Evidence map›Paper›PMID 26933811›Full record

Trial reportOncotarget2016

Low-dose tacrolimus combined with donor-derived mesenchymal stem cells after renal transplantation: a prospective, non-randomized study.

Guang-Hui Pan, Zheng Chen, Lu Xu, Jing-Hui Zhu, Peng Xiang, Jun-Jie Ma, Yan-Wen Peng, Guang-Hui Li, Xiao-Yong Chen, Jia-Li Fang and 3 more

Open access · diamondAbstract readClinical Trial
In one paragraph

Trial report in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Autologous bone marrow-derived mesenchymal stromal cell therapy with early tacrolimus withdrawal: The randomized prospective, single-center, open-label TRITON study.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
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  15. Molecular Mechanisms of Kidney Injury and Repair.International journal of molecular sciences · 2022
    Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Cellular therapies in organ transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2021
    Review
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

13 authors at 3 institutions in 1 country.

Guang-Hui PanThe Transplantation Centre, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Zheng ChenThe Transplantation Centre, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Lu XuThe Transplantation Centre, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Jing-Hui ZhuThe Transplantation Centre, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Peng XiangCenter for Stem Cell Biology and Tissue Engineering, SunYat-sen University, Guangzhou, Guangdong, China.
Jun-Jie MaThe Transplantation Centre, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Yan-Wen PengCenter for Stem Cell Biology and Tissue Engineering, SunYat-sen University, Guangzhou, Guangdong, China.
Guang-Hui LiThe Transplantation Centre, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Xiao-Yong ChenCenter for Stem Cell Biology and Tissue Engineering, SunYat-sen University, Guangzhou, Guangdong, China.
Jia-Li FangThe Transplantation Centre, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Yu-He GuoThe Transplantation Centre, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Lei ZhangThe Transplantation Centre, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Long-Shan LiuLaboratory of General Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Guangzhou Medical University · CNSun Yat-sen University · CNSecond Affiliated Hospital of Guangzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Calcineurin inhibitors, including tacrolimus, are largely responsible for advances in allotransplantation. However, the nephrotoxicity associated with these immunosuppressants impairs patients' long-term survival after renal allograft. Therefore, novel regimens that minimize or even eliminate calcineurin inhibitors could improve transplantation outcomes. In this pilot study, we investigated the use of low-dose tacrolimus in combination with mesenchymal stem cells (MSCs), which are immunosuppressive and prolong allograft survival in experimental organ transplant models. Donor-derived, bone marrow MSCs combined with a sparing dose of tacrolimus (0.04-0.05 mg/kg/day) were administered to 16 de novo living-related kidney transplant recipients; 16 other patients received a standard dose of tacrolimus (0.07-0.08 mg/kg/day). The safety of MSC infusion, acute rejection, graft function, graft survival, and patient survival were evaluated over ≥24 months following kidney transplantation. All patients survived and had stable renal function at the 24 month follow-up. The combination of low-dose tacrolimus and MSCs was as effective as standard dose tacrolimus in maintaining graft survival at least 2 years after transplantation. In addition, both groups had similar urea, urine protein, urinary RBC, urinary WBC, 24-h urine protein, and creatinine clearance rates from 7 days to 24 months after transplantation. Furthermore, no differences in the proportion of lymphocytes, CD19, CD3, CD34, CD38, and natural killer cells were detected between the control and experimental groups. None of the MSC recipients experienced immediate or long-term toxicity from the treatment. This preliminary data suggests that the addition of MSCs permits the use of lower dosages of nephrotoxic calcineurin inhibitors following renal transplantation.

Indexed as

AdultFemaleGraft RejectionGraft SurvivalHumansImmunosuppressive AgentsKidney TransplantationMaleMesenchymal Stem CellsMesenchymal Stem Cell TransplantationPilot ProjectsProspective StudiesTacrolimusImmunosuppressive AgentsTacrolimusacute rejectioncalcineurin inhibitorsgraft survivalmesenchymal stem cells (MSCs)nephrotoxicityPathology Section

Identifiers

PMID26933811
PMCPMC4914271
OpenAlexW2299982117

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.