Evidence map›Paper›PMID 31792768›Full record

ArticleStem cell reviews and reports2020

Intrahepatic Administration of Human Liver Stem Cells in Infants with Inherited Neonatal-Onset Hyperammonemia: A Phase I Study.

Marco Spada, Francesco Porta, Dorico Righi, Carlo Gazzera, Francesco Tandoi, Ivana Ferrero, Franca Fagioli, Maria Beatriz Herrera Sanchez, Pier Luigi Calvo, Elisa Biamino and 10 more

Open access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in Stem cell reviews and reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Frontiers in cell and developmental biology · 2024
    Article
  6. Review
  7. Article
  8. Review
  9. Hyperammonemia in Inherited Metabolic Diseases.Cellular and molecular neurobiology · 2022
    Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
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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

20 authors at 2 institutions in 2 countries.

Marco SpadaDepartment of Pediatrics, AOU Città della Salute e della Scienza di Torino, University of Torino, Piazza Polonia 94, 10126, Torino, Italy.
Francesco PortaDepartment of Pediatrics, AOU Città della Salute e della Scienza di Torino, University of Torino, Piazza Polonia 94, 10126, Torino, Italy. francesco.porta@unito.it.
Dorico RighiDepartment of Radiology, AOU Città della Salute e della Scienza di Torino, Torino, Italy.
Carlo GazzeraDepartment of Radiology, AOU Città della Salute e della Scienza di Torino, Torino, Italy.
Francesco TandoiGeneral Surgery 2U, Liver Transplant Center, AOU Città della Salute e della Scienza di Torino, University of Torino, Torino, Italy.
Ivana FerreroPediatric Oncoematology, AOU Città della Salute e della Scienza di Torino, University of Torino, Torino, Italy.
Franca FagioliPediatric Oncoematology, AOU Città della Salute e della Scienza di Torino, University of Torino, Torino, Italy.
Maria Beatriz Herrera Sanchez2i3T - Incubatore di Imprese dell'Università degli Studi di Torino, Torino, Italy.
Pier Luigi CalvoDepartment of Pediatrics, AOU Città della Salute e della Scienza di Torino, University of Torino, Piazza Polonia 94, 10126, Torino, Italy.
Elisa BiaminoDepartment of Pediatrics, AOU Città della Salute e della Scienza di Torino, University of Torino, Piazza Polonia 94, 10126, Torino, Italy.
Stefania BrunoMolecular Biotechnology Center, University of Torino, Torino, Italy.
Monica Gunetti2i3T - Incubatore di Imprese dell'Università degli Studi di Torino, Torino, Italy.
Cristina Contursi2i3T - Incubatore di Imprese dell'Università degli Studi di Torino, Torino, Italy.
Carola LauritanoGeneral Surgery 2U, Liver Transplant Center, AOU Città della Salute e della Scienza di Torino, University of Torino, Torino, Italy.
Alessandra ConioPediatric Anesthesia and Intensive Care, AOU Città della Salute e della Scienza, Torino, Italy.
Antonio AmorosoDepartment of Medical Sciences, AOU Città della Salute e della Scienza, University of Torino, Corso Dogliotti 14, Torino, Italy.
Mauro SalizzoniGeneral Surgery 2U, Liver Transplant Center, AOU Città della Salute e della Scienza di Torino, University of Torino, Torino, Italy.
Lorenzo SilengoMolecular Biotechnology Center, University of Torino, Torino, Italy.
Giovanni CamussiMolecular Biotechnology Center, University of Torino, Torino, Italy. giovanni.camussi@unito.it.ORCID 0000-0003-2795-232X
Renato RomagnoliGeneral Surgery 2U, Liver Transplant Center, AOU Città della Salute e della Scienza di Torino, University of Torino, Torino, Italy.
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies have shown that human liver stem-like cells (HLSCs) may undergo differentiation in vitro into urea producing hepatocytes and in vivo may sustain liver function in models of experimentally induced acute liver injury. The aim of this study was to assess the safety of HLSCs intrahepatic administration in inherited neonatal-onset hyperammonemia. The study was approved by the Agenzia Italiana del Farmaco on favorable opinion of the Italian Institute of Health as an open-label, prospective, uncontrolled, monocentric Phase I study (HLSC 01-11, EudraCT-No. 2012-002120-33). Three patients affected by argininosuccinic aciduria (patient 1) and methylmalonic acidemia (patients 2 and 3) and included in the liver transplantation list were enrolled. In all patients, HLSCs were administered by percutaneous intrahepatic injections (once a week for two consecutive weeks) within the first months of life. The first patient received 125,000 HLSCs x gram of liver/dose while the other two patients received twice this dose. No immunosuppression was administered since HLSCs possess immunomodulatory activities. None of the patients experienced infections, hyperammonemia decompensation, or other adverse events during the whole observation period. No donor specific antibodies (DSA) against HLSCs were detected. Patients were metabolic stable despite an increase (~30%) in protein intake. Two patients underwent liver transplantation after 19 and 11 months respectively, and after explantation, the native livers showed no histological alterations. In conclusion, percutaneous intrahepatic administration of HLSCs was safe in newborn with inherited neonatal-onset hyperammonemia. These data pave the way for Phase II studies in selected inherited and acquired liver disorders.

Indexed as

Liver TransplantationStem Cell TransplantationAge of OnsetAmino Acid Metabolism, Inborn ErrorsAmmoniaArgininosuccinic AciduriaCell DifferentiationDrug-Related Side Effects and Adverse ReactionsFemaleHepatocytesHumansHyperammonemiaInfant, NewbornLiverMaleMetabolism, Inborn ErrorsAmmoniaUreaAmmoniaHepatocytesInborn errors of metabolismLiver transplantationStem cells

Identifiers

PMID31792768
PMCPMC6987134
OpenAlexW2991089281

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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.