chain reaction. The therapeutic effect of MenSCs was determined in the cecal ligation and puncture (CLP) mouse model. Mice were then treated with antibiotics (AB) or MenSCs alone or in combination. The survival rates and histological and biochemical parameters were evaluated, and the systemic levels of pro- and anti-inflammatory cytokines as well as the response of specific lymphocyte subsets were determined by flow cytometry.

resultsMenSCs exerted an important antimicrobial effect in vitro, mediated by a higher expression of the AMP-hepcidin. In the CLP mouse model, MenSCs in synergy with AB (a) improved the survival rate (95 %) in comparison with saline (6 %), AB (73 %), and MenSCs alone (48 %) groups; (b) enhanced bacterial clearance in the peritoneal fluids and blood; (c) reduced organ injuries evaluated by lower concentrations of the liver enzymes alanine aminotransferase and aspartate aminotransferase; and (d) modulated the inflammatory response through reduction of pro- and anti-inflammatory cytokines without significant loss of T and B lymphocytes.

conclusionsWe conclude that MenSCs in combination with AB enhance survival in CLP-induced sepsis by acting on multiples targets. MenSCs thus constitute a feasible approach for the future clinical treatment of sepsis.

Indexed as

Mesenchymal Stem Cell TransplantationAnimalsAnti-Bacterial AgentsCells, CulturedCombined Modality TherapyCulture Media, ConditionedDisease Models, AnimalDown-RegulationFemaleHepcidinsHumansInflammation MediatorsMenstruationMesenchymal Stem CellsMiceMice, Inbred C57BLAnti-Bacterial AgentsCulture Media, ConditionedHepcidinsInflammation Mediators

Identifiers

PMID26474552
PMCPMC4609164
OpenAlexW1895448607

What OpenQuestion holds

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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.