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  4. Olfactory Ensheathing Cell Transplantation in Experimental Spinal Cord Injury: Effect size and Reporting Bias of 62 Experimental Treatments: A Systematic Review and Meta-Analysis

Olfactory Ensheathing Cell Transplantation in Experimental Spinal Cord Injury: Effect size and Reporting Bias of 62 Experimental Treatments: A Systematic Review and Meta-Analysis

PLoS Biology, 2016 · DOI: 10.1371/journal.pbio.1002468 · Published: May 31, 2016

Spinal Cord InjuryRegenerative MedicineResearch Methodology & Design

Simple Explanation

Spinal cord injury (SCI) is a debilitating condition with limited effective treatments. Olfactory ensheathing cells (OECs) are promising for cell transplantation due to their regenerative properties. This study assessed the effectiveness of OEC transplantation for locomotor recovery after experimental SCI using a meta-analysis of preclinical studies. The research showed OEC transplantation significantly improved neurological recovery in animal models of SCI and identified factors influencing the effectiveness of the procedure.

Study Duration
Not specified
Participants
1,164 animals
Evidence Level
Systematic Review and Meta-Analysis

Key Findings

  • 1
    OEC transplantation improved locomotor recovery by 20.3% in experiments reporting BBB measures.
  • 2
    OECs from the olfactory bulb showed better results than those from olfactory mucosa.
  • 3
    Immediate OEC transplantation (5–30 min) after injury was more effective than delayed transplantation.

Research Summary

This meta-analysis examined the efficacy of olfactory ensheathing cell (OEC) transplantation in experimental spinal cord injury (SCI). The study found a significant overall effect of OEC transplantation on locomotor recovery in animal models of SCI. The authors identified several factors, such as the source of OECs and timing of transplantation, that influence the effectiveness of the treatment.

Practical Implications

Optimized Transplantation Paradigms

The study suggests more effective OEC transplantation paradigms, such as using olfactory bulb-derived OECs and injecting them into rostral-caudal parenchyma.

Clinical Trial Design

The data justify OECs as a cellular substrate to develop and optimize minimally invasive and safe cellular transplantation paradigms for the lesioned spinal cord.

Safety Considerations

Long-term safety in human SCI needs to be integrated in a benefit–risk ratio calculation.

Study Limitations

  • 1
    Analysis depends on the validity of locomotor recovery scales used.
  • 2
    All studies reported exclusively rat models of SCI.
  • 3
    Rodent models rarely study long-term follow-up.

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