Evidence map›Paper›PMID 27284577›Full record

ArticleJournal of clinical tuberculosis and other mycobacterial diseases2016

Effectiveness of a novel cellular therapy to treat multidrug-resistant tuberculosis.

Aliaksandr Skrahin, Helen E Jenkins, Henadz Hurevich, Varvara Solodovnikova, Yanina Isaikina, Dzmitri Klimuk, Zoya Rohava, Alena Skrahina

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical tuberculosis and other mycobacterial diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Progress of single-cell sequencing technology in immunotherapy for tuberculosis.Frontiers in cellular and infection microbiology · 2025
    Review
  4. Alternatives to Antibiotics againstAntibiotics (Basel, Switzerland) · 2022
    Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Management of drug-resistant tuberculosis.Lancet (London, England) · 2019
    Review
  10. Review
  11. Review
  12. Review
  13. Article
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

8 authors at 3 institutions in 2 countries.

Aliaksandr SkrahinClinical Department, Republican Research and Practical Centre for Pulmonology and TB, Minsk, Belarus; Department of Intensive Care and Anesthesiology, Belarus State Medical University, Minsk, Belarus.
Helen E JenkinsDivision of Global Health Equity, Brigham and Women's Hospital, Boston, USA; Harvard Medical School, Boston, USA.
Henadz HurevichClinical Department, Republican Research and Practical Centre for Pulmonology and TB, Minsk, Belarus.
Varvara SolodovnikovaClinical Department, Republican Research and Practical Centre for Pulmonology and TB, Minsk, Belarus.
Yanina IsaikinaLaboratory of Cellular Biotechnology and Cytotherapy, Belarussian Research Centre for Paediatric Oncology, Haematology and Immunology, Minsk, Belarus.
Dzmitri KlimukDepartment of Monitoring and Evaluation, Republican Research and Practical Centre for Pulmonology and TB, Minsk, Belarus.
Zoya RohavaLaboratory Department, Republican Research and Practical Centre for Pulmonology and TB, Minsk, Belarus.
Alena SkrahinaClinical Department, Republican Research and Practical Centre for Pulmonology and TB, Minsk, Belarus.
Republican Scientific and Practical Centre of Pulmonology and Tuberculosis · BYBelarusian Research Center For Pediatric Oncology and Hematology · BYBrigham and Women's Hospital · US

Funding

Understanding spatial heterogeneity of drug resistant tuberculosisK01AI102944 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI JENKINS, HELEN E. · 2013 to 2017
$627k
NIAID NIH HHS K01 AI102944
6 · The paper itself

Abstract

introductionWe urgently need novel treatments for multidrug-resistant tuberculosis (MDR-TB). Autologous mesenchymal stromal cell (MSC) infusion is one such possibility due to its potential to repair damaged lung tissue and boost immune responses. We aimed to assess the effectiveness of MSC to improve outcomes among MDR-TB patients.

methodsWe analyzed outcomes for 108 Belarussian MDR-TB patients receiving chemotherapy. Thirty-six patients ("cases") also had MSCs extracted, cultured and re-infused (average time from chemotherapy start to infusion was 49 days); another 36 patients were "study controls". We identified another control group: 36 patients from the Belarussian surveillance database ("surveillance controls") 1:1 matched to cases.

resultsOf the cases, 81% had successful outcomes versus 42% of surveillance controls and 39% of study controls. Successful outcome odds were 6.5 (95% Confidence Interval: 1.2-36.2, p=0.032) times greater for cases than surveillance controls (age-adjusted). Radiological improvement was more likely in cases than study controls. Culture analysis prior to infusion demonstrated a poorer initial prognosis in cases, yet despite this they had better outcomes than the control groups.

conclusionMSC treatment could vastly improve outcomes for MDR-TB patients. Our findings could revolutionize therapy options and have strong implications for future directions of MDR-TB therapy research.

Indexed as

extensively drug resistantmesenchymal stromal cellsoutcomestreatment

Identifiers

PMID27284577
PMCPMC4894747
OpenAlexW2358795356

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.