Evidence map›Paper›PMID 32978903›Full record

ArticleStem cells translational medicine2021

A study of human leukocyte antigen-haploidentical hematopoietic stem cells transplantation combined with allogenic mesenchymal stem cell infusion for treatment of severe aplastic anemia in pediatric and adolescent patients.

Li Ding, Dong-Mei Han, Xiao-Li Zheng, Hong-Min Yan, Mei Xue, Jing Liu, Ling Zhu, Sheng Li, Ning Mao, Zi-Kuan Guo and 3 more

Open access · goldAbstract read
In one paragraph

Article in Stem cells translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Reconceptualizing Aplastic Anemia-Seed, Worm, Soil.Journal of clinical laboratory analysis · 2026
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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

13 authors at 5 institutions in 1 country.

Li DingAir Force Medical Center, PLA, Beijing, People's Republic of China.
Dong-Mei HanAir Force Medical Center, PLA, Beijing, People's Republic of China.
Xiao-Li ZhengAir Force Medical Center, PLA, Beijing, People's Republic of China.
Hong-Min YanAir Force Medical Center, PLA, Beijing, People's Republic of China.
Mei XueAir Force Medical Center, PLA, Beijing, People's Republic of China.
Jing LiuAir Force Medical Center, PLA, Beijing, People's Republic of China.
Ling ZhuAir Force Medical Center, PLA, Beijing, People's Republic of China.
Sheng LiAir Force Medical Center, PLA, Beijing, People's Republic of China.
Ning MaoBeijing Institute of Basic Medical Sciences, Beijing, People's Republic of China.
Zi-Kuan GuoDepartment of Experimental Hematology & Biochemistry, Beijing Institute of Radiation Medicine, Beijing, People's Republic of China.
Hong-Mei NingBeijing Institute of Basic Medical Sciences, Beijing, People's Republic of China.
Heng-Xiang WangAir Force Medical Center, PLA, Beijing, People's Republic of China.
Heng ZhuDepartment of Experimental Hematology & Biochemistry, Beijing Institute of Radiation Medicine, Beijing, People's Republic of China.ORCID 0000-0002-8408-3821
Air Force General Hospital PLA · CNInstitute of Basic Medical Sciences of the Chinese Academy of Medical SciencesAnhui Medical University · CNBeijing Institute of Education · CNBeijing Institute of Neurosurgery · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical applications of human leukocyte antigen (HLA) haploidentical hematopoietic stem cells transplantation (haplo-HSCT) have offered most of the young severe aplastic anemia (SAA) patients an opportunity to accept curative therapy at the early stage of bone marrow lesions. However, the outcome of juvenile SAA patients received haplo-HSCT remain to be improved due to high incidence of graft failure and graft vs host disease (GVHD). Mesenchymal stem cells (MSCs) have been characterized by their hematopoiesis-supporting and immunomodulatory properties. In the current study, we designed a combination of haplo-HSCT with allogenic MSC for treatment of SAA in pediatric and adolescent patients and evaluated its effects. Juvenile patients (<18 years) with SAA (n = 103) were given HLA-haploidentical HSC combined with allogenic MSC after a conditioning regimen consisting of busulfan, cyclophosphamide, fludarabine, and antithymocyte globulin and an intensive GVHD prophylaxis, including cyclosporine, short-term methotrexate, mycophenolate mofetil, and basiliximab. Neutrophil engraftment was achieved in 102 of 103 patients in a median time of 14.3 days (range 9-25 days). The median time of platelet engraftment was 25.42 days (range 8-93 days). The cumulative incidence of II-IV acute GVHD at day +100 was 26.32% ± 0.19% and III-IV acute GVHD was 6.79% ± 0.06% at day +100, respectively. The cumulative incidence of chronic GVHD was 25.56% ± 0.26%. The overall survival was 87.15% ± 3.3% at a median follow-up of 40 (1.3-98) months. Our data suggest that cotransplantation of HLA-haploidentical HSC and allogenic mesenchymal stem cell may provide an effective and safe treatment for children and adolescents with SAA who lack matched donors.

Indexed as

Anemia, AplasticGraft vs Host DiseaseHematopoietic Stem Cell TransplantationMesenchymal Stem Cell TransplantationAdolescentChildHLA AntigensHumansTransplantation ConditioningHLA Antigensbone marrow nichegraft vs host diseaseHLA-haploidentical HSCTmesenchymal stem cellspediatric and adolescent patientssevere aplastic anemia

Identifiers

PMID32978903
PMCPMC7848315
OpenAlexW3088281798

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.