Evidence map›Paper›PMID 40394690›Full record

ArticleStem cell research & therapy2025

Combining sodium-glucose co-transporter-2 inhibitor with mesenchymal stem cells and brown adipose tissue (BAT) and white adipose tissue (WAT) transplantation to mitigate the progression of diabetic kidney disease: a pre-clinical approach.

Stephany Beyerstedt, Marcella L Franco, Alanah K G Carlos, Jaqueline Arjona, Gleice R Josefi-Rocha, Bruno S Barbosa, Maria Theresa A Balby-Rocha, Andrei Furlan da Silva, Tuany Marques Reiter Alves, Melise Oliveira Mariano and 2 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 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. 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

12 authors.

Stephany BeyerstedtAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Marcella L FrancoAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Alanah K G CarlosAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Jaqueline ArjonaAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Gleice R Josefi-RochaAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Bruno S BarbosaAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Maria Theresa A Balby-RochaSchool of Medicine, Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, SP, Brazil.
Andrei Furlan da SilvaAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Tuany Marques Reiter AlvesAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Melise Oliveira MarianoAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Maria Clara Soares KleinSchool of Medicine, Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, SP, Brazil.
Érika Bevilaqua RangelAlbert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. erikabr@uol.com.br.ORCID http://orcid.org/0000-0003-0982-2484

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2017/23195-2Fundação de Amparo à Pesquisa do Estado de São Paulo 2019/12636-3Fundação de Amparo à Pesquisa do Estado de São Paulo 2021/02216-7Fundação de Amparo à Pesquisa do Estado de São Paulo 2024/08173-6
6 · The paper itself

Abstract

introductionThe increasing prevalence of Diabetes Mellitus (DM) correlates with a rising incidence of Diabetic Kidney Disease (DKD). DKD, a multifactorial condition, is characterized by activation of the renin-angiotensin-aldosterone system (RAAS), with angiotensin II playing a significant role in podocyte injury. While conventional treatments show potential in mitigating DKD progression, a combination of strategies is required to both impede its development and repair damaged structures.

methodsIn this study, we explored the brown adipose tissue (BAT) and white adipose tissue (WAT) transplantation, and the use of bone marrow mesenchymal stem cell therapy (BM-MSC) combined with sodium-glucose co-transporter-2 (SGLT2) inhibitor treatment and calorie restriction in the BTBR

resultsOur primary findings revealed enhanced blood glucose control through combined cell therapy, diminished mesangial matrix expansion, alleviated tissue oxidative stress, preserved podocyte numbers, and an upregulation of podocyte structural markers and components of the RAAS renoprotective axis.

conclusionBM-MSC therapy demonstrates considerable promise as a combined treatment for mitigating DKD progression, with similar findings observed for BAT and WAT transplantation.

Indexed as

Adipose Tissue, BrownAdipose Tissue, WhiteDiabetic NephropathiesMesenchymal Stem CellsMesenchymal Stem Cell TransplantationSodium-Glucose Transporter 2 InhibitorsAnimalsDisease ProgressionMaleMiceRenin-Angiotensin SystemSodium-Glucose Transporter 2 InhibitorsDiabetic kidney diseaseMesenchymal stem cellPodocyteSGLT2i

Identifiers

PMID40394690
PMCPMC12093872

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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.