Evidence map›Paper›PMID 35211176›Full record

ArticleStem cells international2022

Mesenchymal Stromal Cells Mediate Clinically Unpromising but Favourable Immune Responses in Kidney Transplant Patients.

Urvashi Kaundal, Raja Ramachandran, Amit Arora, Deepesh B Kenwar, Ratti Ram Sharma, Ritambhra Nada, Mukut Minz, Vivekanand Jha, Aruna Rakha

Open access · goldAbstract read
In one paragraph

Article in Stem cells international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
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

9 authors at 3 institutions in 1 country.

Urvashi KaundalDepartment of Translational and Regenerative Medicine, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.ORCID https://orcid.org/0000-0003-3921-3823
Raja RamachandranDepartment of Nephrology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.ORCID https://orcid.org/0000-0002-1273-9107
Amit AroraDepartment of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.ORCID https://orcid.org/0000-0002-3503-4695
Deepesh B KenwarDepartment of Renal Transplant Surgery, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.ORCID https://orcid.org/0000-0002-8357-1508
Ratti Ram SharmaDepartment of Transfusion Medicine, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.ORCID https://orcid.org/0000-0002-7415-4665
Ritambhra NadaDepartment of Histopathology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.ORCID https://orcid.org/0000-0002-8955-1428
Mukut MinzFortis Hospital, Mohali, India.
Vivekanand JhaThe George Institute for Global Health, New Delhi, India.ORCID https://orcid.org/0000-0002-8015-9470
Aruna RakhaDepartment of Translational and Regenerative Medicine, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.ORCID https://orcid.org/0000-0001-5531-4830
Post Graduate Institute of Medical Education and Research · INFortis Hospital · INGeorge Institute for Global Health · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAllograft rejection postkidney transplantation (KTx) is a major clinical challenge despite increased access to a healthcare system and improvement in immunosuppressive (IS) drugs. In recent years, mesenchymal stromal cells (MSCs) have aroused considerable interest in field of transplantation due to their immunomodulatory and regenerative properties. This study was aimed at investigating safety, feasibility, and immunological effects of autologous MSCs (auto-MSCs) and allogeneic MSCs (allo-MSCs) as a complement to IS drug therapy in KTx patients.

methods10 patients undergoing KTx with a living-related donor were analysed along with 5 patients in the control group. Patients were given auto-MSCs or allo-MSCs at two time points, i.e., one day before transplant (D-0) and 30 days after transplant (D-30) at the rate of 1.0-1.5 × 10

resultsPatients displayed no signs of discomfort or dose-related toxicities in response to MSC infusion. Flow cytometric analysis revealed an increase in B regulatory lymphocyte populations and nonconventional T regulatory cells and a decrease in T effector lymphocyte proportions in auto-MSC-infused patients. No such favourable immune responses were observed in all MSC-infused patients.

conclusionThis study provides evidence that auto-MSCs are safe and well tolerated. This is the first ever report to compare autologous and allogeneic MSC infusion in KTx patients. Importantly, our data demonstrated that MSC-induced immune responses in patients did not completely correlate with clinical outcomes. Our findings add to the current perspective of using MSCs in KTx and explore possibilities through which donor/recipient chimerism can be achieved to induce immune tolerance in KTx patients.

Identifiers

PMID35211176
PMCPMC8863486
OpenAlexW4214516407

What Socratic holds

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LicenceCC BY
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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 Socratic graph.