Evidence map›Paper›PMID 35047695›Full record

ArticleBMJ open science2021

Combined meta-analysis of preclinical cell therapy studies shows overlapping effect modifiers for multiple diseases.

Peter-Paul Zwetsloot, Ana Antonic-Baker, Hendrik Gremmels, Kimberley Wever, Chris Sena, Sanne Jansen Of Lorkeers, Steven Chamuleau, Joost Sluijter, David W Howells

Open access · goldAbstract read
In one paragraph

Article in BMJ open science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 54% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
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

9 authors at 6 institutions in 3 countries.

Peter-Paul ZwetslootExperimental Cardiology, UMC Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-2634-4667
Ana Antonic-BakerNeuroscience, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0003-4275-7557
Hendrik GremmelsMedical Microbiology, UMC Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-7818-620X
Kimberley WeverSystematic Review Centre for Laboratory Animal Experimentation, Radboud Universiteit, Nijmegen, Gelderland, The Netherlands.ORCID 0000-0003-3635-3660
Chris SenaDepartment of Clinical Neurosciences, Edinburgh Royal Infirmary, Edinburgh, UK.
Sanne Jansen Of LorkeersCardiology, UMC Utrecht, Utrecht, The Netherlands.
Steven ChamuleauCardiology, UMC Utrecht, Utrecht, The Netherlands.
Joost SluijterExperimental Cardiology, UMC Utrecht, Utrecht, The Netherlands.
David W HowellsSchool of Medicine, University of Tasmania, Hobart, Tasmania, Australia.ORCID 0000-0002-2512-7724
University Medical Center Utrecht · NLAmsterdam University Medical Centers · NLEdinburgh Royal Infirmary · GBMonash University · AURadboud University Nijmegen · NLUniversity of Tasmania · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCell therapy has been studied in many different research domains. Cellular replacement of damaged solid tissues is at an early stage of development, with much still to be understood. Systematic reviews and meta-analyses are widely used to aggregate data and find important patterns of results within research domains.We set out to find common biological denominators affecting efficacy in preclinical cell therapy studies for renal, neurological and cardiac disease.

methodsWe used datasets of five previously published meta-analyses investigating cell therapy in preclinical models of chronic kidney disease, spinal cord injury, stroke and ischaemic heart disease. We transformed primary outcomes to ratios of means to permit direct comparison across disease areas. Prespecified variables of interest were species, immunosuppression, cell type, cell origin, dose, delivery and timing of the cell therapy.

resultsThe five datasets from 506 publications yielded data from 13 638 animals. Animal size affects therapeutic efficacy in an inverse manner. Cell type influenced efficacy in multiple datasets differently, with no clear trend for specific cell types being superior. Immunosuppression showed a negative effect in spinal cord injury and a positive effect in cardiac ischaemic models. There was a dose-dependent relationship across the different models. Pretreatment seems to be superior compared with administration after the onset of disease.

conclusionsPreclinical cell therapy studies are affected by multiple variables, including species, immunosuppression, dose and treatment timing. These data are important when designing preclinical studies before commencing clinical trials.

Indexed as

cell therapypreclinical meta-analysisratio of means

Identifiers

PMID35047695
PMCPMC8647619
OpenAlexW3156938134

What OpenQuestion holds

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LicenceCC BY
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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.