Evidence map›Paper›PMID 40188166›Full record

ArticleStem cell research & therapy2025

Consecutive intrabronchial administration of Wharton's jelly-derived mesenchymal stromal cells in ECMO-supported pediatric patients with end-stage interstitial lung disease: a safety and feasibility study (CIBA method).

Nerea Dominguez-Pinilla, Luis Ignacio González-Granado, Aitor Gonzaga, María López Diaz, Cecilia Castellano Yáñez, Clara Aymerich, Xabier Freire, Olga Ordoñez, Álvaro Gimeno Diaz de Atauri, María Salomé Albi Rodríguez and 17 more

Abstract readCase Reports
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

27 authors.

Nerea Dominguez-Pinilla *Pediatric Hematology and Oncology, Hospital 12 de Octubre, Madrid, Spain.
Luis Ignacio González-Granado *Immunodeficiencies Unit, Hospital 12 de Octubre, Madrid, Spain.
Aitor Gonzaga *Institute for Health and Biomedical Research (ISABIAL), Dr. Balmis General and University Hospital, Alicante, Spain.
María López DiazPaediatric Surgery, Hospital 12 de Octubre, Madrid, Spain.
Cecilia Castellano YáñezPaediatric Surgery, Hospital 12 de Octubre, Madrid, Spain.
Clara AymerichPaediatric Intensive Care Unit, Hospital 12 de Octubre, Madrid, Spain.
Xabier FreirePaediatric Intensive Care Unit, Hospital 12 de Octubre, Madrid, Spain.
Olga OrdoñezPaediatric Intensive Care Unit, Hospital 12 de Octubre, Madrid, Spain.
Álvaro Gimeno Diaz de AtauriPaediatric Pneumology, Hospital 12 de Octubre, Madrid, Spain.
María Salomé Albi RodríguezPaediatric Pneumology, Hospital 12 de Octubre, Madrid, Spain.
Elisa Martínez LópezPaediatric Pneumology, Hospital 12 de Octubre, Madrid, Spain.
Rodrigo IñiguezHaematology, Hospital 12 de Octubre, Madrid, Spain.
Olga Serrano GarrotePharmacy Unit, Hospital 12 de Octubre, Madrid, Spain.
Almudena Castro FrontiñánPharmacy Unit, Hospital 12 de Octubre, Madrid, Spain.
Etelvina AndreuInstitute for Health and Biomedical Research (ISABIAL), Dr. Balmis General and University Hospital, Alicante, Spain.
Ana María Gutierrez-VilchezInstitute of Bioengineering-University Miguel Hernández, Elche, Spain.
Marga Anton-BoneteInstitute of Bioengineering-University Miguel Hernández, Elche, Spain.
Gema Martinez-NavarreteInstitute of Bioengineering-University Miguel Hernández, Elche, Spain.
Nerea Castillo-FloresBanc de Sang I Teixits, Barcelona, Spain.
Cristina Prat-VidalBanc de Sang I Teixits, Barcelona, Spain.
Margarita BlancoBanc de Sang I Teixits, Barcelona, Spain.
Rocío Morante ValverdePaediatric Surgery, Hospital 12 de Octubre, Madrid, Spain.
Eduardo FernandezInstitute of Bioengineering-University Miguel Hernández, Elche, Spain.
Sergi QuerolBanc de Sang I Teixits, Barcelona, Spain.
Luis Manuel Hernández-BlascoInstitute for Health and Biomedical Research (ISABIAL), Dr. Balmis General and University Hospital, Alicante, Spain.
Sylvia Belda-HofheinzPaediatric Intensive Care Unit, Hospital 12 de Octubre, Madrid, Spain. sylviabeldahofheinz@gmail.com.
Bernat SoriaInstitute for Health and Biomedical Research (ISABIAL), Dr. Balmis General and University Hospital, Alicante, Spain. bernat.soria@umh.es.

Funding

Agencia Valenciana de Innovación AVI-GVA COVID-19-068Agencia Valenciana de Innovación GVA-COVID19/2021/047Al-Andalus Biopharma SL Al-Andalus Biopharma SLInstitute of Health Carlos III PDC2022-133952-100Instituto de Salud Carlos III DTS19/00175Instituto de Salud Carlos III ICI21/00016Juvenile Diabetes Research Foundation JDRF 2-SRA-2019-837Université Toulouse III - Paul Sabatier FIS PI21/01642
6 · The paper itself

Abstract

backgroundPatients ineligible for lung transplant with end-stage Interstitial Lung Disease (ILD) on Extra-Corporeal Membrane Oxygenation (ECMO) face an appalling prognosis with limited therapeutic options. Due to the beneficial effect of Mesenchymal Stromal Cells (MSC) on inflammatory, immunological and infectious diseases, cell therapy has been proposed as an option, but administration is hampered by the ECMO.

methodsCryopreserved Wharton-jelly derived MSC (WJ-MSC) were conveniently diluted and directly applied consecutively on each lobule (5,1 ml = 10

resultsIntrabronchial administration of MSC to a patient on ECMO was well tolerated by the patient even though it did not reverse the patient's ILD. This manuscript presents preliminary evidence from ongoing clinical trials program on Cell Therapy of Inflammatory, Immune and Infectious Diseases and, to our knowledge, is the first report of intrabronchial administration of MSC in a paediatric ECMO patient with ILD. Even more, MSC administered by this method do not reach the systemic circulation and do get blocked on ECMO membrane.

conclusionsDirect intrabronchial administration of MSC in a patient on ECMO is feasible and safe, and may be a new avenue to be assayed in ECMO patients with inflammatory, immunological and infectious diseases of the lung.

Indexed as

Extracorporeal Membrane OxygenationLung Diseases, InterstitialMesenchymal Stem CellsMesenchymal Stem Cell TransplantationWharton JellyChildFeasibility StudiesHumansBronchoscopyBronchus associated lymphoid tissue (BALT)Cell therapyExtracorporeal membrane oxygenation (ECMO)Interstitial lung diseaseMesenchymal stromal cells (MSC)

Identifiers

PMID40188166
PMCPMC11972491

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LicenceCC BY-NC-ND
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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.