Evidence map›Paper›PMID 28853608›Full record

ArticleAmerican journal of respiratory and critical care medicine2018

Mesenchymal Stromal Cell Exosomes Ameliorate Experimental Bronchopulmonary Dysplasia and Restore Lung Function through Macrophage Immunomodulation.

Gareth R Willis, Angeles Fernandez-Gonzalez, Jamie Anastas, Sally H Vitali, Xianlan Liu, Maria Ericsson, April Kwong, S Alex Mitsialis, Stella Kourembanas

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 373 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
373citing papers in PubMed, 4 pooled it
48.3field-weighted citation impact, top 1% 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

373 citing papers in PubMed, 4 syntheses or guidelines pooled it, 638 citations in OpenAlex.

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  15. Mechanisms Underlying Altitude-Induced and Group 3 Pulmonary Hypertension.International journal of molecular sciences · 2026
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313 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Gareth R Willis1 Division of Newborn Medicine, Department of Medicine, and.
Angeles Fernandez-Gonzalez1 Division of Newborn Medicine, Department of Medicine, and.
Jamie Anastas1 Division of Newborn Medicine, Department of Medicine, and.
Sally H Vitali4 Division of Critical Care Medicine, Department of Anesthesia, Perioperative and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts; and.
Xianlan Liu1 Division of Newborn Medicine, Department of Medicine, and.
Maria Ericsson3 Department of Cell Biology, Harvard Medical School, Boston, Massachusetts.
April Kwong1 Division of Newborn Medicine, Department of Medicine, and.
S Alex Mitsialis1 Division of Newborn Medicine, Department of Medicine, and.
Stella Kourembanas1 Division of Newborn Medicine, Department of Medicine, and.
Aalborg University · DKHarvard University · USBoston Children's Hospital · US

Funding

Training Program in Newborn and Developmental DiseasesT32HD007466 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI KOUREMBANAS, STELLA · 1994 to 2016
$8.0M
HYPOXIC RESPONSES OF VASCULAR SMOOTH MUSCLER01HL055454 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI KOUREMBANAS, STELLA · 1996 to 2018
$6.7M
Mesenchymal Stem Cells and Pulmonary HypertensionR01HL085446 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI KOUREMBANAS, STELLA · 2007 to 2011
$2.1M
NHLBI NIH HHS R01 HL055454NHLBI NIH HHS R01 HL085446NICHD NIH HHS T32 HD007466
6 · The paper itself

Abstract

rationaleMesenchymal stem/stromal cell (MSC) therapies have shown promise in preclinical models of pathologies relevant to newborn medicine, such as bronchopulmonary dysplasia (BPD). We have reported that the therapeutic capacity of MSCs is comprised in their secretome, and demonstrated that the therapeutic vectors are exosomes produced by MSCs (MSC-exos).

objectivesTo assess efficacy of MSC-exo treatment in a preclinical model of BPD and to investigate mechanisms underlying MSC-exo therapeutic action.

methodsExosomes were isolated from media conditioned by human MSC cultures. Newborn mice were exposed to hyperoxia (HYRX; 75% O MEASUREMENTS AND MAIN

resultsHYRX-exposed mice presented with pronounced alveolar simplification, fibrosis, and pulmonary vascular remodeling, which was effectively ameliorated by MSC-exo treatment. Pulmonary function tests and assessment of pulmonary hypertension showed functional improvements after MSC-exo treatment. Lung mRNA sequencing demonstrated that MSC-exo treatment induced pleiotropic effects on gene expression associated with HYRX-induced inflammation and immune responses. MSC-exos modulate the macrophage phenotype fulcrum, suppressing the proinflammatory "M1" state and augmenting an antiinflammatory "M2-like" state, both in vitro and in vivo.

conclusionsMSC-exo treatment blunts HYRX-associated inflammation and alters the hyperoxic lung transcriptome. This results in alleviation of HYRX-induced BPD, improvement of lung function, decrease in fibrosis and pulmonary vascular remodeling, and amelioration of pulmonary hypertension. The MSC-exo mechanism of action is associated with modulation of lung macrophage phenotype.

Indexed as

AnimalsAnimals, NewbornBiopsy, NeedleBronchopulmonary DysplasiaDisease Models, AnimalExosomesHumansHyperoxiaImmunohistochemistryImmunomodulationMacrophagesMesenchymal Stem CellsMesenchymal Stem Cell TransplantationMicePulmonary FibrosisRandom Allocationbronchopulmonary dysplasiaexosomesextracellular vesiclesmacrophagesmesenchymal stem cells

Identifiers

PMID28853608
PMCPMC5765387
OpenAlexW2753884258

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.