Evidence map›Paper›PMID 39543743›Full record

Trial reportStem cell research & therapy2024

Clinical outcome is unlinked to injection of adipose-derived regenerative cells in the axilla of breast cancer-related lymphedema patients.

Ditte Caroline Andersen, Frederik Adam Bjerre, Mads Gustaf Jørgensen, Jens Ahm Sørensen, Charlotte Harken Jensen

Abstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Stem cell research & therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  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

5 authors.

Ditte Caroline AndersenAndersen-Group, University of Southern Denmark, Campusvej 55, 5230, Odense, Denmark.
Frederik Adam BjerreAndersen-Group, University of Southern Denmark, Campusvej 55, 5230, Odense, Denmark.
Mads Gustaf JørgensenDepartment of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Denmark.
Jens Ahm SørensenDepartment of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Denmark.
Charlotte Harken JensenAndersen-Group, University of Southern Denmark, Campusvej 55, 5230, Odense, Denmark. Charken@health.sdu.dk.ORCID 0000-0001-9683-8761

Funding

Innovationsfonden 7051-00001ANovo Nordisk Fonden NNF19OC0055353
6 · The paper itself

Abstract

backgroundInjection of autologous adipose-derived regenerative cells (ADRCs) combined with lipotransfer has been suggested to alleviate symptoms in diseases including breast cancer-related lymphedema (BCRL). We recently performed a randomized controlled trial injecting lipoaspirate with ADRCs into the axilla of BCRL patients, and here we aimed in the intervention group to define in an unbiased fashion whether ADRC injection was linked to the clinical outcome.

methods39 BCRL patients received lipotransfer assisted with autologous ADRCs (4.20 × 10

resultsUnbiased multifactorial analysis ranked and defined the clinical outcomes (Sf36 physical change, L-Dex Lymph Change, ICG mdanderson change) with the highest effect on BCRL patients. The 10 patients with the highest- and lowest effect (five responders and five non-responders) were included in the study. No difference between non-responders and responders were observed for injected ADRC number/size/viability (p > 0.05). In scRNAseq, we did not find any major difference (p > 0.05) between groups in ADRC composition regarding adipose derived stem cells, endothelial-, smooth muscle-, T-, B-, mast cells as well as macrophages, which was verified by flow cytometry. Differential subcluster gene expression between groups were for 92.5% of genes, including those encoding secretory proteins, below the threshold of 1.5, and thus neglible. Together this suggested that the ADRC phenotype was indistinguishable between BCRL responders and non-responders to the intervention.

conclusionOur data suggest that the ADRC injection and ADRC phenotype or heterogeneity have no effect on the clinical outcomes on BCRL, and ADRC assisted lipotranfer for BCRL should therefore not be considered currently.

Indexed as

Adipose TissueBreast Cancer LymphedemaAdultAxillaBreast NeoplasmsFemaleHumansMiddle AgedTreatment OutcomeAdipose derived stem cellsBreast cancerCell therapyLymphedemaRegenerative medicineScRNaseqStromal vascular fraction

Identifiers

PMID39543743
PMCPMC11566835

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.