Evidence map›Paper›PMID 26543057›Full record

ArticleEMBO molecular medicine2015

Intra-arterial transplantation of HLA-matched donor mesoangioblasts in Duchenne muscular dystrophy.

Giulio Cossu, Stefano C Previtali, Sara Napolitano, Maria Pia Cicalese, Francesco Saverio Tedesco, Francesca Nicastro, Maddalena Noviello, Urmas Roostalu, Maria Grazia Natali Sora, Marina Scarlato and 23 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in EMBO molecular medicine, 2015. 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 102 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% 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

102 citing papers in PubMed, 1 synthesis or guideline pooled it, 167 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Progress on cell therapy for skeletal muscle disorders.Advanced drug delivery reviews · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Stem/progenitor cell-based therapy for Duchenne muscular dystrophy.Frontiers in cell and developmental biology · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. Molecular mechanisms and therapeutic strategies for neuromuscular diseases.Cellular and molecular life sciences : CMLS · 2024
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Therapeutic approaches for Duchenne muscular dystrophy.Nature reviews. Drug discovery · 2023
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

33 authors at 8 institutions in 2 countries.

Giulio CossuInstitute of Inflammation and Repair, University of Manchester, Manchester, UK giulio.cossu@manchester.ac.uk previtali.stefano@hsr.it yvan.torrente@unimi.it ciceri.fabio@hsr.it.
Stefano C PrevitaliInstitute of Experimental Neurology (InSpe), Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy Department of Neurology, IRCCS San Raffaele Scientific Institute, Milan, Italy giulio.cossu@manchester.ac.uk previtali.stefano@hsr.it yvan.torrente@unimi.it ciceri.fabio@hsr.it.
Sara NapolitanoHSR/TIGET Pediatric Clinical Research Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy Hematology and BMT Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Maria Pia CicaleseHSR/TIGET Pediatric Clinical Research Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy Hematology and BMT Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Francesco Saverio TedescoDepartment of Cell and Developmental Biology, University College London, London, UK.
Francesca NicastroLaboratory of Analysis and Rehabilitation of Motor Function, Division of Neurosciences, IRCCS San Raffaele Scientific Institute, Milan, Italy Stem Cell Laboratory, Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Maddalena NovielloExperimental Hematology Unit, Division of Immunology, Transplantation and Infectious Diseases, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Urmas RoostaluInstitute of Inflammation and Repair, University of Manchester, Manchester, UK.
Maria Grazia Natali SoraDepartment of Neurology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Marina ScarlatoDepartment of Neurology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Maurizio De PellegrinUnit of Orthopaedics, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Claudia GodiStem Cell Laboratory, Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy Neuroradiology Department and Neuroradiology Research Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Serena GiulianiHematology and BMT Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Francesca CiottiHematology and BMT Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Rossana TonlorenziInstitute of Experimental Neurology (InSpe), Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Isabella LorenzettiInstitute of Experimental Neurology (InSpe), Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Cristina RivelliniInstitute of Experimental Neurology (InSpe), Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Sara BenedettiDepartment of Cell and Developmental Biology, University College London, London, UK.
Roberto GattiLaboratory of Analysis and Rehabilitation of Motor Function, Division of Neurosciences, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Sarah MarktelHematology and BMT Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Benedetta MazziImmunogenetics Laboratory, Department of Immunohematology & Blood Transfusion, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Andrea TettamantiLaboratory of Analysis and Rehabilitation of Motor Function, Division of Neurosciences, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Martina RagazziDepartment of Cell and Developmental Biology, University College London, London, UK.
Maria Adele ImroMolMed S.p.A., Milan, Italy.
Giuseppina MaranoMolMed S.p.A., Milan, Italy.
Alessandro AmbrosiUniversity San Raffaele Vita e Salute, Milan, Italy.
Rossana FioriUnit of Anesthesiology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Maria Pia SormaniDepartment of Health Sciences, University of Genoa, Genoa, Italy.
Chiara BoniniExperimental Hematology Unit, Division of Immunology, Transplantation and Infectious Diseases, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Massimo VenturiniDepartment of Radiology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Letterio S PolitiNeuroradiology Department and Neuroradiology Research Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Yvan TorrenteStem Cell Laboratory, Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy giulio.cossu@manchester.ac.uk previtali.stefano@hsr.it yvan.torrente@unimi.it ciceri.fabio@hsr.it.
Fabio CiceriHSR/TIGET Pediatric Clinical Research Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy giulio.cossu@manchester.ac.uk previtali.stefano@hsr.it yvan.torrente@unimi.it ciceri.fabio@hsr.it.
Vita-Salute San Raffaele University · ITIstituto di Ricovero e Cura a Carattere Scientifico San RaffaeleIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity College London · GBMolMed (Italy) · ITUniversity of Manchester · GBUniversity of Genoa · ITUniversity of Milan · IT

Funding

Medical Research Council MR/J006785/1Telethon GSP11002
6 · The paper itself

Abstract

Intra-arterial transplantation of mesoangioblasts proved safe and partially efficacious in preclinical models of muscular dystrophy. We now report the first-in-human, exploratory, non-randomized open-label phase I-IIa clinical trial of intra-arterial HLA-matched donor cell transplantation in 5 Duchenne patients. We administered escalating doses of donor-derived mesoangioblasts in limb arteries under immunosuppressive therapy (tacrolimus). Four consecutive infusions were performed at 2-month intervals, preceded and followed by clinical, laboratory, and muscular MRI analyses. Two months after the last infusion, a muscle biopsy was performed. Safety was the primary endpoint. The study was relatively safe: One patient developed a thalamic stroke with no clinical consequences and whose correlation with mesoangioblast infusion remained unclear. MRI documented the progression of the disease in 4/5 patients. Functional measures were transiently stabilized in 2/3 ambulant patients, but no functional improvements were observed. Low level of donor DNA was detected in muscle biopsies of 4/5 patients and donor-derived dystrophin in 1. Intra-arterial transplantation of donor mesoangioblasts in human proved to be feasible and relatively safe. Future implementation of the protocol, together with a younger age of patients, will be needed to approach efficacy.

Indexed as

Cell- and Tissue-Based TherapyHistocompatibility TestingHumansInfusions, Intra-ArterialMuscular Dystrophy, Duchennecell therapyDuchennedystrophinmesoangioblastMRI

Identifiers

PMID26543057
PMCPMC4693504
OpenAlexW1920407368

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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.