Evidence map›Paper›PMID 34772964›Full record

ArticleScientific reports2021

The epicardial delivery of cardiosphere derived cells or their extracellular vesicles is safe but of limited value in experimental infarction.

Verónica Crisóstomo, Claudia Baéz-Diaz, Virginia Blanco-Blázquez, Verónica Álvarez, Esther López-Nieto, Juan Maestre, Antoni Bayes-Genis, Carolina Gálvez-Montón, Javier G Casado, Francisco M Sánchez-Margallo

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 35% of its field
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. 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 at 3 institutions in 1 country.

Verónica CrisóstomoFundación Centro de Cirugía de Mínima Invasión Jesús Usón, Carretera N-521, km 41, 10071, Cáceres, Spain. crisosto@ccmijesususon.com.
Claudia Baéz-DiazFundación Centro de Cirugía de Mínima Invasión Jesús Usón, Carretera N-521, km 41, 10071, Cáceres, Spain.
Virginia Blanco-BlázquezFundación Centro de Cirugía de Mínima Invasión Jesús Usón, Carretera N-521, km 41, 10071, Cáceres, Spain.
Verónica ÁlvarezFundación Centro de Cirugía de Mínima Invasión Jesús Usón, Carretera N-521, km 41, 10071, Cáceres, Spain.
Esther López-NietoFundación Centro de Cirugía de Mínima Invasión Jesús Usón, Carretera N-521, km 41, 10071, Cáceres, Spain.
Juan MaestreFundación Centro de Cirugía de Mínima Invasión Jesús Usón, Carretera N-521, km 41, 10071, Cáceres, Spain.
Antoni Bayes-GenisCIBERCV, Instituto de Salud Carlos III, Madrid, Spain.
Carolina Gálvez-MontónCIBERCV, Instituto de Salud Carlos III, Madrid, Spain.
Javier G CasadoFundación Centro de Cirugía de Mínima Invasión Jesús Usón, Carretera N-521, km 41, 10071, Cáceres, Spain.
Francisco M Sánchez-MargalloFundación Centro de Cirugía de Mínima Invasión Jesús Usón, Carretera N-521, km 41, 10071, Cáceres, Spain.
Centro de Cirugía de Mínima Invasión Jesús Usón · ESCentro de Investigación en Red en Enfermedades Cardiovasculares · ESInstitut d'Investigació en Ciències de la Salut Germans Trias i Pujol · ES

Funding

Agencia Estatal de Investigación PID2019-107329RA-C22/AEI/Instituto de Salud Carlos III CP17/00021Instituto de Salud Carlos III "Miguel Servet I" grant (MS17/00021)Instituto de Salud Carlos III PI16/01172Instituto de Salud Carlos III PI18/0911Instituto de Salud Carlos III PI20/00247Instituto de Salud Carlos III Sara Borrell" grant (CD19/00048)Junta de Extremadura IB16201
6 · The paper itself

Abstract

The epicardial administration of therapeutics via the pericardial sac offers an attractive route, since it is minimally invasive and carries no risks of coronary embolization. The aim of this study was to assess viability, safety and effectiveness of cardiosphere-derived cells (CDCs), their extracellular vesicles (EVs) or placebo administered via a mini-thoracotomy 72 h after experimental infarction in swine. The epicardial administration was completed successfully in all cases in a surgery time (knife-to-skin) below 30 min. No significant differences between groups were found in cardiac function parameters evaluated using magnetic resonance imaging before therapy and at the end of the study, despite a trend towards improved function in CDC-treated animals. Moreover, infarct size at 10 weeks was smaller in treated animals, albeit not significantly. Arrhythmia inducibility did not differ between groups. Pathological examination showed no differences, nor were there any pericardial adhesions evidenced in any case 10 weeks after surgery. These results show that the epicardial delivery of CDCs or their EVs is safe and technically easy 3 days after experimental myocardial infarction in swine, but it does not appear to have any beneficial effect on cardiac function. Our results do not support clinical translation of these therapies as implemented in this work.

Indexed as

Extracellular VesiclesAnimalsDisease Models, AnimalFemaleMagnetic Resonance ImagingMyocardial InfarctionMyocytes, CardiacPericardiumSpheroids, CellularSus scrofaThoracotomyTransplantation, Autologous

Identifiers

PMID34772964
PMCPMC8590017
OpenAlexW3213065570

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.