Evidence map›Paper›PMID 27525011›Full record

ArticleStem cells international2016

Increasing Dose of Autologous Bone Marrow Mononuclear Cells Transplantation Is Related to Stroke Outcome: Results from a Pooled Analysis of Two Clinical Trials.

Francisco Moniche, Paulo Henrique Rosado-de-Castro, Irene Escudero, Elena Zapata, Francisco Javier de la Torre Laviana, Rosalia Mendez-Otero, Magdalena Carmona, Pilar Piñero, Alejandro Bustamante, Lucía Lebrato and 4 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Stem cells international, 2016. 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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
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  5. Native and Bioengineered Exosomes for Ischemic Stroke Therapy.Frontiers in cell and developmental biology · 2021
    Review
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  16. Stem cells technology: a powerful tool behind new brain treatments.Drug delivery and translational research · 2018
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Francisco MonicheDepartment of Neurology, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain; Instituto de Biomedicina de Sevilla-IBiS, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.ORCID 0000-0001-8613-2909
Paulo Henrique Rosado-de-CastroInstituto de Ciências Biomédicas, Federal University of Rio de Janeiro, 21044-020 Rio de Janeiro, RJ, Brazil.ORCID 0000-0003-0091-9714
Irene EscuderoDepartment of Neurology, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain; Instituto de Biomedicina de Sevilla-IBiS, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
Elena ZapataDepartment of Neurology, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain; Instituto de Biomedicina de Sevilla-IBiS, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
Francisco Javier de la Torre LavianaDepartment of Neurology, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain; Instituto de Biomedicina de Sevilla-IBiS, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
Rosalia Mendez-OteroInstituto de Biofísica Carlos Chagas Filho, Federal University of Rio de Janeiro, 21044-020 Rio de Janeiro, RJ, Brazil.ORCID 0000-0002-1798-9930
Magdalena CarmonaDepartment of Hematology, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
Pilar PiñeroDepartment of Radiology, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
Alejandro BustamanteNeurovascular Research Laboratory, Institut de Recerca Vall d'Hebron, Hospital Vall d'Hebron, 08035 Barcelona, Spain.
Lucía LebratoDepartment of Neurology, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
Juan Antonio CabezasDepartment of Neurology, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
Alejandro GonzalezDepartment of Radiology, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain.
Grabriel R de FreitasD'Or Institute for Research and Education, 22281-100 Rio de Janeiro, RJ, Brazil.
Joan MontanerInstituto de Biomedicina de Sevilla-IBiS, Hospital Universitario Virgen del Rocío, 41013 Seville, Spain; Neurovascular Research Laboratory, Institut de Recerca Vall d'Hebron, Hospital Vall d'Hebron, 08035 Barcelona, Spain.
Hospital Universitario Virgen del Rocío · ESInstituto de Biomedicina de Sevilla · ESUniversidade Federal do Rio de Janeiro · BRVall d'Hebron Institut de Recerca · ESD’Or Institute for Research and Education · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Purpose. BM-MNC transplantation improves recovery in experimental models of ischemic stroke. Clinical trials are ongoing to test efficacy in stroke patients. However, whether cell dose is related to outcomes is not known. Methods. We performed a pooling data analysis of two pilot clinical trials with autologous BM-MNCs transplantation in ischemic stroke patients. Cell dose and route were analyzed to evaluate their relation to good outcome (m-Rankin scale [mRS] score 0-2) at 6 months. Results. Twenty-two patients were included. A median of 153 × 10(6) (±121 × 10(6)) BM-MNCs was injected. Intra-arterial route was used in 77.3% of cases. A higher number of cells injected were associated with better outcomes at 180 days (390 × 10(6) [320-422] BM-MNCs injected in those patients with mRS of 0-2 at 6 months versus 130 × 10(6) [89-210] in those patients with mRS 3-6, p = 0.015). In the intra-arterially treated patients, a strong correlation between dose of cells and disability was found (r = -0.63, p = 0.006). A cut point of 310 × 10(6) injected cells predicted good outcome with 80% sensitivity and 88.2% specificity. Conclusions. Similar to preclinical studies, a higher dose of autologous BM-MNC was related to better outcome in stroke patients, especially when more than 310 × 10(6) cells are injected. Further interventional studies are warranted to confirm these data.

Identifiers

PMID27525011
PMCPMC4972913
OpenAlexW2502803165

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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.