Evidence map›Paper›PMID 30070065›Full record

ArticleStem cells translational medicine2018

Clinical Cellular Therapeutics Accelerate Clot Formation.

Mitchell J George, Karthik Prabhakara, Naama E Toledano-Furman, Yao-Wei Wang, Brijesh S Gill, Charles E Wade, Scott D Olson, Charles S Cox

Registry-linked trialAbstract read
In one paragraph

Article in Stem cells translational medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06163833 (MATRIx), which is not on this map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06163833 phase2recruitingnot on this mapstarted 2023, after this paper: background citation

MATRIx: MesenchymAl Stromal Cells for Traumatic bRain Injury

TypeinterventionalSponsorFondazione IRCCS San Gerardo dei TintoriRan2023 to 2026Enrolled78ConditionsTraumatic Brain Injury With Loss of ConsciousnessArmsMesenchymal stromal cell low dosage-80*10^6 cells, Mesenchymal stromal cell low dosage-160*10^6 cells, Placebo-storage solution
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Cell Therapies for Acute Radiation Syndrome.International journal of molecular sciences · 2024
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Role of Mesenchymal Stem/Stromal Cells in Coagulation.International journal of molecular sciences · 2022
    Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
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

8 authors.

Mitchell J GeorgeDepartment of Surgery, McGovern Medical School at The University of Texas Health Science Center, Houston, Texas, USA.ORCID 0000-0003-1668-821X
Karthik PrabhakaraDepartment of Pediatric Surgery, McGovern Medical School at The University of Texas Health Science Center, Houston, Texas, USA.
Naama E Toledano-FurmanDepartment of Pediatric Surgery, McGovern Medical School at The University of Texas Health Science Center, Houston, Texas, USA.
Yao-Wei WangDepartment of Surgery, McGovern Medical School at The University of Texas Health Science Center, Houston, Texas, USA.
Brijesh S GillDepartment of Surgery, McGovern Medical School at The University of Texas Health Science Center, Houston, Texas, USA.
Charles E WadeDepartment of Surgery, McGovern Medical School at The University of Texas Health Science Center, Houston, Texas, USA.
Scott D OlsonDepartment of Pediatric Surgery, McGovern Medical School at The University of Texas Health Science Center, Houston, Texas, USA.ORCID 0000-0001-8032-3755
Charles S CoxDepartment of Pediatric Surgery, McGovern Medical School at The University of Texas Health Science Center, Houston, Texas, USA.

Funding

ROLE OF THE GUT IN POST INJURY MULTIPLE ORGAN FAILURET32GM008792 · NIGMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Charles S Cox · 2001 to 2026
$5.2M
NIGMS NIH HHS T32 GM008792
6 · The paper itself

Abstract

Clinical cellular therapeutics (CCTs) have shown preliminary efficacy in reducing inflammation after trauma, preserving cardiac function after myocardial infarction, and improving functional recovery after stroke. However, most clinically available cell lines express tissue factor (TF) which stimulates coagulation. We sought to define the degree of procoagulant activity of CCTs as related to TF expression. CCT samples from bone marrow, adipose, amniotic fluid, umbilical cord, multi-potent adult progenitor cell donors, and bone marrow mononuclear cells were tested. TF expression and phenotype were quantified using flow cytometry. Procoagulant activity of the CCTs was measured in vitro with thromboelastography and calibrated thrombogram. Fluorescence-activated cell sorting (FACS) separated samples into high- and low-TF expressing populations to isolate the contribution of TF to coagulation. A TF neutralizing antibody was incubated with samples to demonstrate loss of procoagulant function. All CCTs tested expressed procoagulant activity that correlated with expression of tissue factor. Time to clot and thrombin formation decreased with increasing TF expression. High-TF expressing cells decreased clotting time more than low-TF expressing cells when isolated from a single donor using FACS. A TF neutralizing antibody restored clotting time to control values in some, but not all, CCT samples. CCTs demonstrate wide variability in procoagulant activity related to TF expression. Time to clot and thrombin formation decreases as TF load increases and this procoagulant effect is neutralized by a TF blocking antibody. Clinical trials using CCTs are in progress and TF expression may emerge as a safety release criterion. Stem Cells Translational Medicine 2018;7:731-739.

Indexed as

Blood CoagulationAdipose TissueAmniotic FluidBone Marrow CellsCell- and Tissue-Based TherapyFetal BloodHumansMesenchymal Stem CellsThrombelastographyThrombinThromboplastinThrombinThromboplastinClinical cellular therapeuticsCoagulationTissue factor

Identifiers

PMID30070065
PMCPMC6186273

What OpenQuestion holds

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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.