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  4. Effects of neural stem cell transplantation on the motor function of rats with contusion spinal cord injuries: a meta-analysis

Effects of neural stem cell transplantation on the motor function of rats with contusion spinal cord injuries: a meta-analysis

Neural Regen Res, 2020 · DOI: 10.4103/1673-5374.266915 · Published: October 18, 2019

Spinal Cord InjuryRegenerative Medicine

Simple Explanation

This meta-analysis assesses the effectiveness of neural stem cell (NSC) transplantation for improving motor function recovery in rats with spinal cord injuries (SCIs). The study combines data from multiple experiments to provide a comprehensive evaluation. The researchers analyzed data from 37 studies involving rats with contusion SCIs. They focused on studies that used the Basso, Beattie, and Bresnahan locomotor rating scale to assess motor function. The meta-analysis found that NSC transplantation can moderately improve motor function recovery in rats with contusion SCIs. However, the effectiveness varied depending on factors such as the timing of transplantation and the type of NSCs used.

Study Duration
Not specified
Participants
784 rats (412 in the transplantation group and 372 in the control group)
Evidence Level
Meta-analysis

Key Findings

  • 1
    Transplanted NSCs can improve motor function recovery of rats following contusion SCIs, to a moderate extent.
  • 2
    Shorter periods between the contusion induction and the NSC transplantation showed slightly higher efficacies (acute: SMD = 1.22; 95% CI: 0.81–1.63; subacute: SMD = 0.75; 95% CI: 0.42–1.09).
  • 3
    NSC implantation did not significantly improve functional recovery for chronic injuries.

Research Summary

This meta-analysis aimed to determine the efficacies of NSC transplantation on functional recovery following SCI using a clinically relevant, standardized rat model of contusion SCI. The meta-analysis included 37 studies and found that transplanted NSCs could improve the motor function recovery of rats following contusion SCIs to a moderate extent. Subgroup analyses revealed that the timing of transplantation and the characteristics of the NSCs (source, age) influenced the extent of motor function recovery.

Practical Implications

Clinical Trial Design

The meta-analysis provides insights into factors such as NSC sources, doses, grafting time, and immunosuppressive administration, which can be used to design effective clinical trials for SCI treatment.

Therapeutic Strategies

The study suggests that NSC transplantation alone has limited efficacy and should be combined with other therapeutic strategies to achieve superior functional improvements in SCI.

Personalized Treatment

Variables such as gender and strain can significantly influence the outcomes of studies using animal models of SCI, supporting the need for personalized treatment approaches.

Study Limitations

  • 1
    Substantial heterogeneity among the included studies.
  • 2
    Some of the original articles did not report the blinding status of assessors.
  • 3
    The data were not sufficient to determine the efficacies of NSC transplantations older populations.

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