Evidence map›Paper›PMID 29860023›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2018

Cytotoxic Effects of Nonionic Iodinated Contrast Agent on Human Adipose-Derived Mesenchymal Stem Cells.

Tao Wu, Hai Nie, Allan B Dietz, David R Salek, Jay Smith, Andre J van Wijnen, Wenchun Qu

Abstract read
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Tao WuDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN.
Hai NieDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
Allan B DietzDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
David R SalekDivision of Pain Medicine, Mayo Clinic, Rochester, MN.
Jay SmithDepartments of Physical Medicine and Rehabilitation, Radiology, and Anatomy, Mayo Clinic, Rochester, MN.
Andre J van WijnenDepartments of Orthopedic Surgery, Biochemistry and Molecular Biology, and Physiology and Biomedical Engineering, Mayo Clinic, 200 First St SW, Rochester, MN 55902. Electronic address: vanWijnen.Andre@mayo.edu.
Wenchun QuDepartment of Physical Medicine and Rehabilitation and Division of Pain Medicine, Spine Center, Mayo Clinic, 200 First St SW, Rochester, MN 55902. Electronic address: qu.wenchun@mayo.edu.
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

Molecular Control of Bone FormationR01AR049069 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI WESTENDORF, JENNIFER J · 2003 to 2021
$5.8M
NIAMS NIH HHS R01 AR049069
6 · The paper itself

Abstract

backgroundTransplantation of mesenchymal stem cells (MSCs) is a promising therapy for degenerative spine conditions. However, cell therapy for painful spine degeneration presently requires use of contrast agents during fluoroscopy-guided injections, and the effects of these agents on MSCs represents a gap in knowledge.

objectiveTo investigate the biological effects of contrast media (CM) that are coinjected with MSCs.

designProspective observational study.

settingAcademic medical center.

participantsPatient-derived clinical-grade culture expanded MSCs.

interventionsIohexol (Omnipaque300) was reduced to 12.5%, 25%, 50%, and 100% of the stock solution and incubated with MSCs for 30 minutes, 4 hours, and 48 hours. We also used complete media and 12.5%, 25%, 50%, 100% of phosphate-buffered saline as a control group.

main outcome measuresWe examined cytotoxicity of iohexol at different concentrations and exposure duration, as well as the potential for recovery over time. Cell counts, mitochondrial activity, and quantitative real time reverse-transcriptase polymerase chain reaction of related genes were analyzed immediately after exposure (day 0) and after 2 days of exposure (day 2).

resultsHuman MSCs exhibit a time- and concentration-dependent cytotoxic response to iodinated CM. A brief, 30-minute exposure did not affect MSCs function and viability. However, extended treatment with iohexol for 4 hours at 50% or higher concentration had a significant impact on both viability and gene expression in MSCs.

conclusionsCM (Omnipaque300) is cytotoxic to MSCs in a time-and concentration-dependent manner. Hence, the concentration of CM that accompanies MSC injections should be carefully considered during MSC therapy for disk-degenerative diseases. LEVEL OF EVIDENCE: To be determined.

Identifiers

PMID29860023
PMCPMC6358519
OpenAlexW2805453460

What OpenQuestion holds

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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.