Evidence map›Paper›PMID 33731514›Full record

ArticleInternational heart journal2021

Therapeutic Efficacy of Cryopreserved, Allogeneic Extracellular Vesicles for Treatment of Acute Myocardial Infarction.

Jennifer J Chung, Samuel T Kim, Samir Zaman, Mark R Helmers, Maria F Arisi, Elizabeth C Li, Zoe Tran, Carol W Chen, Peter Altshuler, Minna Chen and 2 more

Open access · diamondAbstract read
In one paragraph

Article in International heart journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 34% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  4. Review
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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

12 authors at 1 institution in 1 country.

Jennifer J ChungDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania.
Samuel T KimDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania.
Samir ZamanDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania.
Mark R HelmersDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania.
Maria F ArisiDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania.
Elizabeth C LiDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania.
Zoe TranDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania.
Carol W ChenDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania.
Peter AltshulerDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania.
Minna ChenDepartment of Bioengineering, University of Pennsylvania.
Jason A BurdickDepartment of Bioengineering, University of Pennsylvania.
Pavan AtluriDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania.
University of Pennsylvania · US

Funding

A Novel Shear Thinning Hydrogel System for Advanced Cellular Therapy in Ischemic Heart DiseaseR01HL135090 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI ATLURI, PAVAN · 2017 to 2021
$2.4M
Injectable Hydrogels for miR302 Mimic Delivery After Myocardial InfarctionF30HL134255 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI WANG, LEO LE · 2016 to 2018
$111k
NHLBI NIH HHS F30 HL134255NHLBI NIH HHS R01 HL135090
6 · The paper itself

Abstract

Extracellular vesicles (EV) that are derived from endothelial progenitor cells (EPC) have been determined to be a novel therapy for acute myocardial infarction, with a promise for immediate "off-the-shelf" delivery. Early experience suggests delivery of EVs from allogeneic sources is safe. Yet, clinical translation of this therapy requires assurances of both EV stability following cryopreservation and absence of an adverse immunologic response to EVs from allogeneic donors. Thus, more bioactivity studies on allogeneic EVs after cold storage are necessary to establish quality standards for its widespread clinical use. Thus, in this study, we aimed to demonstrate the safety and efficacy in delivering cryopreserved EVs in allogeneic recipients as a therapy for acute myocardial infarction.In this present study, we have analyzed the cardioprotective effects of allogeneic EPC-derived EVs after storage at -80°C for 2 months, using a shear-thinning gel (STG) as an in vivo delivery vehicle. EV size, proteome, and nucleic acid cargo were observed to remain steady through extended cryopreservation via nanoparticle tracking analysis, mass spectrometry, and nanodrop analysis, respectively. Fresh and previously frozen EVs in STG were delivered intramyocardially in a rat model of myocardial infarction (MI), with both showing improvements in contractility, angiogenesis, and scar thickness in comparison to phosphate-buffered saline (PBS) and STG controls at 4 weeks post-MI. Pathologic analyses and flow cytometry revealed minimal inflammatory and immune upregulation upon exposure of tissue to EVs pooled from allogeneic donor cells.Allogeneic EPC-EVs have been known to elicit minimal immune activity and retain therapeutic efficacy after at least 2 months of cryopreservation in a post-MI model.

Indexed as

AnimalsCells, CulturedCryopreservationDisease Models, AnimalEndothelial Progenitor CellsExtracellular VesiclesHematopoietic Stem Cell TransplantationHumansMyocardial InfarctionMyocytes, CardiacRatsCardiomyopathyEndothelial progenitor cellExosomeShear-thinning hydrogelStem cell therapy

Identifiers

PMID33731514
PMCPMC8103174
OpenAlexW3138514775

What OpenQuestion holds

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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.