Evidence map›Paper›PMID 25678991›Full record

ReviewMedical journal of the Islamic Republic of Iran2014

Clinical outcome of autologous mononuclear cells transplantation for spinal cord injury: a systematic review and meta-analysis.

Hamid Reza Aghayan, Babak Arjmand, Mohsen Yaghoubi, Maziar Moradi-Lakeh, Homa Kashani, Farhad Shokraneh

Registry-linked trialAbstract readReview
In one paragraph

Review in Medical journal of the Islamic Republic of Iran, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05472428 (Autologous Bone Marrow Mononuclear Cell Administration in the Treatment of Neurologic Sequela in Children With Spina Bifida), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05472428 phase1completednot on this mapstarted 2016, after this paper: background citation

Autologous Bone Marrow Mononuclear Cell Administration in the Treatment of Neurologic Sequela in Children With Spina Bifida

TypeinterventionalSponsorVinmec Research Institute of Stem Cell and Gene TechnologyRan2016 to 2021Enrolled11ConditionsStem Cell InfusionArmsAutologous bone marrow mononuclear cell transplantation
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Organ on a Chip: A NovelFrontiers in neurology · 2021
    Review
  6. Review
  7. Article
  8. [Inhibitory effect of miR-429 on expressions of ZO-1, Occludin, and Claudin-5 proteins to improve the permeability of blood spinal cord barrierZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020
    Article
  9. Metabolomics and Cell Therapy in Diabetes Mellitus.International journal of molecular and cellular medicine · 2019
    Review
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hamid Reza Aghayan1. MD, PhD, GMP, Compliant Stem Cell Manufacturing Facility, Brain and Spinal Cord Injury Research Center, Tehran University of Medical Sciences, Tehran, Iran. hr.aghayan@gmail.com.
Babak Arjmand2. MD, PhD, GMP, Compliant Stem Cell Manufacturing Facility, Chronic Diseases Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran. b_arjmand@farabi.tums.ac.ir.
Mohsen Yaghoubi3. Clinical Knowledge Management Unit, Department of Community Medicine, Iran University of Medical Science, Tehran, Iran. Mohsenyaq@yahoo.com.
Maziar Moradi-Lakeh4. MD, MPH, Associate Professor, Department of Community Medicine, Iran University of Medical Sciences, Tehran, Iran. moradi_m@iums.ac.ir.
Homa Kashani5. PhD candidate, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. hkashani@razi.tums.ac.ir.
Farhad Shokraneh6. MS, Cochrane Schizophrenia Group, Institute of Mental Health, a Partnership between the University of Nottingham and Nottinghamshire Healthcare NHS Trust, UK. Farhadshokraneh@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCell-based therapies can be used to treat neurological diseases and spinal cord injuries. The aim of this study was to assess the clinical outcome of bone marrow derived mononuclear cells (BM-MNCs) transplantation in patients with spinal cord injuries.

methodsFollowing a systematic review to detect clinical intervention studies, a meta-analysis was done for pooling data to estimate the outcome of BM-MNCs transplantation. The percentage of the patients with improved ASIA scale from one grade to a higher grade was defined as the main outcome. By considering the study design and outcome measurement, two reviewers independently extracted the data.

resultsEight relevant primary studies were found; seven qualified studies, with a combined total of 328 patients were assessed by meta-analysis, including 314 ASIA-A, 13 ASIA-B, 94 cervical, 227 thoracic and 60 acute injuries. The percentage of the patients' improvement was tested by meta-analysis through random and fixed models. The overall percentage of all patients' improved ASIA scale after a one- year follow-up (95% CIs) was 43 (0.27-0.59).

conclusionData from published trials revealed that encouraging results were achieved by autologous BMMNCs for the treatment of spinal cord injury. However, the number of clinical trials included in the systematic review was too limited to reach a definite conclusion. More qualified clinical trials with standardized methods are needed to truly justify the outcome of this therapeutic modality in SCI patients.

Indexed as

Bone Marrow Derived Mononuclear CellsCell TransplantationSpinal Cord Injury

Identifiers

PMID25678991
PMCPMC4313447

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.