Evidence map›Paper›PMID 31872285›Full record

ArticleJournal of molecular medicine (Berlin, Germany)2020

Regimen-dependent synergism and antagonism of treprostinil and vildagliptin in hematopoietic cell transplantation.

Eva Zebedin-Brandl, Madeleine Themanns, Zahra Kazemi, Shahrooz Nasrollahi-Shirazi, Marion Mussbacher, Elizabeth Heyes, Katrin Meissl, Michaela Prchal-Murphy, Wolfgang Strohmaier, Guenther Krumpl and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of molecular medicine (Berlin, Germany), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 4 institutions in 2 countries.

Eva Zebedin-BrandlInstitute of Pharmacology and the Gaston H. Glock Research Laboratories for Exploratory Drug Development, Medical University of Vienna, 1090, Vienna, Austria.
Madeleine ThemannsInstitute of Pharmacology and the Gaston H. Glock Research Laboratories for Exploratory Drug Development, Medical University of Vienna, 1090, Vienna, Austria.
Zahra KazemiInstitute of Pharmacology and the Gaston H. Glock Research Laboratories for Exploratory Drug Development, Medical University of Vienna, 1090, Vienna, Austria.
Shahrooz Nasrollahi-ShiraziInstitute of Pharmacology and the Gaston H. Glock Research Laboratories for Exploratory Drug Development, Medical University of Vienna, 1090, Vienna, Austria.
Marion MussbacherInstitute of Vascular Biology, Centre of Physiology and Pharmacology, Medical University of Vienna, 1090, Vienna, Austria.
Elizabeth HeyesInstitute for Medical Biochemistry, University of Veterinary Medicine, 1210, Vienna, Austria.
Katrin MeisslInstitute of Animal Breeding and Genetics, University of Veterinary Medicine, 1210, Vienna, Austria.
Michaela Prchal-MurphyInstitute of Pharmacology and Toxicology, Department of Biomedical Sciences, University of Veterinary Medicine, 1210, Vienna, Austria.
Wolfgang StrohmaierSciPharm SàRL, L-6689, Mertert, Luxembourg.
Guenther KrumplMRN Medical Research GmbH, Postgasse 11, 1010, Vienna, Austria.
Michael FreissmuthInstitute of Pharmacology and the Gaston H. Glock Research Laboratories for Exploratory Drug Development, Medical University of Vienna, 1090, Vienna, Austria. michael.freissmuth@meduniwien.ac.at.ORCID 0000-0001-9398-1765
Medical University of Vienna · ATUniversity of Veterinary Medicine Vienna · ATStatistics Austria · ATUniversity of Luxembourg · LU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The cell dose in umbilical cord blood units is a major determinant for the outcome of hematopoietic cell transplantation. Prostaglandin analogs and dipeptidylpeptidase-4 (DPP4/CD26)-inhibitors enhance the ability of hematopoietic stem cells (HSCs) to reconstitute hematopoiesis. Here we explored the synergism between treprostinil, a stable prostaglandin agonist, and the DPP4/CD26-inhibitor vildagliptin. The combination of treprostinil and forskolin caused a modest but statistically significant increase in the surface levels of DPP4/CD26 on hematopoietic stem and progenitor cells (HSPCs) derived from murine bone and human cord blood. Their migration towards stromal cell-derived factor-1 (SDF-1/CXCL12) was enhanced, if they were pretreated with treprostinil and forskolin, and further augmented by vildagliptin. Administration of vildagliptin rescued 25% of lethally irradiated recipient mice injected with a limiting number of untreated HSPCs, but 90 to 100% of recipients injected with HSPCs preincubated with treprostinil and forskolin. The efficacy of vildagliptin surpassed that of treprostinil (60% rescue). Surprisingly, concomitant administration of vildagliptin and treprostinil resulted in poor survival of recipients indicating mutual antagonism, which was recapitulated when homing of and colony formation by HSPCs were assessed. These observations of regimen-dependent synergism and antagonism of treprostinil and vildagliptin are of translational relevance for the design of clinical trials. KEY MESSAGES: Pretreatment with treprostinil increases surface levels of DPP4/CD26 in HSPCs. Vildagliptin enhances in vitro migration of pretreated HSPCs. Vildagliptin enhances in vivo homing and engraftment of pretreated HSPCs. Unexpected mutual antagonism in vivo by concomitant administration of vildagliptin and treprostinil.

Indexed as

Hematopoietic Stem Cell TransplantationAnimalsAntihypertensive AgentsCells, CulturedDipeptidyl Peptidase 4Dipeptidyl-Peptidase IV InhibitorsDrug AntagonismDrug SynergismEpoprostenolFetal BloodHematopoietic Stem CellsHumansMiceVildagliptinAntihypertensive AgentsDipeptidyl Peptidase 4Dipeptidyl-Peptidase IV InhibitorsEpoprostenoltreprostinilVildagliptinDPP4/CD26-inhibitorDrug combination therapyEngraftmentHematopoietic cell transplantation/HCTHomingMigrationProstanoid receptor agonist

Identifiers

PMID31872285
PMCPMC7007891
OpenAlexW2998512042

What OpenQuestion holds

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LicenceCC BY
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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.