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  4. Transplantation of mesenchymal stem cells for spinal cord injury: a systematic review and network meta‑analysis

Transplantation of mesenchymal stem cells for spinal cord injury: a systematic review and network meta‑analysis

J Transl Med, 2021 · DOI: https://doi.org/10.1186/s12967-021-02843-0 · Published: May 7, 2021

Spinal Cord InjuryRegenerative Medicine

Simple Explanation

Spinal cord injury (SCI) is a severe traumatic disease that can lead to significant disability. This meta-analysis aimed to evaluate mesenchymal stem cells (MSCs) for SCI treatment. The study analyzed data from multiple sources to determine if MSCs are safe and effective for treating SCI, and to identify the best source and method of transplanting these cells. The researchers searched several databases up to April 2021, focusing on studies that measured motor and sensory function, ASIA grade improvement, Barthel Index (BI), and adverse reactions.

Study Duration
Not specified
Participants
949 patients with SCI
Evidence Level
Systematic review and network meta-analysis

Key Findings

  • 1
    MSCs significantly improved ASIA motor score, sensory score, ASIA grade, and BI compared to rehabilitation.
  • 2
    Autologous MSCs significantly improved the ASIA motor and sensory scores, and BI, compared to rehabilitation.
  • 3
    Intrathecal injection (IT) of MSCs significantly improved the ASIA motor and sensory score compared to rehabilitation; however, IL of MSCs was associated with more adverse reactions.

Research Summary

This meta-analysis evaluated the efficacy and safety of MSCs in treating SCI, exploring optimal cell sources and transplantation methods. The study found that MSCs transplantation significantly improves neurological function compared to rehabilitation, but with some mild side effects. Autologous MSCs and intrathecal transplantation may be more beneficial for SCI patients, but further clinical trials are needed to confirm these findings.

Practical Implications

Clinical Practice

MSCs transplantation can be considered as a potential therapy for SCI patients to improve motor and sensory functions, and quality of life.

Treatment Strategy

Autologous MSCs and intrathecal injection may be the preferred options, but further research is needed to optimize the treatment protocol.

Future Research

Further well-designed and high-quality clinical, randomized controlled trials are required to compare different MSC sources and transplantation methods.

Study Limitations

  • 1
    The efficacy evaluation index was not sufficiently comprehensive.
  • 2
    The quality of the included studies was uneven.
  • 3
    The original studies’ data were limited.

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