Evidence map›Paper›PMID 34764248›Full record

ArticleNature communications2021

Mesenchymal stromal cell apoptosis is required for their therapeutic function.

Swee Heng Milon Pang, Joshua D'Rozario, Senora Mendonca, Tejasvini Bhuvan, Natalie L Payne, Di Zheng, Assifa Hisana, Georgia Wallis, Adele Barugahare, David Powell and 6 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 149 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
149citing papers in PubMed, 1 pooled it
14.9field-weighted citation impact, top 1% 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

149 citing papers in PubMed, 1 synthesis or guideline pooled it, 248 citations in OpenAlex.

  1. Pooled it
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  13. Bon appétit, your phagocyte.Cell death discovery · 2026
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89 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 2 countries.

Swee Heng Milon PangDepartment of Anatomy and Developmental Biology, Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia.ORCID http://orcid.org/0000-0001-7958-0244
Joshua D'Rozario *Department of Anatomy and Developmental Biology, Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia.ORCID http://orcid.org/0000-0002-3380-4801
Senora Mendonca *Department of Anatomy and Developmental Biology, Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia.
Tejasvini BhuvanDepartment of Anatomy and Developmental Biology, Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia.
Natalie L PayneAustralian Regenerative Medicine Institute, Monash University, Clayton, VIC, 3800, Australia.ORCID http://orcid.org/0000-0002-2045-2608
Di ZhengDepartment of Anatomy and Developmental Biology, Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia.
Assifa HisanaDepartment of Anatomy and Developmental Biology, Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia.
Georgia WallisDepartment of Anatomy and Developmental Biology, Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia.
Adele BarugahareMonash Bioinformatics Platform, Monash University, Clayton, VIC, 3800, Australia.ORCID http://orcid.org/0000-0002-8976-0094
David PowellMonash Bioinformatics Platform, Monash University, Clayton, VIC, 3800, Australia.ORCID http://orcid.org/0000-0002-6639-6250
Jai RautelaDepartment of Biochemistry and Molecular Biology, Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia.ORCID http://orcid.org/0000-0002-4253-9966
Nicholas D HuntingtonDepartment of Biochemistry and Molecular Biology, Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia.ORCID http://orcid.org/0000-0002-5267-7211
Grant DewsonThe Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, 3052, Australia.
David C S HuangThe Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-3101-4873
Daniel H D GrayThe Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-8457-8242
Tracy S P HengDepartment of Anatomy and Developmental Biology, Biomedicine Discovery Institute, Monash University, Clayton, VIC, 3800, Australia. Tracy.Heng@monash.edu.ORCID http://orcid.org/0000-0003-4147-8986
Australian Regenerative Medicine Institute · AUThe University of Melbourne · AUMonash University · AUDiscovery Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multipotent mesenchymal stromal cells (MSCs) ameliorate a wide range of diseases in preclinical models, but the lack of clarity around their mechanisms of action has impeded their clinical utility. The therapeutic effects of MSCs are often attributed to bioactive molecules secreted by viable MSCs. However, we found that MSCs underwent apoptosis in the lung after intravenous administration, even in the absence of host cytotoxic or alloreactive cells. Deletion of the apoptotic effectors BAK and BAX prevented MSC death and attenuated their immunosuppressive effects in disease models used to define MSC potency. Mechanistically, apoptosis of MSCs and their efferocytosis induced changes in metabolic and inflammatory pathways in alveolar macrophages to effect immunosuppression and reduce disease severity. Our data reveal a mode of action whereby the host response to dying MSCs is key to their therapeutic effects; findings that have broad implications for the effective translation of cell-based therapies.

Indexed as

AnimalsApoptosisCell DeathCells, CulturedFemaleFlow CytometryHumansImmunoblottingImmunosuppression TherapyMacrophages, AlveolarMesenchymal Stem CellsMesenchymal Stem Cell TransplantationMiceMice, Inbred BALB CMice, Inbred C57BLPrincipal Component Analysis

Identifiers

PMID34764248
PMCPMC8586224
OpenAlexW3212910602

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.