Evidence map›Paper›PMID 27175026›Full record

ArticleHaematologica2016

Mesenchymal stromal cells from pooled mononuclear cells of multiple bone marrow donors as rescue therapy in pediatric severe steroid-refractory graft-versus-host disease: a multicenter survey.

Zyrafete Kuçi, Halvard Bönig, Hermann Kreyenberg, Milica Bunos, Anna Jauch, Johannes W G Janssen, Marijana Škifić, Kristina Michel, Ben Eising, Giovanna Lucchini and 14 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Haematologica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 2 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

71 citing papers in PubMed, 2 syntheses or guidelines pooled it, 119 citations in OpenAlex.

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11 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

24 authors at 10 institutions in 3 countries.

Zyrafete KuçiUniversity Hospital Frankfurt, Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, Frankfurt am Main, Germany.
Halvard BönigInstitute of Transfusion Medicine and German Red Cross Blood Center Frankfurt, Frankfurt am Main, Germany.
Hermann KreyenbergUniversity Hospital Frankfurt, Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, Frankfurt am Main, Germany.
Milica BunosInstitute of Transfusion Medicine and German Red Cross Blood Center Frankfurt, Frankfurt am Main, Germany.
Anna JauchInstitute of Human Genetics, University of Heidelberg, Germany.
Johannes W G JanssenInstitute of Human Genetics, University of Heidelberg, Germany.
Marijana ŠkifićUniversity Hospital Frankfurt, Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, Frankfurt am Main, Germany University Hospital Centre Zagreb, Clinical Department of Transfusion and Transplantation Biology, Division of Cellular Therapy, Zagreb, Croatia.
Kristina MichelUniversity Hospital Frankfurt, Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, Frankfurt am Main, Germany.
Ben EisingUniversity Hospital Frankfurt, Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, Frankfurt am Main, Germany.
Giovanna LucchiniUniversity Hospital Frankfurt, Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, Frankfurt am Main, Germany Great Ormond Street Hospital, Department of Hematology/Oncology, London, United Kingdom.
Shahrzad BakhtiarUniversity Hospital Frankfurt, Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, Frankfurt am Main, Germany.
Johann GreilUniversity Children's Hospital Heidelberg, Germany.
Peter LangUniversity Children's Hospital Tübingen, Germany.
Oliver BasuUniversity Children's Hospital Essen, Germany.
Irene von LuettichauUniversity Children's Hospital München-Schwabing, Germany.
Ansgar SchulzUniversity Children's Hospital Ulm, Germany.
Karl-Walter SykoraChildren's Hospital, Medizinische Hochschule Hannover, Germany.
Andrea JarischUniversity Hospital Frankfurt, Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, Frankfurt am Main, Germany.
Jan SoerensenUniversity Hospital Frankfurt, Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, Frankfurt am Main, Germany.
Emilia Salzmann-ManriqueUniversity Hospital Frankfurt, Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, Frankfurt am Main, Germany.
Erhard SeifriedInstitute of Transfusion Medicine and German Red Cross Blood Center Frankfurt, Frankfurt am Main, Germany.
Thomas KlingebielUniversity Hospital Frankfurt, Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, Frankfurt am Main, Germany.
Peter BaderUniversity Hospital Frankfurt, Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, Frankfurt am Main, Germany selim.kuci@kgu.de peter.bader@kgu.de.
Selim KuçiUniversity Hospital Frankfurt, Department for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, Frankfurt am Main, Germany selim.kuci@kgu.de peter.bader@kgu.de.
Goethe University Frankfurt · DEUniversity Hospital Frankfurt · DEGerman Red Cross · DEHeidelberg University · DEEssen University Hospital · DEGreat Ormond Street Hospital · GBMedizinische Hochschule Hannover · DEMünchen Klinik Schwabing · DEUniversity Children's Hospital Tübingen · DEUniversity Hospital Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To circumvent donor-to-donor heterogeneity which may lead to inconsistent results after treatment of acute graft-versus-host disease with mesenchymal stromal cells generated from single donors we developed a novel approach by generating these cells from pooled bone marrow mononuclear cells of 8 healthy "3(rd)-party" donors. Generated cells were frozen in 209 vials and designated as mesenchymal stromal cell bank. These vials served as a source for generation of clinical grade mesenchymal stromal cell end-products, which exhibited typical mesenchymal stromal cell phenotype, trilineage differentiation potential and at later passages expressed replicative senescence-related markers (p21 and p16). Genetic analysis demonstrated their genomic stability (normal karyotype and a diploid pattern). Importantly, clinical end-products exerted a significantly higher allosuppressive potential than the mean allosuppressive potential of mesenchymal stromal cells generated from the same donors individually. Administration of 81 mesenchymal stromal cell end-products to 26 patients with severe steroid-resistant acute graft-versus-host disease in 7 stem cell transplant centers who were refractory to many lines of treatment, induced a 77% overall response at the primary end point (day 28). Remarkably, although the cohort of patients was highly challenging (96% grade III/IV and only 4% grade II graft-versus-host disease), after treatment with mesenchymal stromal cell end-products the overall survival rate at two years follow up was 71±11% for the entire patient cohort, compared to 51.4±9.0% in graft-versus-host disease clinical studies, in which mesenchymal stromal cells were derived from single donors. Mesenchymal stromal cell end-products may, therefore, provide a novel therapeutic tool for the effective treatment of severe acute graft-versus-host disease.

Indexed as

Mesenchymal Stem CellsMesenchymal Stem Cell TransplantationTissue DonorsAdolescentAdultBone Marrow CellsCell Culture TechniquesCell DifferentiationCell ProliferationChildChild, PreschoolDrug ResistanceFemaleGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansSteroids

Identifiers

PMID27175026
PMCPMC4967578
OpenAlexW2499188609

What OpenQuestion holds

Textmetadata
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.