Evidence map›Paper›PMID 29996892›Full record

ArticleStem cell research & therapy2018

Allogeneic cell therapy using umbilical cord MSCs on collagen scaffolds for patients with recurrent uterine adhesion: a phase I clinical trial.

Yun Cao, Haixiang Sun, Hui Zhu, Xianghong Zhu, Xiaoqiu Tang, Guijun Yan, Jingmei Wang, Donghui Bai, Juan Wang, Liu Wang and 9 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article in Stem cell research & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02313415 (Clinical Study of the Treatment of Infertility Caused by Recurrent Intrauterine Adhesions by Collagen Scaffold Loaded With Umbilical Cord -Derived Mesenchymal Stem Cells), which is not on this map. Cited by 151 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
151citing papers in PubMed, 9 pooled it
23.2field-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.

NCT02313415 nacompletednot on this map

Clinical Study of the Treatment of Infertility Caused by Recurrent Intrauterine Adhesions by Collagen Scaffold Loaded With Umbilical Cord -Derived Mesenchymal Stem Cells (UC-MSCs)

TypeinterventionalSponsorThe Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical SchoolRan2014 to 2017Enrolled26ConditionsInfertility, Intrauterine AdhesionsArmsUC-MSCs therapy
3 · Its place in the literature

Who cites it

151 citing papers in PubMed, 9 syntheses or guidelines pooled it, 303 citations in OpenAlex.

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  6. New advances in the treatment of thin endometrium.Frontiers in endocrinology · 2024
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  14. Biomaterials Empowering in New Era of Women's Healthcare System.Reproductive sciences (Thousand Oaks, Calif.) · 2026
    Review
  15. [Current status of intrauterine adhesion treatment and research progress in stem cell therapy].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
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91 more citing papers are in PubMed but not listed here.

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

19 authors at 3 institutions in 2 countries.

Yun CaoThe Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Haixiang SunThe Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Hui ZhuThe Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Xianghong ZhuThe Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Xiaoqiu TangThe Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Guijun YanThe Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Jingmei WangThe Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Donghui BaiInstitute of Zoology, Chinese Academy of Sciences, 1 West Beichen Road, Chaoyang district, Beijing, 100101, China.
Juan WangInstitute of Zoology, Chinese Academy of Sciences, 1 West Beichen Road, Chaoyang district, Beijing, 100101, China.
Liu WangInstitute of Zoology, Chinese Academy of Sciences, 1 West Beichen Road, Chaoyang district, Beijing, 100101, China.
Qi ZhouInstitute of Zoology, Chinese Academy of Sciences, 1 West Beichen Road, Chaoyang district, Beijing, 100101, China.
Huiyan WangThe Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Chengyan DaiThe Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Lijun DingThe Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Biyun XuThe Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Yan ZhouUniversity of California, San Francisco, CA, USA.
Jie HaoInstitute of Zoology, Chinese Academy of Sciences, 1 West Beichen Road, Chaoyang district, Beijing, 100101, China. haojie@ioz.ac.cn.
Jianwu DaiInstitute of Genetics and Developmental Biology, Chinese Academy of Sciences, 3 Nanyitiao, Zhongguancun, Beijing, 100190, China. jwdai@genetics.ac.cn.
Yali HuThe Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China. yalihu@nju.edu.cn.ORCID 0000-0001-5475-7840
Nanjing Drum Tower Hospital · CNChinese Academy of Sciences · CNUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntrauterine adhesions (IUA) are the most common cause of uterine infertility and are caused by endometrium fibrotic regeneration following severe damage to the endometrium. Although current stem cell treatment options using different types of autologous stem cells have exhibited some beneficial outcomes in IUA patients, the reported drawbacks include variable therapeutic efficacies, invasiveness and treatment unavailability. Therefore, the development of new therapeutic stem cell treatments is critical to improving clinical outcomes.

methodsTwenty-six patients who suffered from infertility caused by recurrent IUA were enrolled in this prospective, non-controlled, phase I clinical trial with a 30-month follow-up. During the procedure, 1 × 10

resultsNo treatment-related serious adverse events were found. Three months after the operation, the average maximum endometrial thickness in patients increased, and the intrauterine adhesion score decreased compared to those before the treatment. A histological study showed the upregulation of ERα (estrogen receptor α), vimentin, Ki67 and vWF (von Willebrand factor) expression levels and the downregulation of ΔNP63 expression level, which indicates an improvement in endometrial proliferation, differentiation and neovascularization following treatment. DNA short tandem repeat (STR) analysis showed that the regenerated endometrium contained patient DNA only. By the end of the 30-month follow-up period, ten of the 26 patients had become pregnant, and eight of them had delivered live babies with no obvious birth defects and without placental complications, one patient in the third trimester of pregnancy, and one had a spontaneous abortion at 7 weeks.

conclusionsTransplanting clinical-grade UC-MSCs loaded onto a degradable collagen scaffold into the uterine cavity of patients with recurrent IUA following adhesiolysis surgery is a safety and effective therapeutic method.

trial registrationClinicaltrials.gov . NCT02313415 , Registered December 6, 2014.

Indexed as

Cell- and Tissue-Based TherapyCollagenFemaleHumansMesenchymal Stem CellsTissue AdhesionsUmbilical CordUterusCollagenAsherman syndromeCollagen scaffoldIntrauterine adhesionsUC-MSCsUterine infertility

Identifiers

PMID29996892
PMCPMC6042450
OpenAlexW2840917343

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.