Evidence mapPaperPMID 40312744Full record

ArticleStem cell research & therapy2025

Enhance the therapeutic efficacy of human umbilical cord-derived mesenchymal stem cells in prevention of acute graft-versus-host disease through CRISPLD2 modulation.

Qing Xu, Rui Wang, Ke Sui, Yuxi Xu, Ya Zhou, Yuxuan He, Ziyi Hu, Qi Wang, Xiaodong Xie, Xiaoqi Wang and 6 more

Abstract read
In one paragraph

Article in Stem cell research & therapy, 2025. 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
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

3 citing papers in PubMed.

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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

16 authors.

Qing Xu *School of Life Sciences, Chongqing University, Chongqing, 405200, China.
Rui Wang *Medical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Ke Sui *Medical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Yuxi Xu *Medical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Ya ZhouMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Yuxuan HeMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Ziyi HuMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Qi WangMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Xiaodong XieMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Xiaoqi WangMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Shijie YangMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Lingyu ZengBlood Diseases Institute, Xuzhou Medical University, Xuzhou, 221002, China.
Jiang F ZhongDepartment of Basic Sciences, Loma Linda University, Loma Linda, CA, 92354, USA.
Zheng WangMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China. biowz@mail.ustc.edu.cn.
Qingxiao SongMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China. songqingxiao21@tmmu.edu.cn.
Xi ZhangMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China. zhangxi@tmmu.edu.cn.ORCID http://orcid.org/0000-0002-8548-2832

Funding

National Key R&D Program of China 2022YFA1103300National Key R&D Program of China 2022YFA1103304National Natural Science Foundation of China 82020108004National Natural Science Foundation of China 82100226National Natural Science Foundation of China 82341201National Natural Science Foundation of China 82470220Natural Science Foundation of Chongqing CSTB2022NSCQ-MSX1060Natural Science Foundation of Chongqing CSTB2023NSCQ-LZX0140Special Project for Talent Construction Program in Xinqiao Hospital 2022XKRC001Special Project for Talent Construction Program in Xinqiao Hospital 2023YQB012
6 · The paper itself

Abstract

backgroundAcute graft-versus-host disease (aGVHD) remains a major life-threatening complication of allogeneic haematopoietic cell transplantation (allo-HSCT), often limiting the therapeutic efficacy of allo-HSCT. Recent studies have suggested that mesenchymal stem cells (MSCs) may be beneficial for the treatment of aGVHD. However, the therapeutic potential of MSCs is often negatively impacted by their heterogeneity.

methodsTo investigate MSCs heterogeneity, we conducted single-cell transcriptomic analysis of human umbilical cord-derived MSCs (HUC-MSCs) and identified key feature genes that distinguish MSCs subpopulations. The function of the newly discovered biomarker CRISPLD2 was also explored. We engineered human umbilical cord-derived MSCs (HUC-MSCs) to overexpress the CRISPLD2 gene using lentiviral vectors. The downstream regulatory effects of CRISPLD2 overexpression were assessed through bulk RNA sequencing. Additionally, we evaluated its impact on cellular senescence using Western blotting and β-galactosidase (SA-β-gal) staining. The immunoregulatory capability of HUC-MSCs was tested through coculture experiments with T cells and liver organoids in vitro. Mitochondrial function was analysed via flow cytometry and electron microscopy. The in vivo therapeutic effects of HUC-MSCs on aGVHD were evaluated using an aGVHD murine model. The graft-versus-leukaemia (GVL) effect was measured via the inoculation of luciferase-positive A20 cells, and tumour growth was monitored via bioluminescence imaging.

resultsOur findings indicated that the CRISPLD2 gene is heterogeneously expressed in HUC-MSCs subsets characterized by stemness and immunosuppressive properties. Transcriptomic analysis revealed that CRISPLD2 overexpression suppressed calcium ion binding and G protein-coupled receptor signalling. In vitro studies demonstrated a marked increase in IL-10 secretion, which enhanced T-cell suppression in CRISPLD2-modified HUC-MSCs. The in vivo results demonstrated that transfusion of CRISPLD2-overexpressing HUC-MSCs ameliorated aGVHD while maintaining GVL activity. Mechanistically, CRISPLD2 overexpression overcomes the mitochondrial damage mediated by extracellular ATP and LPS in HUC-MSCs by inhibiting P2Y11 receptor signalling, thereby preserving their stemness and IL-10-mediated immunosuppressive functions.

conclusionsOur study revealed that CRISPLD2 is a novel marker for identifying HUC-MSCs subpopulation with enhanced immunosuppressive functions. CRISPLD2 overexpression enhances the immunosuppressive function of HUC-MSCs by inhibiting P2Y11 receptor signalling. Targeting CRISPLD2 is a promising strategy to improve the therapeutic efficacy of HUC-MSCs in aGVHD while maintaining GVL activity.

Indexed as

Cell Adhesion MoleculesGraft vs Host DiseaseMesenchymal Stem CellsMesenchymal Stem Cell TransplantationUmbilical CordAnimalsHumansMiceCell Adhesion MoleculesAcute graft-versus-host disease (aGVHD)CRISPLD2Mesenchymal stem cells (MSCs)P2Y11R

Identifiers

PMID40312744
PMCPMC12044869

What Socratic holds

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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.