Evidence map›Paper›PMID 40883988›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2025

Inflammatory modulation by cord blood stem cells prevented digit deformation in recessive dystrophic epidermolysis bullosa.

Morgan Anderson-Crannage, Alexander Nyström, Rahim Hirani, Edo Schaefer, Bruno Hochberg, Rebecca Kann, Jian Pan, Meijuan Tian, Hongwen Zhu, Wen Luo and 3 more

Abstract read
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 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. 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

13 authors.

Morgan Anderson-CrannageDepartment of Pediatrics, New York Medical College, Valhalla, NY 10595, USA; Department of Cell Biology and Anatomy, New York Medical College, Valhalla, NY 10595, USA.
Alexander NyströmDepartment of Dermatology, University of Freiburg, Freiburg, Germany; Freiburg Institute for Advanced Studies (FRIAS), University of Freiburg, Freiburg, Germany.
Rahim HiraniDepartment of Pediatrics, New York Medical College, Valhalla, NY 10595, USA; Department of Medicine, New York Medical College, Valhalla, NY 10595, USA.
Edo SchaeferDepartment of Pediatrics, New York Medical College, Valhalla, NY 10595, USA.
Bruno HochbergDepartment of Pediatrics, New York Medical College, Valhalla, NY 10595, USA.
Rebecca KannDepartment of Pediatrics, New York Medical College, Valhalla, NY 10595, USA.
Jian PanDepartment of Pediatrics, New York Medical College, Valhalla, NY 10595, USA.
Meijuan TianDepartment of Pediatrics, New York Medical College, Valhalla, NY 10595, USA.
Hongwen ZhuDepartment of Pediatrics, New York Medical College, Valhalla, NY 10595, USA.
Wen LuoDepartment of Pediatrics, New York Medical College, Valhalla, NY 10595, USA.
Janet AyelloDepartment of Pediatrics, New York Medical College, Valhalla, NY 10595, USA.
Mitchell S CairoDepartment of Pediatrics, New York Medical College, Valhalla, NY 10595, USA; Department of Cell Biology and Anatomy, New York Medical College, Valhalla, NY 10595, USA; Department of Medicine, New York Medical College, Valhalla, NY 10595, USA; Department of Pathology, Microbiology and Immunology, New York Medical College, Valhalla, NY 10595, USA. Electronic address: mitchell_cairo@nymc.edu.
Yanling LiaoDepartment of Pediatrics, New York Medical College, Valhalla, NY 10595, USA; Department of Medicine, New York Medical College, Valhalla, NY 10595, USA. Electronic address: yanling_liao@nymc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recessive dystrophic epidermolysis bullosa (RDEB) is a hereditary dermal blistering disorder caused by mutations in the COL7A1 gene encoding type VII collagen (C7), which progressively results in poor wound healing, fibrosis, and pseudosyndactyly. Using a C7 hypomorphic mouse model of RDEB, we demonstrated that inflammation critically drives disease progression and identified potential mechanisms by which human cord blood derived unrestricted somatic stem cells (USSCs) exert therapeutic benefit. Systemic USSC administration significantly mitigated early paw edema and prevented digit disfigurement; such effects were associated with promotion of wound healing macrophages. USSCs also deposited C7 at the dermal-epidermal junction, significantly promoted survival, and improved locomotor activity. Importantly, USSC treatment modulated relative balance between interleukin (IL)-1α and IL-1 receptor antagonist (IL-1Ra), resulting in significantly reduced IL1α/IL1Ra ratios and attenuated NK-кB signaling. Mechanistically, in response to inflammatory cues, USSCs secreted multiple paracrine factors, including leukemia inhibitory factor (LIF), granulocyte-colony-stimulating factor, and prostaglandin E2 (PGE2). Among these, LIF emerged as a key immunomodulator, simultaneously suppressing IL-1α and enhancing IL-1Ra expression. These findings highlight a novel mechanism in how LIF modulates IL-1-driven inflammation and suggest the potential therapeutic benefit of using USSCs to treat patients with RDEB.

Indexed as

Cord Blood Stem Cell TransplantationEpidermolysis Bullosa DystrophicaFetal BloodInflammationStem CellsAnimalsCollagen Type VIIDisease Models, AnimalHumansMiceCollagen Type VIIIL-1immunomodulationinflammationLIFRDEBunrestricted somatic stem cells

Identifiers

PMID40883988
PMCPMC12628145

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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.