Evidence map›Paper›PMID 31108944›Full record

ArticleInternational journal of molecular sciences2019

Intranasal Delivery of Mesenchymal Stromal Cells Protects against Neonatal Hypoxic⁻Ischemic Brain Injury.

Courtney A McDonald, Zlatikha Djuliannisaa, Maria Petraki, Madison C B Paton, Tayla R Penny, Amy E Sutherland, Margie Castillo-Melendez, Iona Novak, Graham Jenkin, Michael C Fahey and 1 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 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.

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

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

11 authors.

Courtney A McDonaldThe Ritchie Centre, Hudson Institute of Medical Research, Clayton 3168, Australia. courtney.mcdonald@hudson.org.au.ORCID 0000-0001-8421-461X
Zlatikha DjuliannisaaThe Ritchie Centre, Hudson Institute of Medical Research, Clayton 3168, Australia. d.zlatikha@gmail.com.ORCID 0000-0002-6031-9035
Maria PetrakiThe Ritchie Centre, Hudson Institute of Medical Research, Clayton 3168, Australia. mpet44@student.monash.edu.
Madison C B PatonThe Ritchie Centre, Hudson Institute of Medical Research, Clayton 3168, Australia. madison.paton@cerebralpalsy.org.au.ORCID 0000-0003-2780-1193
Tayla R PennyThe Ritchie Centre, Hudson Institute of Medical Research, Clayton 3168, Australia. trpen2@student.monash.edu.
Amy E SutherlandThe Ritchie Centre, Hudson Institute of Medical Research, Clayton 3168, Australia. amy.sutherland@hudson.org.au.
Margie Castillo-MelendezThe Ritchie Centre, Hudson Institute of Medical Research, Clayton 3168, Australia. margie.castillo-melendez@hudson.org.au.
Iona NovakCerebral Palsy Alliance Research Institute, University of Sydney, Camperdown 2086, Australia. INovak@cerebralpalsy.org.au.
Graham JenkinThe Ritchie Centre, Hudson Institute of Medical Research, Clayton 3168, Australia. graham.jenkin@monash.edu.
Michael C FaheyDepartment of Paediatrics, Monash University, Clayton 3168, Australia. michael.fahey@monash.edu.
Suzanne L MillerThe Ritchie Centre, Hudson Institute of Medical Research, Clayton 3168, Australia. suzie.miller@monash.edu.

Funding

Cerebral Palsy Alliance Research Foundation PG07917
6 · The paper itself

Abstract

Cerebral palsy (CP) is a permanent motor disorder that results from brain injury and neuroinflammation during the perinatal period. Mesenchymal stromal cells (MSCs) have been explored as a therapy in multiple adult neuroinflammatory conditions. Our study examined the therapeutic benefits of intranasal delivery of human umbilical cord tissue (UC) derived-MSCs in a rat model of neonatal hypoxic-ischemic (HI) brain injury. To do this, HI was performed on postnatal day 10 Sprague-Dawley rat pups via permanent ligation of the left carotid artery, followed by a hypoxic challenge of 8% oxygen for 90 min. A total of 200,000 UC-MSCs (10 million/kg) were administered intranasally 24 h post-HI. Motor control was assessed after seven days, followed by post-mortem. Analysis included brain immunohistochemistry, gene analysis and serum cytokine measurement. Neonatal HI resulted in brain injury with significant loss of neurons, particularly in the hippocampus. Intranasal administration of UC-MSCs significantly reduced the loss of brain tissue and increased the number of hippocampal neurons. HI significantly upregulated brain inflammation and expression of pro-inflammatory cytokines, while intranasal UC-MSCs significantly reduced markers of neuroinflammation. This study demonstrated that a clinically relevant dose (10 million/kg) of UC-MSCs was neuroprotective following HI by restoring neuronal cell numbers and reducing brain inflammation. Therefore, intranasal delivery of UC-MSCs may be an effective therapy for neonatal brain injury.

Indexed as

Administration, IntranasalAnimalsAnimals, NewbornCerebral PalsyCytokinesDisease Models, AnimalHumansHypoxia-Ischemia, BrainMaleMesenchymal Stem Cell TransplantationRatsRats, Sprague-DawleyCytokinescerebral palsycord tissue cellsmesenchymal stem cellsneurodevelopmentperinatal brain injury

Identifiers

PMID31108944
PMCPMC6566762

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.