Evidence map›Paper›PMID 40050977›Full record

ArticleStem cell research & therapy2025

First-in-human clinical study of an embryonic stem cell product for urea cycle disorders.

Akihiro Umezawa, Akinari Fukuda, Reiko Horikawa, Hajime Uchida, Shin Enosawa, Yoshie Oishi, Naoko Nakamura, Kengo Sasaki, Yusuke Yanagi, Seiichi Shimizu and 29 more

Abstract read
In one paragraph

Article in Stem cell research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Stem cells as biological drugs for incurable diseases.Stem cell research & therapy · 2025
    Article
  5. Review
  6. Primitive Hepatoblasts Driving Early Liver Development.bioRxiv : the preprint server for biology · 2025
    Article
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

39 authors.

Akihiro UmezawaNational Center for Child Health and Development Research Institute, Setagaya, Japan. umezawa-a@ncchd.go.jp.
Akinari FukudaNational Center for Child Health and Development, Setagaya, Japan.
Reiko HorikawaNational Center for Child Health and Development, Setagaya, Japan.
Hajime UchidaNational Center for Child Health and Development, Setagaya, Japan.
Shin EnosawaNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Yoshie OishiNational Center for Child Health and Development, Setagaya, Japan.
Naoko NakamuraNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Kengo SasakiNational Center for Child Health and Development, Setagaya, Japan.
Yusuke YanagiNational Center for Child Health and Development, Setagaya, Japan.
Seiichi ShimizuNational Center for Child Health and Development, Setagaya, Japan.
Toshimasa NakaoNational Center for Child Health and Development, Setagaya, Japan.
Tasuku KodamaNational Center for Child Health and Development, Setagaya, Japan.
Seisuke SakamotoNational Center for Child Health and Development, Setagaya, Japan.
Itaru HayakawaNational Center for Child Health and Development, Setagaya, Japan.
Saeko AkiyamaNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Noriaki SakuNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Shoko MiyataNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Kenta IteNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Palaksha Kanive JavaregowdaNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Masashi ToyodaNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Hidenori NonakaNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Kazuaki NakamuraNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Yoshikazu ItoNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Yasuyuki FukuharaNational Center for Child Health and Development, Setagaya, Japan.
Osamu MiyazakiNational Center for Child Health and Development, Setagaya, Japan.
Shunsuke NosakaNational Center for Child Health and Development, Setagaya, Japan.
Kazuhiko NakabayashiNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Chizuko HagaNational Center for Child Health and Development, Setagaya, Japan.
Takako YoshiokaNational Center for Child Health and Development, Setagaya, Japan.
Akira MasudaNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Takashi OhkuraNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Mayu Yamazaki-InoueNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Masakazu MachidaNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Rie Abutani-SakamotoNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Shoko MiyajimaNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Hidenori AkutsuNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Yoichi MatsubaraNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Takashi IgarashiNational Center for Child Health and Development Research Institute, Setagaya, Japan.
Mureo KasaharaNational Center for Child Health and Development, Setagaya, Japan. kasahara-m@ncchd.go.jp.

Funding

AMED JP15bm0504007AMED JP16bk0104054AMED JP19bk0104088AMED JP22bk0104150
6 · The paper itself

Abstract

backgroundThis study assesses the safety and efficacy of hepatocyte-like cell (HLC) infusion therapy derived from human embryonic stem cells as bridging therapy for neonatal-onset urea cycle disorders (UCD). The research includes both preclinical and clinical evaluations to determine the feasibility of HLC infusion as a therapeutic option for safer pediatric liver transplantation.

methodsPreclinical studies were conducted to validate the safety, biodistribution, and ammonia metabolism capabilities of HLCs using SCID mice models of UCD and extensive animal studies. In the clinical trial, five neonates with UCD received HLC infusions, intending to maintain metabolic stability and exceed a target weight of over 6 kg, which is considered necessary for safer liver transplantation.

resultsPreclinical studies demonstrated that HLCs successfully engrafted in the liver without adverse migration or tumor formation and effectively elongated survival. Clinically, all five neonates exceeded the target weight of 6 kg while maintaining metabolic stability and successfully bridging to transplantation. Post-transplantation follow-up revealed stable growth, metabolic control, and no neurological complications.

conclusionsThe combined preclinical and clinical findings support HLC infusion as a viable bridge therapy for neonates with UCD, providing metabolic support to achieve safer weight thresholds for transplantation. While promising, careful monitoring remains essential, particularly for potential complications such as thrombus formation.

trial registrationjRCT, jRCT1090220412. Registered on 27 February 2019, https://jrct.niph.go.jp/en-latest-detail/jRCT1090220412 (originally registered in JMACCT (JMA-IIA00412)).

Indexed as

Embryonic Stem CellsHepatocytesHuman Embryonic Stem CellsUrea Cycle Disorders, InbornAnimalsDisease Models, AnimalFemaleHumansInfant, NewbornMaleMiceMice, SCIDAmmonia removalCell-based therapyEmbryonic stem cells (ESCs)HepatocyteHyperammonemiaLiver transplantationNeonatal-onsetRegenerative medicineUrea cycle disorders (UCD)

Identifiers

PMID40050977
PMCPMC11887382

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Registered trials

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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.