Evidence map›Paper›PMID 28056498›Full record

ArticleHepatology (Baltimore, Md.)2017

Bone marrow stem cell therapy partially ameliorates pathological consequences in livers of mice expressing mutant human α1-antitrypsin.

Prakash Baligar, Veena Kochat, Shailendra K Arindkar, Zaffar Equbal, Snehashish Mukherjee, Swati Patel, Perumal Nagarajan, Sujata Mohanty, Jeffrey H Teckman, Asok Mukhopadhyay

Open access · bronzeAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Hepatology (Baltimore, Md.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.3field-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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. [Research progress of hepatocyte transplantation treatment for alpha-1 antitrypsin deficiency].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2020
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. [Production of transgenic mice for alpha-1 antitrypsin deficiency disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2018
    Article
  12. InGene expression · 2018
    Article
  13. New Therapeutic Targets for Alpha-1 Antitrypsin Deficiency.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2018
    Article
  14. Article
  15. Article
  16. Article
  17. Liver: Taking out the JuNK to treat α1-antitrypsin deficiency.Nature reviews. Gastroenterology & hepatology · 2017
    Article
  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Prakash BaligarStem Cell Biology, Laboratory, National Institute of Immunology, New Delhi, India.
Veena KochatStem Cell Biology, Laboratory, National Institute of Immunology, New Delhi, India.
Shailendra K ArindkarExperimental Animal Facility, National Institute of Immunology, New Delhi, India.
Zaffar EqubalStem Cell Biology, Laboratory, National Institute of Immunology, New Delhi, India.
Snehashish MukherjeeStem Cell Biology, Laboratory, National Institute of Immunology, New Delhi, India.
Swati PatelStem Cell Biology, Laboratory, National Institute of Immunology, New Delhi, India.
Perumal NagarajanExperimental Animal Facility, National Institute of Immunology, New Delhi, India.
Sujata MohantyStem Cell Facility, All Indian Institute of Medical Sciences, New Delhi, India.
Jeffrey H TeckmanDepartment of Pediatrics, Washington University School of Medicine, St Louis, MO.
Asok MukhopadhyayStem Cell Biology, Laboratory, National Institute of Immunology, New Delhi, India.
National Institute of Immunology · INAll India Institute of Medical Sciences · INWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alpha-1-antitrypsin (AAT) deficiency (AATD) is a genetic disease, caused by mutation of the AAT gene. Accumulation of mutated AAT protein aggregates in hepatocytes leads to endoplasmic reticulum stress, resulting in impairment of liver functions and, in some cases, hepatocellular carcinoma, whereas decline of AAT levels in sera is responsible for pulmonary emphysema. In advanced liver disease, the only option for treatment is liver transplantation, whereas AAT replacement therapy is therapeutic for emphysema. Given that hepatocytes are the primary affected cells in AATD, we investigated whether transplantation of bone marrow (BM)-derived stem cells in transgenic mice expressing human AATZ (the Z variant of AAT) confers any competitive advantages compared to host cells that could lead to pathological improvement. Mouse BM progenitors and human mesenchymal stem cells (MSCs) appeared to contribute in replacement of 40% and 13% host hepatocytes, respectively. Transplantation of cells resulted in decline of globule-containing hepatocytes, improvement in proliferation of globule-devoid hepatocytes from the host-derived hepatocytes, and apparently, donor-derived cells. Further analyses revealed that transplantation partially improves liver pathology as reflected by inflammatory response, fibrosis, and apoptotic death of hepatocytes. Cell therapy was also found to improve liver glycogen storage and sera glucose level in mice expressing human AATZ mice. These overall improvements in liver pathology were not restricted to transplantation of mouse BM cells. Preliminary results also showed that following transplantation of human BM-derived MSCs, globule-containing hepatocytes declined and donor-derived cells expressed human AAT protein.

conclusionThese results suggest that BM stem cell transplantation may be a promising therapy for AATD-related liver disease. (Hepatology 2017;65:1319-1335).

Indexed as

alpha 1-Antitrypsinalpha 1-Antitrypsin DeficiencyAnimalsBiopsy, NeedleBone Marrow TransplantationCells, CulturedDisease Models, AnimalFemaleHepatocytesHumansImmunohistochemistryLiver CirrhosisMaleMiceMice, Inbred C57BLMice, Transgenicalpha 1-Antitrypsin

Identifiers

PMID28056498
OpenAlexW2567922194

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.