Evidence map›Paper›PMID 34855833›Full record

ArticlePloS one2021

Treatment of necrotizing enterocolitis by conditioned medium derived from human amniotic fluid stem cells.

Joshua S O'Connell, Bo Li, Andrea Zito, Abdalla Ahmed, Marissa Cadete, Niloofar Ganji, Ethan Lau, Mashriq Alganabi, Nassim Farhat, Carol Lee and 6 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
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

16 authors at 2 institutions in 2 countries.

Joshua S O'ConnellDivision of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0002-3608-3894
Bo LiDivision of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0002-8298-8344
Andrea ZitoDivision of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Abdalla AhmedDivision of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Marissa CadeteDivision of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Niloofar GanjiDivision of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Ethan LauDivision of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Mashriq AlganabiDivision of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Nassim FarhatDivision of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Carol LeeDivision of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Simon EatonStem Cells & Regenerative Medicine Section, NIHR BRC Great Ormond Street Hospital and UCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Robert MitchellMicregen Ltd, Thames Valley Science Park, Reading, United Kingdom.
Steve RayMicregen Ltd, Thames Valley Science Park, Reading, United Kingdom.
Paolo De CoppiStem Cells & Regenerative Medicine Section, NIHR BRC Great Ormond Street Hospital and UCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Ketan PatelMicregen Ltd, Thames Valley Science Park, Reading, United Kingdom.
Agostino PierroDivision of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Hospital for Sick Children · CAGreat Ormond Street Hospital · GB

Funding

CIHR 353857
6 · The paper itself

Abstract

purposeNecrotizing enterocolitis (NEC) is one of the most distressing gastrointestinal emergencies affecting neonates. Amniotic fluid stem cells (AFSC) improve intestinal injury and survival in experimental NEC but are difficult to administer. In this study, we evaluated whether conditioned medium (CM) derived from human AFSC have protective effects.

methodsThree groups of C57BL/6 mice were studied: (i) breast-fed mice as control; (ii) experimental NEC mice receiving PBS; and (iii) experimental NEC mice receiving CM. NEC was induced between post-natal days P5 through P9 via: (A) gavage feeding of hyperosmolar formula four-time a day; (B) 10 minutes hypoxia prior to feeds; and (C) lipopolysaccharide administration on P6 and P7. Intra-peritoneal injections of either PBS or CM were given on P6 and P7. All mice were sacrificed on P9 and terminal ileum were harvested for analyses.

resultsCM treatment increased survival and reduced intestinal damage, decreased mucosal inflammation (IL-6; TNF-α), neutrophil infiltration (MPO), and apoptosis (CC3), and also restored angiogenesis (VEGF) in the ileum. Additionally, CM treated mice had increased levels of epithelial proliferation (Ki67) and stem cell activity (Olfm4; Lgr5) compared to NEC+PBS mice, showing restored intestinal regeneration and recovery during NEC induction. CM proteomic analysis of CM content identified peptides that regulated immune and stem cell activity.

conclusionsCM derived from human AFSC administered in experimental NEC exhibited various benefits including reduced intestinal injury and inflammation, increased enterocyte proliferation, and restored intestinal stem cell activity. This study provides the scientific basis for the use of CM derived from AFSC in neonates with NEC.

Indexed as

Amniotic FluidEnterocolitis, NecrotizingMice, Inbred C57BLStem CellsAnimalsAnimals, NewbornApoptosisCell ProliferationCulture Media, ConditionedDisease Models, AnimalFemaleHumansIleumIntestinal MucosaMiceCulture Media, Conditioned

Identifiers

PMID34855833
PMCPMC8638898
OpenAlexW3214764788

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.