Evidence map›Paper›PMID 41407289›Full record

ArticleClinical transplantation and research2026

Autologous bone marrow mononuclear cell administration in a large cohort of 1,011 patients with autism spectrum disorder: a retrospective observational study.

Alok Sharma, Nandini Gokulchandran, Hemangi Sane, Pooja Kulkarni, Krishnaveni Kannan, Zubiya Shaikh, Hema Biju, Amruta Paranjape, Myola D'sa, Prerna Badhe

Abstract read
In one paragraph

Article in Clinical transplantation and research, 2026. 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. Cytokine Dynamics in Autism: Analysis of BMAC Therapy Outcomes.International journal of molecular sciences · 2023
    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

10 authors.

Alok SharmaDepartment of Medical Services, NeuroGen Brain and Spine Institute, Navi Mumbai, India.ORCID https://orcid.org/0000-0002-3349-3580
Nandini GokulchandranDepartment of Medical Services, NeuroGen Brain and Spine Institute, Navi Mumbai, India.ORCID https://orcid.org/0000-0003-2195-7015
Hemangi SaneDepartment of Research and Development, NeuroGen Brain and Spine Institute, Navi Mumbai, India.ORCID https://orcid.org/0000-0002-4871-338X
Pooja KulkarniDepartment of Research and Development, NeuroGen Brain and Spine Institute, Navi Mumbai, India.ORCID https://orcid.org/0000-0001-9332-0721
Krishnaveni KannanDepartment of Neurorehabilitation, NeuroGen Brain and Spine Institute, Navi Mumbai, India.ORCID https://orcid.org/0009-0009-4563-1539
Zubiya ShaikhDepartment of Research and Development, NeuroGen Brain and Spine Institute, Navi Mumbai, India.ORCID https://orcid.org/0009-0009-4772-2194
Hema BijuDepartment of Neurorehabilitation, NeuroGen Brain and Spine Institute, Navi Mumbai, India.ORCID https://orcid.org/0009-0005-0385-5068
Amruta ParanjapeDepartment of Neurorehabilitation, NeuroGen Brain and Spine Institute, Navi Mumbai, India.ORCID https://orcid.org/0000-0003-2099-7648
Myola D'saDepartment of Neurorehabilitation, NeuroGen Brain and Spine Institute, Navi Mumbai, India.ORCID https://orcid.org/0009-0009-0186-6467
Prerna BadheDepartment of Regenerative Laboratory, NeuroGen Brain and Spine Institute, Navi Mumbai, India.ORCID https://orcid.org/0000-0002-5982-4704

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This retrospective observational study analyzed the therapeutic efficacy of autologous bone marrow mononuclear cells (BMMNCs) in a large cohort of patients with autism spectrum disorder (ASD). Methods: Overall, 1,011 patients with ASD who received intrathecal administration of autologous BMMNCs were included. Changes in symptoms and outcome measures-the Indian Scale of Autism Assessment (ISAA) and Childhood Autism Rating Scale (CARS)-were recorded. Brain positron emission tomography computed tomography (PET/CT) was used to objectively assess changes in brain metabolism. Results: At a mean follow-up of 19.3 months, 90.6% of patients showed improvement after cell therapy. Symptomatic improvements were observed in attention and concentration, command following, eye contact, sitting tolerance, social interaction, hyperactivity, communication, speech, stereotypical behavior, aggressiveness, and self-injurious behavior. Patients who received multiple doses of cell therapy demonstrated better outcomes, and improvements were seen across all age groups and regardless of disease severity. Changes in ISAA and CARS scores were statistically significant (P<0.05). Comparative PET/CT scans of 401 patients revealed improved metabolism in the amygdala, hippocampus, parahippocampal gyrus, caudate nucleus, cerebellum, mesial temporal lobe, thalamus, and superior and middle temporal poles, which corresponded to symptomatic improvements. No major adverse events were reported. Nine of the 1,011 patients experienced seizures, four of whom had a prior history. These events were managed with medication, with improvements still observed in the nine patients. Conclusions: Intrathecal transplantation of autologous BMMNCs, combined with neurorehabilitation, yields positive outcomes for patients with ASD. This approach helps reduce the degree of impairment and improves quality of life.

Indexed as

Autism spectrum disorderBone marrowCell therapyMononuclear cellsPositron emission tomography computed tomography

Identifiers

PMID41407289
PMCPMC13019111

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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.