Evidence map›Paper›PMID 26821255›Full record

SynthesisPloS one2016

Efficacy of Mesenchymal Stromal Cell Therapy for Acute Lung Injury in Preclinical Animal Models: A Systematic Review.

Lauralyn A McIntyre, David Moher, Dean A Fergusson, Katrina J Sullivan, Shirley H J Mei, Manoj Lalu, John Marshall, Malcolm Mcleod, Gilly Griffin, Jeremy Grimshaw and 7 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 5 pooled it
9.5field-weighted citation impact, top 1% 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

80 citing papers in PubMed, 5 syntheses or guidelines pooled it, 142 citations in OpenAlex.

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20 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

17 authors at 6 institutions in 2 countries.

Lauralyn A McIntyreDepartment of Medicine (Division of Critical Care), University of Ottawa, Ottawa, Ontario, Canada.
David MoherThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Dean A FergussonThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Katrina J SullivanThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Shirley H J MeiThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Manoj LaluThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
John MarshallDepartment of Surgery and Critical Care Medicine, Keenan Research Centre of the Li Ka Shing Knowledge Institute, St. Michaels Hospital, The University of Toronto, Toronto, Ontario, Canada.
Malcolm McleodCentre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, Scotland, United Kingdom.
Gilly GriffinThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Jeremy GrimshawThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Alexis TurgeonDepartment of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Université Laval, Laval, Québec City, Québec, Canada.
Marc T AveyThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Michael A RudnickiDepartment of Medicine (Division of Critical Care), University of Ottawa, Ottawa, Ontario, Canada.
Mazen JaziUniversity of Ottawa, Ottawa, Canada.
Jason FishmanDepartment of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Université Laval, Laval, Québec City, Québec, Canada.
Duncan J StewartThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Canadian Critical Care Translational Biology Group
Ottawa Hospital Research InstituteUniversity of Ottawa · CAOttawa Hospital · CAUniversité Laval · CASt. Michael's Hospital · CAUniversity of Edinburgh · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Acute Respiratory Distress Syndrome (ARDS) is a devastating clinical condition that is associated with a 30-40% risk of death, and significant long term morbidity for those who survive. Mesenchymal stromal cells (MSC) have emerged as a potential novel treatment as in pre-clinical models they have been shown to modulate inflammation (a major pathophysiological hallmark of ARDS) while enhancing bacterial clearance and reducing organ injury and death. A systematic search of MEDLINE, EMBASE, BIOSIS and Web of Science was performed to identify pre-clinical studies that examined the efficacy MSCs as compared to diseased controls for the treatment of Acute Lung Injury (ALI) (the pre-clinical correlate of human ARDS) on mortality, a clinically relevant outcome. We assessed study quality and pooled results using random effect meta-analysis. A total of 54 publications met our inclusion criteria of which 17 (21 experiments) reported mortality and were included in the meta-analysis. Treatment with MSCs, as compared to controls, significantly decreased the overall odds of death in animals with ALI (Odds Ratio 0.24, 95% Confidence Interval 0.18-0.34, I2 8%). Efficacy was maintained across different types of animal models and means of ALI induction; MSC origin, source, route of administration and preparation; and the clinical relevance of the model (timing of MSC administration, administration of fluids and or antibiotics). Reporting of standard MSC characterization for experiments that used human MSCs and risks of bias was generally poor, and although not statistically significant, a funnel plot analysis for overall mortality suggested the presence of publication bias. The results from our meta-analysis support that MSCs substantially reduce the odds of death in animal models of ALI but important reporting elements were sub optimal and limit the strength of our conclusions.

Indexed as

Mesenchymal Stem Cell TransplantationAcute Lung InjuryAnimalsDisease Models, AnimalHumansMesenchymal Stem CellsRespiratory Distress SyndromeTreatment Outcome

Identifiers

PMID26821255
PMCPMC4731557
OpenAlexW2252616141

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.