Evidence map›Paper›PMID 41331367›Full record

ArticlePediatric research2026

Intraperitoneal rescue stem cell therapy in experimental NEC mitigates intestinal, pulmonary, and neuroinflammatory injury in mice.

Krishna Manohar, Fikir M Mesfin, Sharon Joseph, Jasmine Lee, Jianyun Liu, William Chris Shelley, John P Brokaw, Troy A Markel

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In one paragraph

Article in Pediatric research, 2026. 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
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1 · What the graph read from it

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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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

8 authors.

Krishna ManoharDepartment of Surgery, Indiana University School of Medicine (IUSM), Indianapolis, IN, USA.
Fikir M MesfinDepartment of Surgery, Indiana University School of Medicine (IUSM), Indianapolis, IN, USA.
Sharon JosephDepartment of Surgery, Indiana University School of Medicine (IUSM), Indianapolis, IN, USA.
Jasmine LeeDepartment of Surgery, Indiana University School of Medicine (IUSM), Indianapolis, IN, USA.
Jianyun LiuDepartment of Surgery, Indiana University School of Medicine (IUSM), Indianapolis, IN, USA.
William Chris ShelleyDepartment of Surgery, Indiana University School of Medicine (IUSM), Indianapolis, IN, USA.
John P BrokawDepartment of Surgery, Indiana University School of Medicine (IUSM), Indianapolis, IN, USA.
Troy A MarkelDepartment of Surgery, Indiana University School of Medicine (IUSM), Indianapolis, IN, USA. tmarkel@iu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNecrotizing enterocolitis (NEC) is a devastating condition associated with long-term complications including NDI (neurodevelopmental impairment), chronic lung disease, and intestinal complications. Umbilical-cord-derived mesenchymal stem cells (USCs) have been shown to improve intestinal outcomes when given prophylactically in preclinical NEC models. We hypothesized that intervention with USCs following onset of experimental NEC would also improve outcomes.

methodsNEC was induced in 5-day-old mouse pups through formula gavage, hypoxia, and hypothermia. Control pups were left with mother (BF ctrl, n = 21). Experimental animals were given an intraperitoneal (IP) injection of either USCs (NEC + USC, n = 16) or sterile PBS (NEC + PBS, n = 18) on PND(postnatal) 7. On PND 9, pups were euthanized, intestinal and lung tissues were H&E stained and homogenized for cytokine assessment, while brain microglia were analyzed via immunohistochemistry.

resultsWhen compared to the NEC + PBS group, the NEC + USC group showed improved clinical scores, intestinal and lung histology, and an improved cytokine profile. Brain microglia were more characteristic of a resting state, with increased branching and complexity that was similar to breast-fed controls.

conclusionsThese findings suggest that intraperitoneal USC administration after NEC onset improves clinical outcomes and reduces intestinal, pulmonary, and neuronal injury-highlighting its potential as a therapy after onset of experimental NEC. IMPACT: Umbilical-cord-derived mesenchymal stem cells (USCs) can improve outcomes in NEC even after its onset. This study is the first murine model to show that USCs serve as an effective rescue therapy-demonstrating significant improvements in clinical scores, intestinal health, lung function, and brain microglia activity. The research suggests that IP USCs may reduce secondary organ damage and enhance long-term outcomes for affected infants, paving the way for future pre-clinical and clinical trials in the neonatal care of this devastating disease.

Indexed as

Enterocolitis, NecrotizingIntestinesLungMesenchymal Stem Cell TransplantationNeuroinflammatory DiseasesAnimalsAnimals, NewbornCytokinesDisease Models, AnimalFemaleInjections, IntraperitonealMesenchymal Stem CellsMiceMice, Inbred C57BLMicrogliaCytokines

Identifiers

PMID41331367
PMCPMC13524825

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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.