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Intraparenchymal Neural Stem/Progenitor Cell Transplantation for Ischemic Stroke Animals: A Meta-Analysis and Systematic Review

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单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Rehabil Med,Tongji Med Coll,Wuhan 430030,Hubei,Peoples R China [2]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Reprod Med,Tongji Med Coll,Wuhan 430030,Hubei,Peoples R China [3]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Neurosurg,Tongji Med Coll,Wuhan 430030,Hubei,Peoples R China [4]Huazhong Univ Sci & Technol,Inst Organ Transplantat,Tongji Hosp,Tongji Med Coll,Key Lab,Minist Hlth,Wuhan 430030,Hubei,Peoples R China [5]Huazhong Univ Sci & Technol,Minist Educ,Tongji Hosp,Tongji Med Coll,Wuhan 430030,Hubei,Peoples R China [6]Minist Educ, Key Lab Organ Transplantat, Wuhan 430030, Peoples R China [7]Minist Hlth, Key Lab Organ Transplantat, Wuhan 430030, Hubei, Peoples R China
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Intraparenchymal transplantation of neural stem/progenitor cells (NSPCs) has been extensively investigated in animal models of ischemic stroke. However, the reported therapeutic efficacy was inconsistent among studies. To evaluate this situation, PubMed, Embase, and Web of Science databases were searched for preclinical studies using NSPC intraparenchymal transplantation in ischemic stroke animals. Data of study quality score, neurobehavioral (mNSS, rotarod test, and cylinder test) and histological (infarct volume) outcomes, cell therapy- related serious adverse events, and related cellular mechanisms were extracted for meta-analysis and systematic review. A total of 62 studies containing 73 treatment arms were included according to our criterion, with a mean quality score of 5.10 in 10. Among these studies, almost half of the studies claimed no adverse events of tumorigenesis. The finally pooled effect sizes for neurobehavioral and histological assessments were large (1.27 for mNSS, 1.63 for the rotarod test, 0.71 for the cylinder test, and 1.11 for infarct volume reduction). With further analysis, it was found that the administration time poststroke, NSPC donor species, and transplantation immunogenicity had close correlations with the degree of infarct volume reduction. The NSPC dosage delivered into the brain parenchyma was also negatively correlated with the effect of the cylinder test. Intriguingly, endogenous apoptosis inhibition and axonal regeneration played the most critical role in intraparenchymal NSPC transplantation among the cellular mechanisms. These results indicate that intraparenchymal NSPC transplantation is beneficial for neurobehavioral and histological improvement and is relatively safe for ischemic stroke animals. Therefore, intraparenchymal NSPC transplantation is a promising treatment for stroke patients.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 3 区 细胞与组织工程
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 细胞与组织工程
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出版当年[2016]版:
Q2 CELL & TISSUE ENGINEERING
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Q2 CELL & TISSUE ENGINEERING

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第一作者单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Rehabil Med,Tongji Med Coll,Wuhan 430030,Hubei,Peoples R China
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