Evidence map›Paper›PMID 37742014›Full record

SynthesisStem cell research & therapy2023

Meta-analysis on last ten years of clinical injection of bone marrow-derived and umbilical cord MSC to reverse cirrhosis or rescue patients with acute-on-chronic liver failure.

Huimin Wang, Weiqi Yao, Yuyan Wang, Haibo Dong, Tengyun Dong, Wangyi Zhou, Lingling Cui, Lulu Zhao, Yu Zhang, Lei Shi and 1 more

Open access · goldAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis 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 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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  19. Liver diseases: epidemiology, causes, trends and predictions.Signal transduction and targeted 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

11 authors at 5 institutions in 2 countries.

Huimin Wang *Department of Infectious Diseases, Renmin Hospital of Wuhan University, No. 99 Zhangzhidong Road, Wuchang District, Hubei, China.
Weiqi Yao *Wuhan Optics Valley Vcanbiopharma Co., Ltd., Hubei, China.
Yuyan Wang *Department of Laboratory Medicine, The First Affiliated Hospital of Yangtze University, Jingzhou, China.
Haibo DongWuhan Optics Valley Vcanbiopharma Co., Ltd., Hubei, China.
Tengyun DongWuhan Optics Valley Vcanbiopharma Co., Ltd., Hubei, China.
Wangyi ZhouKey Industrial Base for Stem Cell Engineering Products, No. 12 Meiyuan Road, Tianjin, China.
Lingling CuiKey Industrial Base for Stem Cell Engineering Products, No. 12 Meiyuan Road, Tianjin, China.
Lulu ZhaoWuhan Optics Valley Vcanbiopharma Co., Ltd., Hubei, China.
Yu ZhangWuhan Optics Valley Vcanbiopharma Co., Ltd., Hubei, China. zhangyu@vcanbio.com.
Lei ShiDepartment of Infectious Diseases, Fifth Medical Center of Chinese, Fengtai District, PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Xi Si Huan Middle Road, Beijing, China. shilei302@126.com.
Yingan JiangDepartment of Infectious Diseases, Renmin Hospital of Wuhan University, No. 99 Zhangzhidong Road, Wuchang District, Hubei, China. jiangya_cn@aliyun.com.
Cell Technology (China) · CNWuhan University · CNChemopharma (Austria) · ATChinese PLA General Hospital · CNYangtze University · CN

Funding

Haihe Laboratory of Cell Ecosystem Innovation Fund HH22KYZX0046Innovation Platform for Academicians of Hainan Province YSPTZX202216National Clinical Center for Infectious Diseases, PLA General Hospital 413FZT6National Clinical Center for Infectious Diseases, PLA General Hospital NCRC-ID202105Science and Technology Project of Wuhan 2020020602012112Tianjin Free Trade Zone Innovation Development Project 211 ZMCY-03-2021002-01
6 · The paper itself

Abstract

backgroundRecent studies have shown that mesenchymal stem cell (MSC) therapy has potential therapeutic effects for patients with end-stage liver diseases. However, a consensus on the efficacy and safety of MSCs has not been reached.

methodsA systemic literature review was conducted by searching the Cochrane Library and PubMed databases for articles that evaluated the impact of MSC therapy on the outcomes among patients with end-stage liver disease. Various parameters, including pre- and post-treatment model of end-stage liver disease (MELD) score, serum albumin (ALB), total bilirubin (TB), coagulation function, aminotransferase, and survival rate, were evaluated.

resultsThis meta-analysis included a final total of 13 studies and 854 patients. The results indicated improved liver parameters following MSC therapy at different time points, including in terms of MELD score, TB level, and ALB level, compared with conventional treatment. Furthermore, the MSC treatment increased the overall survival rate among patients with liver cirrhosis and acute-on-chronic liver failure (ACLF). The changes in transaminase level and coagulation function differed between the different therapies at various post-treatment time points, indicating that MSC therapy provided no significant benefits in this regard. The further subgroup analysis stratified by liver background revealed that patients with ACLF benefit more from MSC therapy at most time points with improved liver function, including in terms of MELD score, TB level, and ALB level. In addition, no serious side effects or adverse events were reported following MSC therapy.

conclusionsThe meta-analysis results suggest that MSC therapy is safe and results in improved liver function and survival rates among patients with end-stage liver disease. The subgroup analysis stratified by liver background indicated that patients with ACLF benefit more from MSC therapy than patients with liver cirrhosis at most time points.

Indexed as

Acute-On-Chronic Liver FailureEnd Stage Liver DiseaseMesenchymal Stem CellsBone MarrowHumansLiver CirrhosisAcute-on-chronic liver failureDecompensated liver cirrhosisMesenchymal stem cellsMeta-analysisSystematic review

Identifiers

PMID37742014
PMCPMC10518116
OpenAlexW4386993804

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.