Evidence map›Paper›PMID 34608276›Full record

ArticleBone marrow transplantation2022

B-cell depletion abrogates immune mediated cytopenia and rejection of cord blood transplantation in Hurler syndrome.

R Nataraj, P Hiwarkar, D Bonney, H Campbell, S Jones, D Deambrosis, P Evans, K Poulton, P M van Hasselt, M B Bierings and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Bone marrow transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. 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

13 authors at 7 institutions in 6 countries.

R NatarajDepartments of Blood and Marrow Transplant, Royal Manchester Children's Hospital, Manchester, M13 9WL, UK.ORCID http://orcid.org/0000-0001-5597-9269
P HiwarkarBai Jerbai Wadia Hospital for Children, Mumbai, India.
D BonneyDepartments of Blood and Marrow Transplant, Royal Manchester Children's Hospital, Manchester, M13 9WL, UK.
H CampbellDepartments of Blood and Marrow Transplant, Royal Manchester Children's Hospital, Manchester, M13 9WL, UK.
S JonesCenter for Genomic Medicine, Saint Mary's Hospital, Manchester, M13 9WL, UK.ORCID http://orcid.org/0000-0002-5117-0566
D DeambrosisPaediatric Haematology and Oncology Department, Starship Children's Hospital, Auckland, New Zealand.
P EvansChildren's Health Ireland at Crumlin, Dublin, Ireland.
K PoultonTransplantation Laboratory, Royal Manchester Children's Hospital, Manchester, UK.ORCID http://orcid.org/0000-0002-5608-8107
P M van HasseltDepartment of Paediatrics, Wilhelmina Kinderziekenhuis, UMC Utrecht, University Utrecht, Utrecht, The Netherlands.
M B BieringsDepartment of Paediatrics, Wilhelmina Kinderziekenhuis, UMC Utrecht, University Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-0192-3080
J J BoelensStem Cell Transplantation and Cellular Therapy, MSK Kids, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-2232-6952
C A LindemansDepartment of Paediatrics, Wilhelmina Kinderziekenhuis, UMC Utrecht, University Utrecht, Utrecht, The Netherlands.
R WynnDepartments of Blood and Marrow Transplant, Royal Manchester Children's Hospital, Manchester, M13 9WL, UK. Robert.wynn@mft.nhs.uk.ORCID http://orcid.org/0000-0002-6046-8428
Royal Manchester Children's Hospital · GBUtrecht University · NLBai Jerbai Wadia Hospital for Children · INChildren's Health Ireland at Crumlin · IEMemorial Sloan Kettering Cancer Center · USStarship Children's Health · NZUniversity of Saint Mary · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Umbilical cord blood is the preferred donor cell source for children with Inherited Metabolic disorders undergoing Hematopoietic Cell Transplant (HCT), and its use has been associated with improved "engrafted survival" and higher donor chimerism compared to other cell sources. However, as in other pediatric cord blood transplants for non-malignant disease, immune-mediated cytopenia and primary graft failure limit its use, and the latter remains the commonest cause of death following cord blood transplant for non-malignant disease. We have previously shown an association between immune-mediated cytopenia and graft failure in inherited metabolic diseases suggesting that both immune-mediated cytopenia and graft failure could be mediated by antibodies from the residual recipient B cells. Since rituximab is effective in depletion of B cells and management of refractory immune-mediated cytopenia following HCT, we have added rituximab to the conditioning regimen. We studied 57 patients in 2 centers who received myeloablative conditioning for cord blood transplant in Hurler syndrome, and report a significant improvement in event-free survival with reduced incidence of graft failure and without any evidence of immune-mediated cytopenia in those patients that had received rituximab.

Indexed as

Cord Blood Stem Cell TransplantationGraft vs Host DiseaseHematopoietic Stem Cell TransplantationMucopolysaccharidosis IChildHumansRituximabTransplantation ConditioningRituximab

Identifiers

PMID34608276
PMCPMC8732280
OpenAlexW3201830782

What OpenQuestion holds

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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.