Evidence map›Paper›PMID 34792869›Full record

ArticleACR open rheumatology2022

Optimization of Human Mesenchymal Stem Cells for Rheumatoid Arthritis: Implications for Improved Therapeutic Outcomes.

Maya Breitman, Tracey L Bonfield, Arnold I Caplan, Hillard M Lazarus, Maricela Haghiac, Susan LaSalvia, Jane Reese-Koc, Nora G Singer

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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

8 authors at 3 institutions in 1 country.

Maya BreitmanCase Western Reserve University and MetroHealth Medical Center, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-8782-1842
Tracey L BonfieldCase Western Reserve University, Cleveland, Ohio, USA.
Arnold I CaplanCase Western Reserve University, Cleveland, Ohio, USA.
Hillard M LazarusCase Western Reserve University, Cleveland, Ohio, USA.
Maricela HaghiacMetroHealth Medical Center, Cleveland, Ohio, USA.
Susan LaSalviaMetroHealth Medical Center, Cleveland, Ohio, USA.
Jane Reese-KocCase Western Reserve University, Cleveland, Ohio, USA.
Nora G SingerCase Western Reserve University and MetroHealth Medical Center, Cleveland, Ohio, USA.
Case Western Reserve University · USMetroHealth · USMetroHealth Medical Center · US

Funding

TUMOR METABOLISM PROGRAMP30CA043703 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI Amar Desai · 1987 to 2026
$142.3M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Cell-based Therapy in RA: Proof of ConceptR21AR069226 · NIAMS · CASE WESTERN RESERVE UNIVERSITY · PI LAZARUS, HILLARD M, SINGER, NORA · 2016 to 2018
$653k
CWRU Comprehensive Cancer Center grant 2P30 CA043703David and Virginia Baldwin Fund of CWRUNCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1 TR002548NCI NIH HHS P30 CA043703NIAMS NIH HHS 5R21AR069226NIAMS NIH HHS R21 AR069226The Clinical and Translational Science Collaborative of Cleveland from NCATS component of the NIH and NIH Roadmap for Medical Research 4UL1TR000439The Metrohealth Rheumatology Research Fund
6 · The paper itself

Abstract

objectiveSeropositive rheumatoid arthritis (RA) is a chronic autoimmune disease that is rarely "cured." Human mesenchymal stem cells (hMSCs) are known to reduce inflammation and restore immune homeostasis. However, methods for predicting therapeutic hMSC potency have not been established. The goal of these studies was to use and refine an ex vivo functional assay that determines potency of hMSCs and can then be validated in clinical trials as a potency measure of hMSCs used therapeutically to treat RA.

methodsAllogeneic hMSCs were cytokine-stimulated, and a conditioned medium (CM) was harvested. The CM was tested for the potential to attenuate RA CD4+ T cell proliferation using suppression assays. Indoleamine 2, 3-dioxygenase (IDO) mRNA, and protein were quantified in hMSCs as a measure to compare hMSCs across (prior) studies.

resultsTo mimic a proinflammatory environment that resembles that in RA, interleukin-1(IL1β), tumor necrosis factor α (TNFα), and interferon γ (IFNγ) (alone or in combination) were used to precondition hMSCs. Treating hMSCs with a combination of these cytokines generated a CM "secretome" that suppressed T cell proliferation between 70 and 83%. Forty-eight hours of cytokine preconditioning hMSCs was required to maximize this effect. T cell suppression positively correlated with increases in hMSC cellular IDO mRNA and protein.

conclusionBy standardizing assays to measure hMSC effects, their potency on T cell suppression can be quantified. These studies demonstrate that hMSCs can be compared functionally to identify optimal preparation(s) for therapeutic use in RA and that the potency of hMSC-dependent T cell suppression may differ between hMSC donors. Clinical studies are warranted to validate the hypothesis that ex vivo potency in suppressing T cells will positively correlate with a reduction in RA disease activity and increase in immunological quiescence.

Identifiers

PMID34792869
PMCPMC8843759
OpenAlexW3211925371

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.