Evidence map›Paper›PMID 37055850›Full record

ArticleStem cell research & therapy2023

Evaluation of safety and efficacy of autologous oral mucosa-derived epithelial cell sheet transplantation for prevention of anastomotic restenosis in congenital esophageal atresia and congenital esophageal stenosis.

Akihiro Fujino, Yasushi Fuchimoto, Teizaburo Mori, Motohiro Kano, Yohei Yamada, Michinobu Ohno, Yoshiyuki Baba, Nobutaka Isogawa, Katsuhiro Arai, Takako Yoshioka and 5 more

Open access · goldAbstract read
In one paragraph

Article in Stem cell research & therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
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  4. Stem cells as biological drugs for incurable diseases.Stem cell research & therapy · 2025
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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

15 authors at 3 institutions in 1 country.

Akihiro FujinoDivision of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, 157-8535, Japan.
Yasushi FuchimotoDivision of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, 157-8535, Japan. yfuchimoto@iuhw.ac.jp.
Teizaburo MoriDivision of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, 157-8535, Japan.
Motohiro KanoDivision of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, 157-8535, Japan.
Yohei YamadaDivision of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, 157-8535, Japan.
Michinobu OhnoDivision of Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, 157-8535, Japan.
Yoshiyuki BabaDivision of Pedodontics and Orthodontics, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, 157-8535, Japan.
Nobutaka IsogawaDivision of Pedodontics and Orthodontics, Department of Surgical Specialties, National Center for Child Health and Development, Tokyo, 157-8535, Japan.
Katsuhiro AraiDivision of Gastroenterology, Department of Medical Subspecialties, National Center for Child Health and Development, Tokyo, 157-8535, Japan.
Takako YoshiokaDepartment of Pathology, National Center for Child Health and Development, Tokyo, 157-8535, Japan.
Makoto AbeKasaoka Division, Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, 700-8558, Japan.
Nobuo KanaiHealthy Aging Innovation Center, Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Tokyo, 173-0015, Japan.
Ryo TakagiInstitute of Advanced Biomedical Engineering and Science, Tokyo Women's Medical University, Tokyo, 162-8666, Japan.
Masanori MaedaMakeWay LLC, Saitama, 350-0461, Japan.
Akihiro UmezawaCenter for Regenerative Medicine, National Center for Child Health and Development Research Institute, Tokyo, 157-8535, Japan.
National Center For Child Health and Development · JPOkayama University · JPTokyo Metropolitan Geriatric Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe performed the first autologous oral mucosa-derived epithelial cell sheet transplantation therapy in a patient with refractory postoperative anastomotic stricture in congenital esophageal atresia (CEA) and confirmed its safety. In this study, patients with CEA and congenital esophageal stenosis were newly added as subjects to further evaluate the safety and efficacy of cell sheet transplantation therapy.

methodsEpithelial cell sheets were prepared from the oral mucosa of the subjects and transplanted into esophageal tears created by endoscopic balloon dilatation (EBD). The safety of the cell sheets was confirmed by quality control testing, and the safety of the transplantation treatment was confirmed by 48-week follow-up examinations.

resultsSubject 1 had a stenosis resected because the frequency of EBD did not decrease after the second transplantation. Histopathological examination of the resected stenosis revealed marked thickening of the submucosal layer. Subjects 2 and 3 did not require EBD for 48 weeks after transplantation, during which time they were able to maintain a normal diet by mouth.

conclusionsSubjects 2 and 3 were free of EBD for a long period of time after transplantation, confirming that cell sheet transplantation therapy is clearly effective in some cases. In the future, it is necessary to study more cases; develop new technologies such as an objective index to evaluate the efficacy of cell sheet transplantation therapy and a device to achieve more accurate transplantation; identify cases in which the current therapy is effective; and find the optimal timing of transplantation; and clarify the mechanism by which the current therapy improves stenosis.

trial registrationUMIN, UMIN000034566, registered 19 October 2018, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000039393 .

Indexed as

Esophageal AtresiaEsophageal NeoplasmsEsophageal StenosisConstriction, PathologicEpithelial CellsHumansMouth MucosaRetrospective StudiesTreatment OutcomeAnastomotic stenosisCell sheet transplantationCongenital esophageal atresiaCongenital esophageal stenosisEndoscopyEpithelial cell sheetRegenerative therapySomatic stem cells

Identifiers

PMID37055850
PMCPMC10099682
OpenAlexW4365451888

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.