Evidence map›Paper›PMID 35640138›Full record

SynthesisStem cells translational medicine2022

Efficacy and Safety of MSC Cell Therapies for Hospitalized Patients with COVID-19: A Systematic Review and Meta-Analysis.

Wenchun Qu, Zhen Wang, Erica Engelberg-Cook, Dan Yan, Abu Bakar Siddik, Guojun Bu, Julie G Allickson, Eva Kubrova, Arnold I Caplan, Joshua M Hare and 12 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Stem cells translational medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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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

22 authors at 9 institutions in 1 country.

Wenchun QuDepartment of Pain Medicine, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0003-2402-8318
Zhen WangEvidence-Based Practice Center, Mayo Clinic, Rochester, MN, USA.
Erica Engelberg-CookDepartment of Neuroscience, Mayo Clinic, Jacksonville, FL, USA.
Dan YanDepartment of Pain Medicine, Mayo Clinic, Jacksonville, FL, USA.
Abu Bakar SiddikDepartment of Pain Medicine, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0002-4023-7622
Guojun BuCenter for Regenerative Medicine, Mayo Clinic, Jacksonville, FL, USA.
Julie G AllicksonCenter for Regenerative Medicine, Mayo Clinic, Rochester, MM, USA.
Eva KubrovaDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.
Arnold I CaplanSkeletal Research Center, Biology Department, Case Western Reserve University, Cleveland, OH, USA.
Joshua M HareInterdisciplinary Stem Cell Institute and Cardiology Division, Department of Medicine, University of Miami, Miller School of Medicine, Miami, FL, USA.ORCID 0000-0002-7751-5032
Camillo RicordiDepartment of Surgery, Diabetes Research Institute and Cell Transplant Center, University of Miami Miller School of Medicine, Miami, FL, USA.
Carl J PepineDivision of Cardiovascular Medicine, and Center for Regenerative Medicine, University of Florida, Gainesville, FL, USA.
Joanne KurtzbergMarcus Center for Cellular Cures, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0002-3370-0703
Jorge M PascualDivision of Pulmonary, Allergy and Sleep Medicine, Department of Medicine, Mayo Clinic, Jacksonville, FL, USA.
Jorge M MalleaDivision of Pulmonary, Allergy and Sleep Medicine, Department of Medicine, Mayo Clinic, Jacksonville, FL, USA.
Ricardo L RodriguezCosmeticsurg, Baltimore, MD, USA.
Tarek NayfehEvidence-Based Practice Center, Mayo Clinic, Rochester, MN, USA.
Samer SaadiEvidence-Based Practice Center, Mayo Clinic, Rochester, MN, USA.
Ravindra V DurvasulaDepartment of Infectious Disease, Mayo Clinic, Jacksonville, FL, USA.
Elaine M RichardsDepartment of Physiology and Functional Genomics, Center of Regenerative Medicine, University of Florida, Gainesville, FL, USA.
Keith MarchDivision of Cardiovascular Medicine, and Center for Regenerative Medicine, University of Florida, Gainesville, FL, USA.
Fred P SanfilippoDepartment of Pathology and Laboratory Medicine, Department of Health Policy and Management, Emory University, Atlanta, GA, USA.
Mayo Clinic in Florida · USMayo Clinic · USUniversity of Florida · USMayo Clinic in Arizona · USUniversity of Miami · USWinnMed · USCase Western Reserve University · USDuke University · USEmory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

MSC (a.k.a. mesenchymal stem cell or medicinal signaling cell) cell therapies show promise in decreasing mortality in acute respiratory distress syndrome (ARDS) and suggest benefits in treatment of COVID-19-related ARDS. We performed a meta-analysis of published trials assessing the efficacy and adverse events (AE) rates of MSC cell therapy in individuals hospitalized for COVID-19. Systematic searches were performed in multiple databases through November 3, 2021. Reports in all languages, including randomized clinical trials (RCTs), non-randomized interventional trials, and uncontrolled trials, were included. Random effects model was used to pool outcomes from RCTs and non-randomized interventional trials. Outcome measures included all-cause mortality, serious adverse events (SAEs), AEs, pulmonary function, laboratory, and imaging findings. A total of 736 patients were identified from 34 studies, which included 5 RCTs (n = 235), 7 non-randomized interventional trials (n = 370), and 22 uncontrolled comparative trials (n = 131). Patients aged on average 59.4 years and 32.2% were women. When compared with the control group, MSC cell therapy was associated with a reduction in all-cause mortality (RR = 0.54, 95% CI: 0.35-0.85, I  2 = 0.0%), reduction in SAEs (IRR = 0.36, 95% CI: 0.14-0.90, I  2 = 0.0%) and no significant difference in AE rate. A sub-group with pulmonary function studies suggested improvement in patients receiving MSC. These findings support the potential for MSC cell therapy to decrease all-cause mortality, reduce SAEs, and improve pulmonary function compared with conventional care. Large-scale double-blinded, well-powered RCTs should be conducted to further explore these results.

Indexed as

COVID-19Respiratory Distress SyndromeAgedCell- and Tissue-Based TherapyFemaleHumansMaleCOVIDcytokine stormhospital recoveryMSCpulmonary

Identifiers

PMID35640138
PMCPMC9299515
OpenAlexW4225698230

What Socratic holds

Textmetadata
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.