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Kurdistan University of Medical Sciences

Efficacy of adipose derived stem cells on functional and neurological improvement following ischemic stroke: A systematic review and meta-analysis

(2020) Efficacy of adipose derived stem cells on functional and neurological improvement following ischemic stroke: A systematic review and meta-analysis. BMC Neurology.

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Abstract

Background: The evidence on the efficacy of adipose derived stem cells (ADSCs) in the treatment of stroke is controversial. Therefore, the aim of present systematic review and meta-analysis is to evaluate the efficacy of ADSCs administration in the treatment of animal models of ischemic stroke. Methods: An extensive search was performed on electronic databases of Medline, Embase, Scopus, CENTRAL and Web of Science until December 31, 2018. Animal studies that used ADSCs in treatment of ischemic stroke were included. The data were recorded as mean and standard deviation and then a pooled standardized mean difference (SMD) with 95 confidence interval (95 CI) was reported. Results: Twenty articles were included in the present meta-analysis. It was observed that administration of ADSCs improves motor function (SMD = 2.52, 95 CI: 1.67 to 3.37, p < 0.0001) and neurological status (SMD = 2.05, 95 CI: 1.33 to 2.78, p < 0.0001) in animals following an ischemic stroke. Multivariate meta-regression showed the model of stroke induction (p = 0.017) and the number of transplanted cells (p = 0.007) affect the efficacy of ADSCs administration on motor function improvement following the stroke. Conclusion: Moderate to high levels of evidence indicate a strong efficacy of ADSCs transplantation on motor function and neurological improvement following ischemic stroke in animal models. However, no reports regarding the dose-response effect of ADSCs administration on stroke exist in the literature. As a result, further pre-clinical studies are recommended to be conducted on the matter. © 2020 The Author(s).

Item Type: Article
Keywords: adipose derived stem cell; allograft; autograft; brain ischemia; clinical effectiveness; mental health; middle cerebral artery occlusion; motor function test; motor performance; neurologic examination; nonhuman; occlusion; Review; stem cell transplantation; study design; xenograft
Journal or Publication Title: BMC Neurology
Volume: 20
Number: 1
Publisher: BioMed Central Ltd
Identification Number: 10.1186/s12883-020-01865-3
ISSN: 14712377
Depositing User: مهندس جمال محمودپور
URI: http://eprints.muk.ac.ir/id/eprint/2199

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