Evidence map›Paper›PMID 40102849›Full record

ArticleBMC medicine2025

Cellular sentinels: empowering survival and immune defense in hematopoietic stem cell transplantation through mesenchymal stem cells and T lymphocytes.

Tzong-Shyuan Tai, Yun-Hsiang Chen, Chao-Ling Yao, Jiun-Han Lin, Yu-Shao Yang, Jai-Wen Shi, Li-Wen Fang, Duen-Wei Hsu, Shu-Chen Kuo, Shu-Ching Hsu

Abstract read
In one paragraph

Article in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Tzong-Shyuan Tai *Department of Medical Research and Development, Chang Gung Memorial Hospital, Taoyuan, 33305, Taiwan.
Yun-Hsiang Chen *Department of Life Science, Fu-Jen Catholic University, New Taipei City, 242062, Taiwan.
Chao-Ling Yao *Department of Chemical Engineering, National Cheng Kung University, Tainan City, 70101, Taiwan.
Jiun-Han LinDepartment of Industrial Technology, Ministry of Economic Affairs, Taipei, 100210, Taiwan.
Yu-Shao YangNational Institute of Infectious Diseases and Vaccinology, National Health Research Institutes, 35 Keyan Road, Zhunan, Miaoli, 35053, Taiwan.
Jai-Wen ShiNational Institute of Infectious Diseases and Vaccinology, National Health Research Institutes, 35 Keyan Road, Zhunan, Miaoli, 35053, Taiwan.
Li-Wen FangDepartment of Nutrition, I-Shou University, Kaohsiung City, 82445, Taiwan.
Duen-Wei HsuDepartment of Biotechnology, National Kaohsiung Normal University, Kaohsiung City, 82444, Taiwan.
Shu-Chen KuoNational Institute of Infectious Diseases and Vaccinology, National Health Research Institutes, 35 Keyan Road, Zhunan, Miaoli, 35053, Taiwan.
Shu-Ching HsuNational Institute of Infectious Diseases and Vaccinology, National Health Research Institutes, 35 Keyan Road, Zhunan, Miaoli, 35053, Taiwan. mschsu@nhri.edu.tw.

Funding

Ministry of Science and Technology, Taiwan MOST 103-2320-B-400-021-, MOST-106-2320-B-400-024National Health Research Institutes IV-101-PP-22, IV-103-PP-29, IV-106-PP-26, MG-108-SP-12National Science and Technology Council 112-2314-B-182A-082 -
6 · The paper itself

Abstract

backgroundHematopoietic stem cell transplantation (HSCT) is a critical treatment for hematologic disorders such as leukemia, lymphoma, and specific immune deficiencies. Despite its efficacy, challenges such as engraftment failure and delayed neutrophil regeneration remain significant barriers. These complications lead to prolonged cytopenia, increased risks of infections and other complications, and elevated morbidity and mortality rates. While mesenchymal stem cells (MSCs) are known to play essential roles in supporting hematopoiesis, the precise mechanisms and interactions between MSCs and other cellular components in HSCT require further investigation.

methodsTo address these challenges, we explored the combined infusion of allotype-cord blood hematopoietic stem cells (HSCs) and activated T cells from the same donor along with third-party MSCs. The study assessed the effects of this triple-cell therapy on neutrophil differentiation and function ex vivo and in vivo. Using a respiratory infection model, we evaluated the accumulation of human neutrophils, cytokine secretion (IL-6 and IL-8), bacterial clearance, and overall survival compared to control groups.

resultsThe triple-cell therapy demonstrated a significant improvement in the differentiation of human HSCs into neutrophils both in ex vivo and in vivo. In the respiratory infection model, this approach resulted in enhanced accumulation of human neutrophils, increased secretion of IL-6 and IL-8, superior bacterial clearance, and reduced mortality rates compared to the control group. These findings highlight the synergistic interplay between allo-HSCs, MSCs, and activated T cells in promoting neutrophil production and function.

conclusionsOur study presents a novel therapeutic strategy combining allo-HSCs, activated T cells, and third-party MSCs to enhance neutrophil production and functionality post-transplantation. This approach not only accelerates neutrophil regeneration but also improves resistance to infections, offering a promising avenue to overcome engraftment challenges in HSCT.

Indexed as

Hematopoietic Stem Cell TransplantationMesenchymal Stem CellsMesenchymal Stem Cell TransplantationT-LymphocytesAnimalsCell DifferentiationHematopoietic Stem CellsHumansMiceNeutrophilsActivated T cellsEngraftment enhancementHematopoietic stem cell transplantation (HSCT)Mesenchymal stem cells (MSCs)Neutrophil regeneration

Identifiers

PMID40102849
PMCPMC11921582

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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.