Evidence map›Paper›PMID 36545894›Full record

Trial reportStem cells translational medicine2023

Safety of Stromal Vascular Fraction Cell Therapy for Chronic Kidney Disease of Unknown Cause (Mesoamerican Nephropathy).

Michael H Carstens, Nelson García, Sreedhar Mandayam, Biruh Workeneh, Indiana Pastora, Carlos Calderón, Kenneth A Bertram, Diego Correa

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Stem cells translational medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07259993 (Treatment of Knee Osteoarthritis With Stromal Vascular Fraction Cells), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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.

NCT07259993 phase1 / phase2completednot on this map

Treatment of Knee Osteoarthritis With Stromal Vascular Fraction Cells: 10-Years Follow-up

TypeinterventionalSponsorMichael H CarstensRan2013 to 2025Enrolled16ConditionsKnee OsteoarthritisArmsautologous adipose tissue-derived stromal vascular fraction cells
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. A Randomized Clinical Trial of Kidney Autologous Cell Therapy in Diabetic Kidney Disease.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. 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

8 authors at 4 institutions in 2 countries.

Michael H CarstensDepartment of Surgery, Universidad Nacional Autónoma de Nicaragua, León, Nicaragua.ORCID 0000-0002-9611-252X
Nelson GarcíaDepartment of Medicine, Universidad Nacional Autónoma de Nicaragua, León, Nicaragua.
Sreedhar MandayamDepartment of Nephrology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Biruh WorkenehDepartment of Nephrology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Indiana PastoraDepartment of Medicine, Universidad Nacional Autónoma de Nicaragua, León, Nicaragua.
Carlos CalderónDepartment of Cardiology, Hospital San Juan de Dios, San José, Costa Rica.
Kenneth A BertramWake Forest University Institute for Regenerative Medicine, Winston-Salem, NC, USA.
Diego CorreaDiabetes Research Institute & Cell Transplant Center, University of Miami Miller School of Medicine, Miami, FL, USA.
National Autonomous University of Nicaragua · NIThe University of Texas MD Anderson Cancer Center · USUniversity of Miami · USWake Forest University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic kidney disease of unknown cause (CKDu), also known as Mesoamerican nephropathy, typically presents as an ischemic nephropathy with chronic tubulointerstitial fibrosis in normotensive patients, rapidly progressing to kidney failure. In this first-in-human, open-label, safety study, we followed 18 patients with CKDu (stages 3-5) for 36 months after receiving a single infusion of angiogenic/anti-fibrotic autologous adipose-derived stromal vascular fraction (SVF) cells into their kidneys bilaterally via renal artery catheterization. SVF therapy was safe and well tolerated. There were no SVF-related serious adverse events and no procedural complications. Color Doppler evaluation at 2 months demonstrated increased perfusion to the interlobar and/or arcuate artery levels in each kidney evaluated (36/36) with a reduction in resistance index at the hilar artery (35/36) kidneys. Beyond 12 months, patients with initial eGFR <30 mL/minute/1.73 m2 deteriorated, whereas those ≥30 mL/minute/1.73 m2 further sustained their renal function, suggesting a possible renal protective effect in that group.

Indexed as

Chronic Kidney Diseases of Uncertain EtiologyRenal Insufficiency, ChronicAdipose TissueCell- and Tissue-Based TherapyFibrosisHumansKidneyStromal CellsStromal Vascular Fractioncell-based therapychronic kidney disease of unknown cause (CKDu)Mesoamerican nephropathyneovascularizationsafetystromal vascular fraction (SVF)

Identifiers

PMID36545894
PMCPMC9887091
OpenAlexW4312093696

What OpenQuestion holds

Textmetadata
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.