Evidence map›Paper›PMID 36224178›Full record

ArticleCell death & disease2022

Mesenchymal stem cells exosomal let-7a-5p improve autophagic flux and alleviate liver injury in acute-on-chronic liver failure by promoting nuclear expression of TFEB.

Dengna Lin, Hao Chen, Jing Xiong, Jing Zhang, Zhaoxia Hu, Juan Gao, Bin Gao, Shaoquan Zhang, Junfeng Chen, Huijuan Cao and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05985863 (Clinical Research of Human Umbilical Cord Mesenchymal Stem Cell Transplantation for The Treatment of Acute-on-Chronic Liver Failure), which is not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
5.9field-weighted citation impact, top 3% 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.

NCT05985863 phase1 / phase2recruitingnot on this mapstarted 2023, after this paper: background citation

Clinical Research of Human Umbilical Cord Mesenchymal Stem Cell Transplantation for The Treatment of Acute-on-Chronic Liver Failure

TypeinterventionalSponsorBeijing 302 HospitalRan2023 to 2028Enrolled150ConditionsAcute-On-Chronic Liver FailureArmsstandard medical treatment, Placebo, hUC-MSC, hUC-MSC_Prolonged
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Review
  3. [Research progress on the mechanisms and optimization strategies of mesenchymal stem cell-derived exosomes in the treatment of liver diseases].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
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  19. Application of autophagy in mesenchymal stem cells.World journal of stem cells · 2024
    Article
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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 3 institutions in 1 country.

Dengna Lin *Department of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Hao Chen *Department of Neurology, the First Affiliated Hospital of Nanchang University, Nanchang, China.
Jing Xiong *Department of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Jing ZhangDepartment of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Zhaoxia HuDepartment of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Juan GaoDepartment of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Bin GaoDepartment of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Shaoquan ZhangDepartment of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Junfeng ChenDepartment of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Huijuan CaoDepartment of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Zhihui LiDepartment of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Bingliang LinDepartment of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. linbingl@mail.sysu.edu.cn.
Zhiliang GaoDepartment of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. gaozhl@mail.sysu.edu.cn.
Third Affiliated Hospital of Sun Yat-sen University · CNSun Yat-sen University · CNFirst Affiliated Hospital of Nanchang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute-on-chronic liver failure is a distinct clinical syndrome characterized by a dysregulated immune response and extensive hepatocyte death without satisfactory therapies. As a cytoplasmic degradative and quality-control process, autophagy was implicated in maintaining intracellular homeostasis, and decreased hepatic autophagy was found in many liver diseases and contributes to disease pathogenesis. Previously, we identified the therapeutic potential of mesenchymal stem cells (MSCs) in ACLF patients; however, the intrinsic mechanisms are incompletely understood. Herein, we showed that MSCs restored the impaired autophagic flux and alleviated liver injuries in ACLF mice, but these effects were abolished when autophago-lysosomal maturation was inhibited by leupeptin (leu), suggesting that MSCs exerted their hepatoprotective function in a pro-autophagic dependent manner. Moreover, we described a connection between transcription factor EB (TFEB) and autophagic activity in this context, as evidenced by increased nuclei translocation of TFEB elicited by MSCs were capable of promoting liver autophagy. Mechanistically, we confirmed that let-7a-5p enriched in MSCs derived exosomes (MSC-Exo) could activate autophagy by targeting MAP4K3 to reduce TFEB phosphorylation, and MAP4K3 knockdown partially attenuates the effect of anti-let-7a-5p oligonucleotide via decreasing the inflammatory response, in addition, inducing autophagy. Altogether, these findings revealed that the hepatoprotective effect of MSCs may partially profit from its exosomal let-7a-5p mediating autophagy repairment, which may provide new insights for the therapeutic target of ACLF treatment.

Indexed as

Acute-On-Chronic Liver FailureMesenchymal Stem CellsAnimalsAutophagyBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsLeupeptinsMiceMicroRNAsOligonucleotidesBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsLeupeptinsMicroRNAsmirnlet7 microRNA, mouseOligonucleotidesTcfeb protein, mouse

Identifiers

PMID36224178
PMCPMC9556718
OpenAlexW4304606361

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.