Evidence map›Paper›PMID 28651946›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2017

Layered smooth muscle cell-endothelial progenitor cell sheets derived from the bone marrow augment postinfarction ventricular function.

Yasuhiro Shudo, Andrew B Goldstone, Jeffrey E Cohen, Jay B Patel, Michael S Hopkins, Amanda N Steele, Bryan B Edwards, Masashi Kawamura, Shigeru Miyagawa, Yoshiki Sawa and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

15 citing papers in PubMed, 20 citations in OpenAlex.

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  14. Bone marrow CD34Stem cell research & therapy · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Yasuhiro ShudoDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Andrew B GoldstoneDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Jeffrey E CohenDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Jay B PatelDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Michael S HopkinsDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Amanda N SteeleDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Bryan B EdwardsDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Masashi KawamuraDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Shigeru MiyagawaDepartment of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka City, Japan.
Yoshiki SawaDepartment of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka City, Japan.
Y Joseph WooDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif. Electronic address: joswoo@stanford.edu.
Stanford University · USOsaka City University · JPStanford Medicine · US

Funding

ANGIOGENIC TISSUE ENGINEERING TO LIMIT POST-INFARCTION VENTRICULAR REMODELINGR01HL089315 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI WOO, Y JOSEPH · 2008 to 2023
$6.4M
NHLBI NIH HHS R01 HL089315
6 · The paper itself

Abstract

objectiveThe angiogenic potential of endothelial progenitor cells (EPCs) may be limited by the absence of their natural biologic foundation, namely smooth muscle pericytes. We hypothesized that joint delivery of EPCs and smooth muscle cells (SMCs) in a novel, totally bone marrow-derived cell sheet will mimic the native architecture of a mature blood vessel and act as an angiogenic construct to limit post infarction ventricular remodeling.

methodsPrimary EPCs and mesenchymal stem cells were isolated from bone marrow of Wistar rats. Mesenchymal stem cells were transdifferentiated into SMCs by culture on fibronectin-coated culture dishes. Confluent SMCs topped with confluent EPCs were detached from an Upcell dish to create a SMC-EPC bi-level cell sheet. A rodent model of ischemic cardiomyopathy was then created by ligating the left anterior descending artery. Rats were randomized into 3 groups: cell sheet transplantation (n = 9), no treatment (n = 12), or sham surgery control (n = 7).

resultsFour weeks postinfarction, mature vessel density tended to increase in cell sheet-treated animals compared with controls. Cell sheet therapy significantly attenuated the extent of cardiac fibrosis compared with that of the untreated group (untreated vs cell sheet, 198 degrees [interquartile range (IQR), 151-246 degrees] vs 103 degrees [IQR, 92-113 degrees], P = .04). Furthermore, EPC-SMC cell sheet transplantation attenuated myocardial dysfunction, as evidenced by an increase in left ventricular ejection fraction (untreated vs cell sheet vs sham, 33.5% [IQR, 27.8%-35.7%] vs 45.9% [IQR, 43.6%-48.4%] vs 59.3% [IQR, 58.8%-63.5%], P = .001) and decreases in left ventricular dimensions.

conclusionsThe bone marrow-derived, spatially arranged SMC-EPC bi-level cell sheet is a novel, multilineage cellular therapy obtained from a translationally practical source. Interactions between SMCs and EPCs augment mature neovascularization, limit adverse remodeling, and improve ventricular function after myocardial infarction.

Indexed as

Cell TransdifferentiationAnimalsCells, CulturedCell TransplantationEndothelial Progenitor CellsFibrosisHeart VentriclesMagnetic Resonance ImagingMesenchymal Stem CellsMyocardial InfarctionMyocardiumMyocytes, Smooth MuscleNeovascularization, PhysiologicRats, WistarStroke VolumeVentricular Remodelingcell sheetmyocardial infarctionneovascularizationregenerationstem cellstissue engineering

Identifiers

PMID28651946
PMCPMC5947323
OpenAlexW2617996042

What OpenQuestion holds

Textmetadata
LicenceTDM
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.